You are concerned Bob has Class III (based on New York Assoc…
You are concerned Bob has Class III (based on New York Associate Functional Classification staging) congestive heart failure, with symptoms of fatigue, orthopnea, S3 heart sound, JVD, and BLE edema. You have ordered a chest x-ray and EKG. You also decide to order which helpful diagnostic test?
Read DetailsA 42-year-old male is brought to the psychiatric clinic by h…
A 42-year-old male is brought to the psychiatric clinic by his family after displaying increasingly unusual behavior over the past week. The patient has begun telling his coworkers and family members that he is a “secret agent” for the government and that he has been entrusted with a mission to save the world from a massive impending crisis. He claims to have special powers, such as the ability to read minds and influence events with his thoughts. The patient is insistent on his beliefs and becomes frustrated when others do not share his convictions. His family reports that he has never exhibited behavior like this before, and they are concerned about his well-being. He is otherwise in good physical health and has no history of substance abuse. During the evaluation, the patient is fully oriented but continues to express his belief in his extraordinary mission and abilities. He shows no signs of agitation, but his delusions are consistent and persistent. His family notes that his behavior has caused significant distress, as he is no longer engaging in normal social activities or work, believing his mission requires his full attention. Question: Which of the following is most consistent with the patient’s diagnosis of a delusion of grandeur?
Read DetailsThe nurse working in an addictive disorders’ unit receives a…
The nurse working in an addictive disorders’ unit receives a phone call inquiring about the status of a client. The caller is not on the client’s allowed contact list. Which is the appropriate response by the nurse to the caller?
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