The spouse of a patient with bipolar disorder asks what evidence supports the
possibility of genetic transmission of bipolar disorders. Select the nurse's best
response.
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"A higher rate of relatives with bipolar disorder is found among patients
with bipolar disorder."
A nurse surveys the medical records for violations of patients' rights. Which finding
signals a violation?
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No treatment plan is present in record
,A professor's 4-year-old child has a body temperature of 101.6° F, diarrhea, and
complains of stomach pain. The professor is scheduled to teach three classes today.
Which nursing diagnosis best applies to this scenario?
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Decisional conflict
A patient with bipolar disorder and who takes lithium telephones the nurse at the
clinic to say, "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I
walk. My usual hand tremor has gotten worse. What should I do?" The nurse should
advise the patient:
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"Have someone bring you to the clinic immediately."
A patient became depressed after the last of six children moved out of the home 4
months ago. The patient has been self-neglectful, slept poorly, lost weight, and
repeatedly says, "No one cares about me anymore. I'm not worth anything." Select an
appropriate initial outcome for the nursing diagnosis Situational low self-esteem,
related to feelings of abandonment. The patient will:
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verbalize realistic positive characteristics about self by (date) .
,A nurse manager notices that a staff member spends minimal time with a patient who
is terminally ill with AIDS. The patient says, "I'm having intense emotional reactions to
this illness. Sometimes I feel angry, but other times I feel afraid or abandoned." The
nurse manager can correctly hypothesize that the most likely reason for the staff
member's avoidance is:
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feelings of inadequacy in dealing with complex emotional needs.
A patient with acute mania has exhausted the staff members by noon. The patient has
joked, manipulated, insulted, and fought all morning. Staff members are feeling
defensive and fatigued. Which is the best action?
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Hold a staff meeting to discuss consistency and limit-setting approaches.
A patient being treated for depression has taken 300 mg amitriptyline (Elavil) daily for
a year. The patient calls the case manager at the clinic and says, "I stopped taking my
antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat,
and nightmares." The nurse should advise the patient:
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"Take one dose of the antidepressant. Come to the clinic to see the health
care provider."
, Which documentation indicates that the treatment plan for a patient with acute mania
has been effective?
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"Converses without interrupting, clothing matches, participates in activities."
Which is an effective nursing intervention to assist an angry patient to learn to
manage anger without violence?
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Help the patient identify a thought that increases anger, find proof for or
against the belief, and substitute reality-based thinking.
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is
preoccupied with the incident. The nurse says, "I dread facing potentially violent
patients." Which response would be the most urgent reason for this nurse to seek
supervision?
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Wish for revenge
A patient with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows
away. Get it?" Select the nurse's best response.
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possibility of genetic transmission of bipolar disorders. Select the nurse's best
response.
Give this one a try later!
"A higher rate of relatives with bipolar disorder is found among patients
with bipolar disorder."
A nurse surveys the medical records for violations of patients' rights. Which finding
signals a violation?
Give this one a try later!
No treatment plan is present in record
,A professor's 4-year-old child has a body temperature of 101.6° F, diarrhea, and
complains of stomach pain. The professor is scheduled to teach three classes today.
Which nursing diagnosis best applies to this scenario?
Give this one a try later!
Decisional conflict
A patient with bipolar disorder and who takes lithium telephones the nurse at the
clinic to say, "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I
walk. My usual hand tremor has gotten worse. What should I do?" The nurse should
advise the patient:
Give this one a try later!
"Have someone bring you to the clinic immediately."
A patient became depressed after the last of six children moved out of the home 4
months ago. The patient has been self-neglectful, slept poorly, lost weight, and
repeatedly says, "No one cares about me anymore. I'm not worth anything." Select an
appropriate initial outcome for the nursing diagnosis Situational low self-esteem,
related to feelings of abandonment. The patient will:
Give this one a try later!
verbalize realistic positive characteristics about self by (date) .
,A nurse manager notices that a staff member spends minimal time with a patient who
is terminally ill with AIDS. The patient says, "I'm having intense emotional reactions to
this illness. Sometimes I feel angry, but other times I feel afraid or abandoned." The
nurse manager can correctly hypothesize that the most likely reason for the staff
member's avoidance is:
Give this one a try later!
feelings of inadequacy in dealing with complex emotional needs.
A patient with acute mania has exhausted the staff members by noon. The patient has
joked, manipulated, insulted, and fought all morning. Staff members are feeling
defensive and fatigued. Which is the best action?
Give this one a try later!
Hold a staff meeting to discuss consistency and limit-setting approaches.
A patient being treated for depression has taken 300 mg amitriptyline (Elavil) daily for
a year. The patient calls the case manager at the clinic and says, "I stopped taking my
antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat,
and nightmares." The nurse should advise the patient:
Give this one a try later!
"Take one dose of the antidepressant. Come to the clinic to see the health
care provider."
, Which documentation indicates that the treatment plan for a patient with acute mania
has been effective?
Give this one a try later!
"Converses without interrupting, clothing matches, participates in activities."
Which is an effective nursing intervention to assist an angry patient to learn to
manage anger without violence?
Give this one a try later!
Help the patient identify a thought that increases anger, find proof for or
against the belief, and substitute reality-based thinking.
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is
preoccupied with the incident. The nurse says, "I dread facing potentially violent
patients." Which response would be the most urgent reason for this nurse to seek
supervision?
Give this one a try later!
Wish for revenge
A patient with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows
away. Get it?" Select the nurse's best response.
Give this one a try later!
