After testing is complete, D.V. is diagnosed with MS. He confides in you that he has been depressed since
his parents' divorce and the onset of these symptoms.
He tells you that he knows his girlfriend has been
unfaithful, but he is afraid of being alone. He is afraid if he tells her about his MS diagnosis, she will leave him.
What are you going to do with this information?
Depression occurs in 25% to 55% of MS patients. Thank D.V. for having the courage to share
something so sensitive and personal. Suggest that you would like to see him get help with feeling
better about himself, as well as developing positive relationships. Tell D.V. that you plan to ask his
neurologist about obtaining a psychiatric consultation or medications (if necessary) to help him
through this phase of adjustment. Reassure D.V. that the fact that he was open with you about what
is happening in his life tells you he has the courage to make a better life for himself, in spite of his MS
diagnosis.
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During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
a. Change in scrotal color. b. Decrease in the size of the penis. c. Enlargement of the testes and scrotum. d. Increase in the number of rugae over the scrotal sac.
The student who fails her finals is told she is out of the nursing program. She goes home and verbally abuses family members. This type of behavior is known as ___________________
ANS:
For which complication should a nurse be careful to monitor a patient after a liver biopsy?
a. Headache b. Muscle cramps c. Bleeding d. Respiratory distress
The nurse is determining in which stage a client is experiencing the biological effects of the general adaptation syndrome (GAS). This syndrome includes which three stages? (Select all that apply.)
1. Resistance stage 2. Exhaustion stage 3. Paralyzing stage 4. Alarm reaction stage 5. Anxiety stage 6. Possum response