Study:Luis Chaves is a 22-year-old
who migrated to Miami at the age of
2 years with hisparents.(2025)
Save
Terms in this set (41)
,The nurse learns ANS: B
at report that a An individual who is demonstrating
newly admitted grandiosity has an exaggerated view
manic patient is of his abilities. The other options are
demonstrating more moderate statements and lack
grandiosity. that element of exaggeration.
Which statement
would be most DIF: Cognitive Level: Application REF:
consistent with Page 233 | Page 235
this symptom? TOP: Nursing Process: Assessment
a. MSC: NCLEX: Psychosocial Integrity
I cant do
anything
anymore.
b.
Im the worlds
most astute
financier.
c.
I can understand
why my wife is
upset that I
overspend.
d.
I cant understand
where all the
,money in our
family goes.
The nurse will ANS: C
base a discussion Dysthymia is identified as a chronic
of dysthymia on low-level depression frequently
the fact that the lasting over a period of several years
condition: without remitting. Dysthymia has a
a. slow, insidious onset. Delusional
Typically has an thinking is not a common
acute onset manifestation of dysthymia. Suicidal
b. thoughts are seen among dysthymic
Involves patients.
delusional
thinking DIF: Cognitive Level: Comprehension
c. REF: Pages 232-233
Is chronic low- TOP: Nursing Process: Implementation
level depression MSC: NCLEX: Psychosocial Integrity
d.
Does not include
suicidal ideation
, What is the ANS: A
priority nursing Risk for injury is the priority diagnosis.
diagnosis for a Possible injuries include dehydration,
patient exhibiting which may result from not drinking
signs of acute and trauma, which may result from
mania that bumping into objects or from physical
include altercations. The other options are
exaggerated valid diagnoses, but not of highest
physical activity, priority.
agitation,
insomnia, and DIF: Cognitive Level: Analysis REF:
anorexia? Page 242 TOP: Nursing Process:
a. Diagnosis
Risk for injury MSC: NCLEX: Psychosocial Integrity
b.
Chronic low self-
esteem
c.
Noncompliance
d.
Insomnia