The nurse assesses that smoking, drinking alcohol, and exercising compulsively, which may occur as responses to a stressful situation, are which of the following types of responses?
1. External
2. Withdrawal
3. Denial
4. Internal
4
Examples of internal resources are physiologic and psychological responses such as smoking, drinking alcohol, eating, and crying.
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An unidentified patient was injured in a hit-and-run accident and was conscious. When asked how he felt, the patient looked very confused and responded in a language the nurse did not recognize. Which of the following actions should the nurse take next?
a. Look closely at the person, try to determine the patient's ethnic background, and then seek someone fluent in his language b. Report the language barrier to administration, and let them handle the problem c. Tell the unit supervisor so various translators can be brought to the floor until the language is recognized and communication can be established d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking
A client recently had a myocardial infarction (MI) and asks the nurse if he will require a heart transplant. Based on the nurse's knowledge of indications for heart transplant, what is the best response?
A) "No. Heart transplant is indicated for cardiomyopathy, end-stage coronary artery disease, and end-stage heart failure." B) "No. Heart transplant is only indicated for congenital heart defects." C) "Yes. You may require a heart transplant if you have another heart attack." D) "Yes. Your heart will not function as well as it did before the heart attack, and a new heart will give you the best chance for survival."
Primary prevention strategies for older adults include which of the following? (Select all that ap-ply.)
a. An annual influenza immunization clinic b. A smoking cessation program c. A prostate screening program d. A cardiac rehabilitation program e. A meal planning education program for type 2 diabetics
Which intervention by the nurse helps to establish a trusting nurse–patient relationship?
1) Avoiding topics that may provoke emotional responses from the patient 2) Listening to the patient while performing care activities 3) Performing care interventions quietly without explanation 4) Greeting the patient by name whenever entering the patient's room