A nurse witnesses a patient having a panic attack in the ICU after learning that he has terminal lung cancer. Recognizing that he is in the alarm phase of the general adaptation syndrome, what physiological adaptations should the nurse expect?
A) Drop in blood pressure
B) Release of cortisol
C) A shock state
D) Heart rate drops from its peak but remains elevated
B
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A client has been diagnosed with dissociative fugue. What would be an appropriate nursing diagnosis for this client?
A) Risk for violence, related to repressed anger B) Altered thought processes, related to pseudoparalysis C) Self-care deficit, related to aimless wandering D) Personality identity disturbance, related to derealization
A patient is admitted with symptoms of alcohol withdrawal. Which of the following would be of the highest priority for this patient?
1. Support respiratory and cardiac statuses. 2. Keep the room dimly lit. 3. Encourage verbalization of feelings. 4. Encourage taking fluids by mouth.
Which nursing approach is likely to be most therapeutic when dealing with a newly admitted, hostile, suspicious client?
A. Place a hand on the client's shoulder and state, "I will help you to your room." B. Slowly and matter-of-factly state, "I am your nurse and I will show you to your room." C. Firmly set limits by stating, "If your behavior does not improve you will be secluded." D. Smile and state, "I am your nurse. When do you want to go to your room?"
The school nurse plans to teach 5th grade students about hygiene. This activity is an example of
A) primary prevention. B) secondary prevention. C) tertiary prevention. D) health promotion.