Stress-related symptoms account for 60% of all primary care visits. What are the implications for practice?
1. An understanding of how stress influences disease will allow us to identify appropriate treatments.
2. An understanding of stress will allow us to teach clients stress reduction techniques.
3. An understanding of stress will allow us to identify integrative treatments.
4. An understanding of stress will allow us to identify clients at risk of mental illness.
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Rationale: Practitioners in all specialties must have an understanding of why stress influences disease. Before clients at risk for mental illness can be identified, practitioners have to understand the etiology of how stress influences disease. This will allow implementation of appropriate treatments. Stress reduction is one of multiple treatment options and the goal is to utilize an integrative approach once an etiology is identified.
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Which of the following would be an effective time management strategy regarding care of the nursing student's children?
1. Let the spouse care for the children. 2. Hire a teen-age babysitter for before and after school. 3. Have backup plans for child care. 4. Have the oldest child care for the younger children.
The nurse assesses her client to have mild anxiety concerning the birth process. The client states that she is not interested in Lamaze classes because she is single, and does not want to have natural childbirth
The nurse's best response would be: 1. "Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal." 2. "Lamaze classes can teach you relaxation methods, and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you." 3. "You are very nervous. I think these classes would be best for you." 4. "Lamaze classes are geared toward couples. You might want to find a different class."
The patient has been found to have a defective and leaking fentanyl (Sublimaze) patch used for severe pain from recurring migraine headaches. What observations by the nurse indicate complications from this defect?
A) Respirations 10 breaths per/minute B) Blood pressure 96/68 C) Heart rate 106 beats/minute D) Blood pressure 160/86
A client comes to the emergency department in obvious distress, holding his groin. He refuses to get undressed to be examined. Which statement or question by the nurse is most appropriate?
a. "I'll leave the room if that makes you feel better. When you are undressed, put on the call light." b. "If you don't let us examine you to see what the problem is, you may lose blood supply to your genital area." c. "No one can help you if we can't see what's going on. So please take off your clothes." d. "Sometimes men get painful erections that won't go away or problems with their testicles. If that's the problem, we can help you."