A 24-year-old female client presents at the clinic with specific complaints of a physical illness. This is the 5th time in 5 months this client has been seen

The nurse identifies what signs and symptoms that indicate hypochondriasis? (Mark all that apply.)
A) Concerns continue despite medical testing and reassurance that a disease does not exist
B) Multiple symptoms that begin before age 30 and extend over a period of years
C) Creates enough distress to cause difficulty in social or work-related functioning over a period of 6 months or more
D) Also referred to as Briquet's syndrome
E) An excessive fear or preoccupation with having a serious illness that is based on a misinterpretation of somatic signs and symptoms


A, C, E

Nursing

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A client diagnosed with major depressive episode and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative

Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions? 1. Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance. 2. Sedative-hypnotics are expensive and have numerous side effects. 3. Sedative-hypnotics interfere with necessary REM (rapid eye movement) sleep. 4. Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.

Nursing

A patient who has received a heart transplant has been given an order for drugs that block T cell activity. What is the rationale behind this order?

A) To manufacture antibodies to the foreign proteins B) To stimulate wound healing C) To combine with a complement to cause a massive inflammatory reaction D) To prevent an inflammatory reaction against the transplanted heart

Nursing

When preparing to give an intramuscular injection into the gluteal site, the nurse uses landmarks to ensure safe placement of the medication. Those landmarks are:

a. the tip of the coccyx and the greater trochanter. b. between the center of the gluteus and the iliac spine. c. between the posterior iliac crest and the greater trochanter. d. on an imaginary line between the center of the gluteus and the greater trochanter.

Nursing

In a study that examines the amount of empathy communicated by participants, which level of measurement would be used?

a. Interval b. Ratio c. Ordinal d. Nominal

Nursing