A patient tells the nurse, "I was raped a month ago
Since then I've felt anxious and have been unable to talk normally to my husband. I've had frequent thoughts about cutting my wrists." What is the priority nursing concern regarding this patient?
a. The risk for self-directed violence
b. The development of rape traumatic syndrome
c. The damage that could result in poor self-esteem
d. The demonstration of signs and symptoms of acute anxiety
A
The risk for self-injury is of highest priority, because patient safety is involved.
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A despondent patient says, "Nothing matters anymore.". The most appropriate response by the nurse when would be:
a. "Are you having thoughts about suicide?" b. "I am not sure I understand what you're saying.". c. "Try to stay hopeful. Things usually work out.". d. "What used to matter, before the depression?"
A patient telephones a crisis intervention hotline. The nurse assigned to this center assesses that the patient is experiencing a crisis. What is the most appropriate action for the nurse to take?
a. Take control of the situation and tell the patient what needs to be done. b. Define the problem at hand and ensure that the patient is safe. c. Ask the patient how he would like to han-dle the crisis and follow through. d. Ask the patient to list all of his problems and prioritize which to deal with first.
There are four data sets: A: 1, 1, 1, 1, 1, 10, 10, 10, 10 B: 2, 2, 2, 2, 4, 8, 8, 8, 9 C: 3, 4, 4, 5, 5, 5, 6, 6, 7 D: 1, 2, 3, 4, 5, 6, 7, 8, 9 What is the median of the four individual data sets?
a. 5, 5, 5, 5 b. 1, 4, 5, 5 c. 1, 2, 5, 5 d. 5
A woman diagnosed with breast cancer is to receive trastuzumab. Which of the following would the nurse incorporate into the explanation about how this drug works?
A) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells. B) The drug blocks the conversion of androgens to estrogens C) It interferes with hormone receptors that allow estrogen to enter a cell D) The drug ultimately attacks areas where micrometastasis has occurred.