A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for vandalism and assault on a teacher. The teen tells the nurse, "I hate my parents. They focus all attention on my brother, who is perfect in their eyes."
Which nursing diagnosis applies? a. Chronic low self-esteem related to feelings of guilt, as evidenced by believing a brother is the parental favorite
b. Hopelessness related to feeling unloved by parents, as evidenced by assaulting a teacher
c. Ineffective coping related to seeking parental attention, as evidenced by acting out
d. Disturbed personal identity related to acting out, as evidenced by vandalism
C
The patient demonstrates an inability to problem solve by using adaptive behaviors to meet life's demands and roles. The defining characteristics are not present for the other nursing diagnoses listed. The patient has not indicated hopelessness, low self-esteem, or disturbed personal identity.
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A community health nurse is preparing a presentation for a group of state health officials about water pollution in the United States. Which of the following would the nurse include? Select all that apply
A) Water pollution is the cause of millions of episodes of disease in the country each year. B) Water pollution is a new problem due to the proliferation of industries in the United States. C) Water pollution is a major problem that is occurring in other countries as well. D) Ground water sources are a potential site for contamination. E) Some cases of illness due to water pollution are severe enough to cause death.
A patient who was in the Vietnam War tells the nurse about the wounds he received from being poked by the Vietcong in the bamboo cell where he was held captive. The scars are easily seen on his arms and legs
The nurse realizes the patient was most likely being terrorized by ___________ agents. 1. Biologic 2. Chemical 3. Radiologic 4. Explosive
You are caring for a patient on a low-sodium diet. Which meal would be appropriate for your patient?
a. A grilled chicken sandwich, a small toss salad, and an apple b. A hot dog on a bun with potato chips and a peach c. A corned beef sandwich with french fries and a slice of pickle d. A cup of canned vegetable soup and 6 saltine crackers
A 25-year-old woman who is at 38 weeks' gestation with her first pregnancy is embarrassed because of going to the hospital 3 times in the last week for false labor. How should the nurse respond?
1. "Do not feel bad. Everyone makes mistakes sometimes." 2. "It is impossible to distinguish between false labor and true labor." 3. "We will discuss the differences between true labor and false labor so this does not happen again." 4. "It is very difficult to tell the difference between true and false labor. Please know we are here to take care of you whenever you need us."