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Chapter 20: Obsessive-Compulsive and Related Disorders: Nursing Care of Persons with Obsessions and Compulsions The psychiatric mental health nurse has taught a client with obsessive-compulsive disorder (OCD) about the use of cue cards. This intervention will allow the client to:  review his or her daily goals.  understand the relationship between obsessions and compulsions.  counter obsessive thinking with positive messages.  review the negative consequences of compulsive rit...

Chapter 22 Schizophrenia Q&A A client is diagnosed with schizophreniform disorder. The nurse is reviewing the client's medical record and finds that the client's symptoms have been present for at least how long?  1 week  1 month  8 months  1 year A nurse is assessing a client who is reporting the sensation of "bugs crawling under the skin" and intense itching and burning. The client states, "I know bugs have invaded my body." There is no evidence to support the client...

Chapter 25: Addiction and Substance-Related Disorders A nurse is assessing a client with substance abuse for evidence of possible long-term complications. Which finding would alert the nurse to the development of a complication affecting the hematologic system? Select all that apply.  Leukemia  Anemia  Hematomas  Pancreatitis  Ulcers A client is brought to the emergency department by law enforcement after suspicion of driving under the influence. A blood alcohol level is...

Chapter 26: Eating Disorders: Nursing Care of Persons with Eating and Weight The nurse is performing an assessment of the family dynamics for a client with an eating disorder. Which issue observed by the nurse is an indicator of why the client may be experiencing an eating disorder?  The family appears to lack interest in the client.  The client has overprotective parents.  There are multiple siblings in the household.  The client has supportive and encouraging relationships....

Chapter 27: Somatic Symptom and Dissociative Disorders When assessing a client with somatic symptom disorder, which would the nurse most likely note?  Denial and repression are the chief defense mechanisms used.  The client's symptoms are under the conscious control of the client.  Reports of physical symptoms do not have a demonstrable organic basis to fully account for them.  The client willfully controls the physical symptoms. Somatic symptom disorder is characterized by ...

Chapter 28: Sleep Disorders: Nursing Care of Persons with Insomnia and Sleep Problems The nurse is assessing a client who was involved in a car accident 2 weeks prior. The client describes sleep quality as "poor" but is unable to elaborate further. Which intervention should the nurse recommend?  Promote relaxation.  Take melatonin.  Encourage physical activity.  Keep a sleep diary. The nurse is caring for a client who is postoperative from a total hysterectomy. The nurse s...

Chapter 30: Mental Health Disorders of Children and Adolescents The nurse is talking with the parents of a child with disruptive behavior disorder about ways to help the child manage behaviors. Which action is best for the nurse advocate for the child to have their needs met?  Interpret the child's thoughts and feelings to the parent.  Teach the parents age-appropriate expectations of the child.  Reinforce the parents' expectations of the child's behavior.  Support transfer...

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CHAPTER LEARNING OBJECTIVES 1. Identify the activities and users associated with accounting. Accounting is an information system that identifies, records, and communicates the economic events of an organization to interested users. The major users and uses of accounting are as follows (a) Management uses accounting information to plan, organize, and run the business. (b) Investors (owners) decide whether to buy, hold, or sell their financial interests on the basis of accounting data. (c) C...

Acute Limb ischemia (ALI) Definition: Acute onset (<2 weeks) ischemia is severe hypoperfusion of limb with signs and symptoms including pain, paralysis, paresthesia, pulselessness, cold, and pallor which threatens tissue viability. Usually due to acute arterial occlusion and rarely due to venous etiology. Criteria for diagnosis ! Must Be Recognized Rapidly. Skeletal Muscle Tolerates Ischemia 4-6 hours!  Onset < 2 weeks  Category I*; Viable: limb not immediately threatened; No...