A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities, which is causing stress. Which diagnosis should the nurse identify as being appropriate for the client at this time?
1. Defensive Coping
2. Disabled Family Coping
3. Compromised Family Coping
4. Ineffective Coping
Correct Answer: 3
Rationale 1: Defensive coping is the repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard.
Rationale 2: Disabled Family Coping is an appropriate diagnosis when the behavior of a significant person disables his or her capacities and the client's capacities to effectively address tasks essential to either person's adaption to the health challenge.
Rationale 3: The diagnosis of Compromised Family Coping is applicable if a usually supportive primary person provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that might be needed by the client to manage or master adaptive tasks related to the health challenge.
Rationale 4: Ineffective coping is the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use resources.
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The nurse is caring for an 88-year-old patient who is recovering from an ileac-femoral bypass graft. The patient is day 2 postoperative and has been mentally intact, as per baseline
When the nurse assesses the patient, it is clear that he is confused and has been experiencing disturbed sleep patterns and impaired psychomotor skills. What should the nurse suspect is the problem with the patient? A) Postoperative delirium B) Postoperative dementia C) Senile dementia D) Senile confusion
A client with a strong family history of coronary artery disease asks the nurse how to reduce the risk of developing the disorder. Which is the best response by the nurse?
A) "Moderation is the key to everything." B) "Ask your physician to prescribe the new reverse lipid drug." C) "Increase the soy in your diet." D) "Exercise, keep your cholesterol in check, and manage your stress."
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of alcohol are safe with colchicine.
To palpate the liver during a head-to-toe physical assessment, the nurse
a. places one hand on the patient's back and presses upward and inward with the other hand below the patient's right costal margin. b. places one hand on top of the other and uses the upper fingers to apply pressure and the bottom fingers to feel for the liver edge. c. presses slowly and firmly over the right costal margin with one hand and withdraws the fingers quickly after the liver edge is felt. d. places one hand under the patient's lower ribs and presses the left lower rib cage forward, palpating below the costal margin with the other hand.