During a health history, the nurse learns that a young adult smokes cigarettes, drinks alcohol, and does not exercise routinely. What should this information suggest to the nurse? (Select all that apply.)

a. The patient is isolated.
b. The patient is having a crisis with intimacy.
c. The patient has poor coping mechanisms for stress.
d. The patient is participating in risky lifestyle choices.
e. The patient has adopted positive ways to cope with stress.


ANS: C, D
Overeating, alcohol use, drug use, cigarette smoking, and violence are risky lifestyle choices and poor coping mechanisms for stress. A. B. There is not enough information to determine if the patient is isolated or is having a crisis with intimacy. E. Positive coping mechanisms for stress include exercise, support groups, music, and meditation.

Nursing

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The patient is sitting in a chair at the bedside. The nurse is preparing to remove the patient's artificial eye. What should the nurse ask the patient to do to best position him for this procedure?

a. Lean forward and rest the arms on the overbed table. b. Sit back in the chair and tilt the head back. c. Move to the bed and lie down. d. Stand up and lean over the bed.

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Oral contraceptives work by:

a. changing the ph in the uterus c. suppressing cervical mucus b. promoting earlier ovulation d. suppressing ovulation

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Which situations cause concerns with liability with regard to delegation? Select all that apply

1. The nurse asks the LPN to assess a central line dressing for her. 2. The supervisor asks the charge nurse to give a nurse a difficult assignment. 3. The nursing supervisor asks the nurse to discuss a client's history with the supervisor. 4. The nursing assistant asks a nurse to check on a client's status. 5. The nurse asks a nursing assistant to assist another nursing assistant to obtain vital signs.

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When dealing with the concept of "touch," the nurse realizes what with regard to contact touch?

a. Involves only skin-to-skin contact b. Involves eye contact c. Occurs only when tasks are being performed d. Is used only to protect the patient

Nursing