somatic delusion delusion of grandeur delusion of persecution delusion of control or influence
The nurse is caring for a client with a history of schizophrenia. The nurse asks the client if he is ready to eat his lunch. The client responds, “Rain, train, down the drain, Jane’s brain.” The nurse recognizes this type of speech pattern as which type?
echolalia word salad neologisms clang association
A client is discussing her problematic marital relationship with the nurse. Which statement by the nurse is an example of the nontherapeutic communication technique of giving reassurance?
“I think you should try marital counseling. I’ve had to do that myself once and it helped.” “Why don’t you see a conflict resolution specialist? I can give you that information.” “I agree with you. He should not argue with you when he has problems at work that are not your fault.” “Everything will be…
A mother infected with hepatitis B asks the nurse about the possibility of breastfeeding her neonate. Which response by the nurse would be most appropriate?
“Yes, breastfeeding is an acceptable option.” “No, you should not breastfeed your baby.” “Yes, breastfeeding is an acceptable option once your baby is immunized with the hepatitis B vaccine.” “Bottled formula is just as nutritious for your baby.”
A normal, healthy 35-year-old male client visits the doctor’s office for a routine annual physical. When auscultating between the first and second interspaces on the anterior chest, the nurse anticipates which type of breath sound?
bronchovesicular vesicular bronchial tracheal
A pediatric nurse in an ambulatory care clinic is admitting a neonate for the 2-week office visit. Which comment by the mother should alert the nurse to suspect colic?
“My baby looks yellow.” “After feedings, my baby pulls his legs up and cries.” “My baby is quiet and doesn’t cry much.” “My baby is alert for brief periods of 10 – 20 minutes at a time.”
A nurse is preparing to talk about hormone replacement therapy (HRT) to a group of women at a women’s fair at the local hospital. Which statements regarding HRT are correct?
HRT decreases the risk of breast cancer. HRT decreases the risk of stroke in postmenopausal women. HRT lowers the risk of bone fractures caused by osteoporosis. HRT increases the risk of bone fractures caused by osteoporosis. HRT decreases the risk of coronary artery disease (CAD) in women who do not smoke.
The nurse is caring for a client who is 38 weeks pregnant and plans to breastfeed. This is the client’s first child, and she expresses concern about lactation. The nurse tells the client that which measures stimulate lactation?
breast massage frequent breastfeeding pumping breasts between feedings vigorous exercise one week after birth applying cold compresses to the breasts
A community health nurse is preparing a lecture on lifestyle and risk factors for a college-age audience. The nurse understands that which causes of death are the most common among this age group?
HIV, suicide, unintentional injuries suicide, cancer, unintentional injuries suicide, unintentional injuries, homicide homicide, unintentional injuries, heart disease