The client tells the nurse, "That new TV anchor is telling the world about me." This is an example of:
A) Ideas of reference
B) Persecutory delusions
C) Thought broadcasting
D) Thought insertion
A
Feedback: General events inaccurately interpreted by the client as personal are ideas of reference. Persecutory delusions involve the client's belief that "others" are planning to harm the client. Thought broadcasting is a delusional belief that others can hear or know what the client is thinking. Thought insertion is a delusional belief that others are putting ideas or thoughts into the client's head.
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An African-American female with blisters on the vagina is being treated with acyclovir (Zovirax) for genital herpes. She is angry at her partner for transmitting the infection. Which action by the nurse is best?
a. Encourage the client to engage in sexual activity since she is on medication. b. Be sensitive to the client's feelings and refer her to a support group. c. Reinforce that the disease can no longer be spread to other partners. d. Reassure the client that sexual activity will not be painful while on acyclovir.
The physician has ordered 1 g of aminophylline in 1000 mL of D5W. It is to infuse at 12 mcg/kg/min per infusion pump. The patient weighs 110 lb. What is the correct IV rate in mL/hr? Round off to the closest whole number
A) 35 B) 36 C) 37 D) 38
A client who suffered burns in a house fire reports a headache and is not consistently oriented to time. Which intervention by the nurse is most appropriate?
a. Increase the client's oxygen and obtain blood gases. b. Draw blood for a carboxyhemoglobin lev-el. c. Increase the client's intravenous fluid rate. d. Perform a thorough Mini-Mental Status Examination.
Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)?
A. CBC (complete blood count) with differential B. Vaginal culture for Neisseria gonorrhea C. Throat culture for Streptococcus A D. RPR (rapid plasma reagin)