The spouse of a client who abuses crack cocaine tells the nurse that she has been in the habit of
calling her husband's employer to cover for his job absences and has even written reports for him
"to keep him out of trouble.".
She peevishly states "He promises to change but never follows
through.". The nurse should make the assessment that the spouse demonstrates
a. synergism.
b. petulance.
c. codependence.
d. manipulative tendencies.
C
Codependent behaviors permit the substance abuser to continue unhealthy behaviors without having
to become accountable for them. Making excuses and covering for the client are ways of condoning
the substance abuse. Option A has no relevance to the spouse's actions. Option B: Petulance does
not explain what is described in the scenario. Option D: The spouse's behaviors are codependent
rather than manipulative.
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A nurse who works on a pediatric cardiology unit of a hospital is providing care for an infant with a diagnosis of tetralogy of Fallot
Which of the following pathophysiologic results should the nurse anticipate? A) There is a break in the normal wall between the right and left atria that results in compromised oxygenation. B) The aortic valve is stenotic, resulting in increased afterload. C) Blood outflow into the pulmonary circulation is restricted by pulmonic valve stenosis. D) The right ventricle is atrophic as a consequence of impaired myocardial blood supply.
In which instance can a 13-year-old patient give consent for treatment?
1. When the parents are not readily available 2. If the child is consenting to treatment for a venereal disease 3. If the child is consenting to treatment for an emergency surgery 4. Under no circumstances can a 13-year-old give valid consent.
Which response by the nurse is most appropriate to this statement: "This test isn't my idea, but my husband insists"?
a. "Don't worry. Everything will be fine." b. "Why don't you want to have this test?" c. "You're concerned about having this test?" d. "It's your decision."
List the nine beginning procedure actions.
What will be an ideal response?