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ati rn concept based assessment level 3 practice b New Latest Version with

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  • Grado
  • ASU SHS 470 F
  • Institución
  • ASU SHS 470 F

ati rn concept based assessment level 3 practice b New Latest Version with

Vista previa 4 fuera de 45  páginas

  • 30 de mayo de 2024
  • 45
  • 2023/2024
  • Examen
  • Preguntas y respuestas
  • ASU SHS 470 F
  • ASU SHS 470 F

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Por: NursPauline • 1 mes hace

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Por: docwayne5 • 1 mes hace

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ati rn concept based assessment level 3 practice b New Latest Version with Questions and Answers 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. th e 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. - ✔✔ ANSW✔✔ the client asks others for money to compensate for gambling losses. 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 psy chiatric 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. - ✔✔ ANSW✔✔ gambling disorder 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. - ✔✔ ANSW✔✔ magical thinking. clang association. auditory hallucinations. the nurse should identify that magical thinking, or the belief that one's thoughts affect others, is a positive symptom of this disorder. - ✔✔ ANSW✔✔ schizophrenia manifestation the nurse should identify that cl ang association, or choosing words based on their sounds, is a positive symptom of this disorder. - ✔✔ ANSW✔✔ 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. - ✔✔ ANSW✔✔ schizophrenia manifestation 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 con traction of the joints. b. swan neck deformation. c. tophi, related to chronic gout. d. digital clubbing. - ✔✔ ANSW✔✔ digital clubbing the nurse should identify digital clubbing when assessing a client who has this disorder. - ✔✔ ANSW✔✔ late manifestation of COPD evidence of decreased arterial oxygen levels, which occurs over time and is evident as a late manifestation of COPD. - ✔✔ ANSW✔✔ digital clubbing 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. - ✔✔ ANSW✔✔ agitation agitation, dizziness, and tremor. - ✔✔ ANSW✔✔ acute cocaine toxicity s/s can cause convulsions and myocardial infarction. - ✔✔ ANSW✔✔ severe cocaine toxicity a CNS stimulant - ✔✔ ANSW✔✔ cocaine a nurse is providing teaching to a client who has preeclampsia without severe symptoms. which of the following instructions should the nu rse 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. - ✔✔ ANSW✔✔ use a side lying position when resting in bed or on the couch. increases blood flow to the uterus and placenta optimizing the delivery of nutrients and oxygen to the fetus. - ✔✔ ANSW✔✔ side lying position can result in hypotension, which diminishes blood flow to the uterus and placenta. - ✔✔ ANSW✔✔ supine positioning 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 antipsy chotic medications. c. begin disulfiram therapy. d. initiate aversion therapy. - ✔✔ ANSW✔✔ recommend joining a self help group. self help groups such as gambler's anonymous. - ✔✔ ANSW✔✔ effective treatment for gambling disorder used as a behavioral modific ation tool for clients who have sexual paraphilias. - ✔✔ ANSW✔✔ aversion therapy a medication prescribed to deter drinking in clients who abuse alcohol. - ✔✔ ANSW✔✔ disulfiram lithium, carbamazepine, naltrexone. - ✔✔ ANSW✔✔ antipsychotic meds a nurse is carin g 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 genetic disposition of this disease? a. you can be tested for the presence of apolipoprotein, an indication of an increased risk of developing AD. b. having a family history of AD is not a known risk factor for developing the disease. c. individuals who develop AD generally have a history o f frequent bacterial infections. d. AD is more common in men, so your brothers have a higher risk of developing the disease than you do. - ✔✔ ANSW✔✔ you can be tested for the presence of apolipoprotein, an indication of an increased risk of developing AD. a nurse in a mental health clinic is planning care for a client who has post traumatic stress disorder. which of the following strategies should the nurse include? a. assist the client to identify their stage in the grief process. b. encourage the client to avoid discussing their trauma.

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