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a nurse in a mental health clinic is assessing a client who states, "I
don't think my gambling is as big of a problem as my friends think it
is." which of the following findings should the nurse identify as
meeting the diagnostic criteria of gambling disorder?
a. the client makes no attempts to stop gambling.
b. the client gambles when feeling happy or enthusiastic.
c. the client gambles the same amount of money each week.
d. the client asks others for money to compensate for gambling
losses.
RATIONALE:
gambling disorder
one of the diagnostic criteria for this is a reliance on others to
provide money to help with negative financial situations that are a
direct result of gambling losses. according to the american
psychiatric association, a diagnosis of this requires that the client's
behavior meets four of the defined criteria over the period of the past
12 months.
a nurse is assessing a client who has schizophrenia. which of the
following manifestations should the nurse identify as positive
symptoms of schizophrenia? select all that apply.
a. magical thinking.
,b. clang association.
c. auditory hallucinations.
d. flat affect.
e. emotional ambivalence.
RATIONALE:
schizophrenia manifestation
the nurse should identify that magical thinking, or the belief that
one's thoughts affect others, is a positive symptom of this disorder.
schizophrenia manifestation
the nurse should identify that clang association, or choosing words
based on their sounds, is a positive symptom of this disorder.
schizophrenia manifestation
the nurse should identify that experiencing auditory hallucinations,
or hearing voices or sounds that do not exist, is a positive symptom
of this disorder.
the nurse is assessing a client who has end stage COPD. which of
the following images should the nurse identify as a late manifestation
of this terminal illness?
a. flexion or contraction of the joints.
b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing.
RATIONALE:
late manifestation of COPD
the nurse should identify digital clubbing when assessing a client
who has this disorder.
digital clubbing
,evidence of decreased arterial oxygen levels, which occurs over
time and is evident as a late manifestation of COPD.
a nurse in an ED is assessing a newly admitted client. the nurse
should identify that which of the following findings is a manifestation
of acute cocaine toxicity?
a. hypotension.
b. pinpoint pupils.
c. agitation.
d. hypothermia.
RATIONALE:
acute cocaine toxicity s/s
agitation, dizziness, and tremor.
severe cocaine toxicity
can cause convulsions and myocardial infarction.
cocaine
a CNS stimulant
a nurse is providing teaching to a client who has preeclampsia
without severe symptoms. which of the following instructions should
the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch.
RATIONALE:
side lying position
, increases blood flow to the uterus and placenta optimizing the
delivery of nutrients and oxygen to the fetus.
supine positioning
can result in hypotension, which diminishes blood flow to the uterus
and placenta.
a nurse is planning care for a client who has a gambling disorder.
which of the following interventions should the nurse include in the
plan?
a. recommend joining a self help group.
b. administer antipsychotic medications.
c. begin disulfiram therapy.
d. initiate aversion therapy.
RATIONALE:
effective treatment for gambling disorder
self help groups such as gambler's anonymous.
aversion therapy
used as a behavioral modification tool for clients who have sexual
paraphilias.
disulfiram
a medication prescribed to deter drinking in clients who abuse
alcohol.
antipsychotic meds
lithium, carbamazepine, naltrexone.
a nurse is caring for a client who has alzheimer's disease (AD). the
client's daughter asks the nurse if she will have AD as well. which of
the following responses should the nurse make regarding the