The nurse is discussing future treatments with a client who has a terminal illness
The nurse notes that the client has not been eating and responds to the nurse's information by stating, "What does it matter?" Which of the following is the most appropriate nursing diagnosis for this client? a. Social isolation
b. Spiritual distress
c. Denial
d. Hopelessness
D
A defining characteristic for the nursing diagnosis of hopelessness may include the client stating, "What does it matter?" when offered choices or information concerning him or her. The client's behaviour of not eating also is an indicator of hopelessness.
The client's behaviour and verbalization is not an example of social isolation. The client is not avoiding others or being restricted from seeing others.
Spiritual distress is not the most appropriate nursing diagnosis for this client. The focus should be on the client's lack of hope.
The client's behaviour and verbalization does not indicate denial.
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The nurse manager is discussing cultural considerations with a group of staff nurses. Which statements by the staff nurses indicate an appropriate understanding of cultural concepts?
Select all that apply. 1. "Culture can best be described as an awareness of belonging to a group in which certain characteristics differentiate the members of one group from another." 2. "A good description of culture is one that recognizes it's the socially transmitted beliefs, behaviors, values, customs, lifestyles, and ways of thinking of a specific population that guides an individual's worldview." 3. "Culture is the belief that one's own beliefs, way of life, values, and customs are superior to others." 4. "Culture is the identification of an individual or group by shared genetic heritage and biologic characteristics." 5. "Decisions made by an individual are largely influenced by culture."
A 24-year-old female client presents at the clinic with specific complaints of a physical illness. This is the 5th time in 5 months this client has been seen
The nurse identifies what signs and symptoms that indicate hypochondriasis? (Mark all that apply.) A) Concerns continue despite medical testing and reassurance that a disease does not exist B) Multiple symptoms that begin before age 30 and extend over a period of years C) Creates enough distress to cause difficulty in social or work-related functioning over a period of 6 months or more D) Also referred to as Briquet's syndrome E) An excessive fear or preoccupation with having a serious illness that is based on a misinterpretation of somatic signs and symptoms
The nurse prepares for which of the following after the family's home is totally lost in a tornado?
A) chronic loss B) unresolved loss C) complicated loss D) perceived loss
When patient-focused care is delivered,
A. patient services are scheduled and coordinated with many departments. B. patient needs and convenience are always the primary concern. C. the physician makes most of the decisions about patient care. D. many different staff members carry out specific tasks for the patient.