During the initial interview at the crisis center, a client reveals that his wife asked him for a divorce
He is so anxious that he "cannot think straight.". To assess personal coping skills, the nurse could say
a. "I can see you are upset. You can rely on us to help you feel better.".
b. "What would you like us to do to help you feel more relaxed?"
c. "In the past, how did you handle difficult or stressful situations?"
d. "Do you think you deserve to have things like this happen to you?"
C
Option C is the only option that assesses coping skills. Option A gives unrealistic reassurance, and
option B asks the client to decide on his own treatment at a time when, by his own admission, he
"cannot think straight.". Option D is concerned with self-esteem.
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An audit of a large, university medical center reveals that four patients in the hospital have current orders for restraints
You know that restraints are an intervention of last resort, and that it is inappropriate to apply restraints to which of the following patients? A) A postlaryngectomy patient who is attempting to pull out his tracheostomy tube B) A patient in hypovolemic shock trying to remove the dressing over his central venous catheter C) A patient with urosepsis who is ringing the call bell incessantly to use the bedside commode D) A patient with depression who has just tried to commit suicide and whose medications are not achieving adequate symptom control
The nurse is caring for a patient intubated for acute respiratory distress syndrome (ARDS). Which medications should the nurse expect to be prescribed for this patient?
: Select all that apply. 1. surfactant 2. antibiotics 3. nitrous oxide 4. anticoagulants 5. cardiac glycosides
Six months after diagnosis, the client's congestive heart failure has progressed and, she is no longer able to stay in her apartment. She is able to function fairly independently but needs assistance with
medications and is unable to prepare meals on her own. The nurse suggests that she considers which type of housing? A) Extended care facility B) Assisted living facility C) Subacute rehabilitative center D) Staying in her own apartment
A nurse is going to visit a homebound person described as the "oldest old." The nurse would expect
1. The client to have Alzheimer's disease 2. The person to be more than 85 years old. 3. The client will have a chronic disease 4. The client will be in an assisted-living community.