The phase the group process is in--initial, working, or termination--this will help determine communication styles between the group members. After several weeks, the group is in the working phase and the group members should be allowed to determine the direction of the group. The nurse should ignore the client's comments and allow the group to address the situation.
Depression is associated with feelings of shame, anger, and guilt. Exploring such feelings with the client is an important nursing intervention for a client who is acutely depressed. The other interventions are not indicated.
Early side effects of lithium carbonate that occur with a serum lithium levels below 2.0 mEq/L generally follow a progressive pattern beginning with diarrhea, vomiting, drowsiness, and muscular weakness. The nurse should notify the healthcare provider before giving the next dose, which can contribute to higher serum drug levels that may cause ataxia, tinnitus, blurred vision, and large dilute urine output. The other actions are not indicated.
- Speaking slowly and simply.
- Observe and encourage food and fluid intake.
- Place the client on suicide precautions.
Neurovegetative symptoms that accompany the mood disorder of depression include physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor retardation. The client's plan of care should include measures that promote the client's comfort and well-being, such as rest, nutrition, suicide precautions, and simple communications. Vigorous exercise and long walks are not indicated for clients in a neurovegetative state.
It is common for those with Alzheimer's disease (AD) to use the wrong words. Redirecting the client, using an accepting non-judgmental dialogue, to a safer place and familiar activities is most helpful because clients with AD experience short-term memory loss. The other responses dismiss the client's attempt to find order, do not help her relate to the surroundings, and are frustrating which increase anxiety level.
The process of gradual desensitization by controlled exposure to the situation which is feared, is the treatment of choice in phobic reactions. The other options are not indicated in the initial phase of desensitization.
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Fill in the blanks to complete the following statements about personality disorders:
It’s debated whether personality disorders are extreme versions of normal personality variations (therefore classified as dimensions) or ways of relating that are different from psychologically healthy behavior (classified as ______).
A consultant commented that “too often the numbers look good but feel bad.” This comment often stems from estimation error common to capital budgeting proposals that relate to future cash flows. Three reasons for this error often exist. First, reliably predicting cash flows several years into the future is very difficult. Second, the present value of cash flows many years into the future (say, beyond 10 years) is often very small. Third, personal biases and expectations can influence present value computations.
- Compute the present value of $100 to be received in 10 years assuming a 12% discount rate.
- Why is understanding the three reasons mentioned for estimation error important when evaluating investment projects? Link this response to your answer for part 1.