A patient states, "I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago." In which stage of illness is the patient?

a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Depression and despair


ANS: B

A
The person in the "disbelief and denial" stage believes that the symptoms do not really represent illness and will go away.
B
Irritability and anger is the second stage of illness acceptance. It is characterized by anger at the body for not functioning properly or by anger at self or others.
C
The person in the "attempting to gain control" stage usually seeks help and knowledge as ways to gain control.
D
At the "depression and despair" stage, the patient may experience many losses, and depression is the response.

Nursing

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While caring for a patient with a pulmonary artery catheter, which of the following is not within the scope of practice of the nurse?

1. Advancing the catheter if the radiologist determines it is not in the pulmonary artery 2. Inflating the balloon in the pulmonary artery to obtain pulmonary artery occlusion pressures 3. Using sterile technique to clean the site of insertion of the catheter and changing the dressing 4. Changing the dosages (titrating) of medications based on changes in hemodynamic pressures

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The nurse has just received a client from the surgical area. After 30 minutes in the recovery area, the client's vital signs are as follows: pulse 92; blood pressure 110/50; respirations 12; pulse oximeter 86%

What should be the initial nursing response? 1. Stimulate the client. 2. Call the physician. 3. Ask another nurse for his or her opinion. 4. Place an oral airway in the client.

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A young woman has just consumed a serving of ice cream pie and develops severe cramping and diarrhea. The school nurse suspects the woman is

A) Allergic to sugar B) Lactose intolerant C) Experiencing infectious diarrhea D) Deficient in fiber

Nursing