. A nurse is caring for a terminally ill patient who says to the nurse, "If only I could live until my granddaughter has her first birthday." The nurse assesses this patient to be in the stage of grief termed:
A) Disbelief
B) Anger
C) Acceptance
D) Bargaining
Ans: D
Feedback: The patient's prayers to God for a few more months to live reflect the bargaining stage of grief.
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An older patient with renal disease and advanced cancer pain asks for stronger pain medication. What does the nurse need to take into consideration when determining which prescribed pain medication to provide to this patient?
1. Methadone is a viable option for this patient. 2. Meperidine is the most versatile opioid available. 3. Oral morphine may be a starting point to be considered for this patient. 4. Fentanyl is often the first opioid tried because of the low incidence of side effects.
In regard to the mental health needs among refugee torture victims from war-torn countries, evidence from the nursing literature indicates which of the following?
a. Torture victims almost never include women as well as men. b. Post-traumatic stress and depression are less problematic when the occupying force was of a different language or culture than the victim. c. Torture in itself may not increase the risk for subsequent mental illness. d. Being held in detention while waiting for asylum-request hearings serves as a beneficial transition between torture imprisonment by an occupying force and freedom in the asylum setting.
What does the blood pressure measurement record??
A) Action potential B) Pulse rate C) Cardiac output D) Peripheral vascular resistance
Darryl is a 37-year-old man who has presented to a mental health drop-in center as a result of heavy pressure from his wife and teenage daughter
Darryl states that his family calls him an alcoholic and they have threatened to leave if he does not get help. What statement should signal the nurse to the possibility that Darryl is ready to begin treatment for substance abuse? A) "I'll be the first to admit that I'm a pretty heavy drinker, but so is everyone else that I work with." B) "My dad was a drinking man, that's for sure, and I suppose I might have inherited a few of his bad habits." C) "I guess my family's right; I probably can't keep this up for much longer." D) "I guess 8 or 10 beers each night might be a little over the top, but I usually drink light beer."