The 60-year-old female in the post–coronary care unit confides to the nurse, "My life is over. I'll never be able to care for my family, take a vacation, or work in my garden." Which response by the nurse is most supportive?
a. "You are doing great! Of course you'll be able to do all those things in a few weeks."
b. "You may have to give up some things, but there are other activities you might enjoy."
c. "You are feeling a little blue today. I'll get you some medication to help your anxie-ty."
d. "You sound a little down. Tell me what you think is going to keep you from those activities; we might be able to address the problems."
D
Helping patients identify and face depression is helpful in dispelling it, and talking about her concerns will open up conversation and address the concerns in a problem-solving approach. Telling her that she will be able to resume all activities may be instilling false hope. Medication is not warranted at this point.
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Fill in the blank(s) with correct word
A visiting nurse is concerned that a mother has not properly bonded with her infant. The nurse should assess for what factors that could impact this process? (Select all that apply.)
A. Chaotic home life B. Disappointment in her birth experience C. Lack of family support D. Poverty E. Substance abuse
A nurse is providing care for a 44-year-old male client who is admitted with a diagnosis of fever of unknown origin (FUO). Which of the following characteristics of the client's history is most likely to have a bearing on his current diagnosis?
A) The client is cachexic and an African American. B) The client is HIV positive and homeless. C) The client is malnourished, hypomagnesemic, and hypocalcemic. D) The client is receiving intravenous normal saline with 20 mEq KCl.
Nursing assessment of a client who has been diagnosed with neuroleptic malignant syndrome (NMS) would most likely reveal what?
A) Chest pain, tachycardia, and cardiac dysrhythmias B) Respiratory distress, cyanosis, and pallor C) Nausea, vomiting, diarrhea, and gastric pain D) Hyperpyrexia, severe hypertension, and diaphoresis