The nurse enters the room of a patient with a new mastectomy and finds her crying. After confirming that the patient is crying because of the loss of her breast, which response by the nurse is best?
a. "At least they got all the cancer. You are fortunate."
b. "I know how you feel. It is difficult to lose a breast."
c. "How have you coped with other problems in your life? Do you have someone you can talk to?"
d. "Here, have a tissue. I know you feel like crying now, but before you know it, you will feel much better, and this will all be behind you."
ANS: C
The nurse should help the patient remember previous successes in coping and strategies used since the memory of prior successes can encourage hope for future successes. A, B, and D all belittle the patient's concerns. The nurse does not know how the patient feels.
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The client says that her menstrual cycles are usually 34 to 35 days long. She asks when she is most likely to be ovulating. What is the nurse's best response?
A. "Because your cycle is so long, you are probably not ovulating." B. "Ovulation usually occurs 14 days after the beginning of menstruation, so you probably ovulate on day 14." C. "Ovulation usually occurs 14 days before beginning the next menstrual cycle, so you probably ovulate on day 20 or 21." D. "Ovulation cannot be predicted in any one person because of the number of per-sonal variables that interfere with this process."
The parents of an infant are members of a faith-healing group. They refuse to give the baby antibiotics for meningitis. What does the American Academy of Pediatrics recommend for cases such as this?
A) respect for the parents' wishes, even if the baby dies B) exemption from child abuse charges C) application of child abuse and neglect statutes D) refusal to treat the child no matter how ill
When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, the nurse recognizes that the following nursing diagnosis would be pertinent to his care:
1. Risk for self-mutilation 2. Disturbed personal identity 3. Impaired social interaction 4. Social isolation
Bradycardia, excessive salivation, pulmonary edema, and pinpoint pupils may result from
A) narcotic overdose. B) anticholinergic drug overdose. C) cocaine overdose. D) organophosphate insecticide poisoning.