A patient newly diagnosed with pancreatic cancer says, "My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that." Select the highest priority nursing diagnosis
a. Anticipatory grieving
b. Ineffective coping
c. Ineffective denial
d. Risk for suicide
ANS: D
The patient's statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease. The nurse will need to monitor the suicide risk vigilantly. The other diagnoses may apply but are lower priority.
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The nurse wishes to demonstrate genuineness within the context of the nurse-client relationship with
his client who has been diagnosed with schizophrenia. The nurse will need to a. use extensive self-revelation in client interactions. b. encourage the client to depend on him for support and reassurance. c. consistently make value judgments about client behaviors. d. be aware of his own feelings and use congruent communication strategies.
To make the most relevant assessment of a client within the context of the family the nurse must
think in terms of a. cause and effect. b. circular causality. c. insight orientation. d. emotional reactivity.
A patient with no previous history of diabetes mellitus has ketones in the urine. Which question should the nurse ask this patient?
1. "What did you eat for breakfast and lunch today?" 2. "Can you please describe any weight loss strategies you've been using?" 3. "Have you donated blood recently?" 4. "Have you ever been told you have albumin in your urine?"
To avoid scalding burns, the hot water heater should be set to:
1. 180 degrees. 2. 160 degrees. 3. 120 degrees. 4. 140 degrees.