Which of the following descriptions of the chronic illness experience is inaccurate?
1. Chronic illness may lead to a decreased life span.
2. Chronic illness modifies functional status.
3. Chronic illness often improves a family's quality of life.
4. Chronic illness makes use of family strengths.
3
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1 Chronic illness often decreases life span.
2 Chronic illness has a great capacity to change a family's functional status.
3 Chronic illness is unlikely to improve a family's quality of life, since the entire family will be affected by the illness in some manner.
4 Chronic illness often requires family strengths to maintain resiliency.
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The nurse acknowledges and respects the terminal client's right to approach death in his or her own way by: Standard Text: Select all that apply
1. Active listening 2. Allowing the client to make treatment decisions 3. Allowing the client to maintain self-care duties as possible 4. Allowing the client to express emotions without judgment 5. Telling the client that a positive attitude is more helpful than crying
Which documentation is appropriate after assessing head, neck, and lymphatics?
1. Occasional headaches relieved by acetaminophen. No history of injury, seizure, tremor, dizziness. No neck swelling. 2. Denies hearing problems, never had specific exam. Nose patent, no injury, sense of smell intact, clear drainage with cold. No trouble eating or swallowing. Dental exam annually, last exam one month ago. Brushes and flosses twice daily. 3. Denies problems. "My bowels move every day with no problem. I get diarrhea when I'm nervous sometimes." Active bowel sounds present in all quadrants. Abdomen soft and non-tender to palpation. 4. Denies problems. No history of UTI. I pass urine five or six times a day and more if I drink more.
When caring for a terminally ill patient, the nurse understands that one of the most important interventions is:
1. touching and listening. 2. encouraging the patient to express any regrets. 3. assessing for signs and symptoms of impending death. 4. talking to the patient about how other patients have handled the dying process.
The nurse is taking care of a 7-year-old child with a skin rash called a papule. Which clinical finding should the nurse expect to assess with this type of skin rash?
a. A lesion that is elevated, palpable, firm and circumscribed; less than 1 cm in diameter b. A lesion that is elevated, flat-topped, firm, rough and superficial; greater than 1 cm in diameter c. An elevated lesion, firm, circumscribed, palpable; 1 to 2 cm in diameter d. An elevated lesion, circumscribed, filled with serous fluid; less than 1 cm in diameter