A nurse is caring for a patient who has become depressed because her children have gone away to college. The nurse assesses this type of depression as what type of loss?
a. Actual
b. Perceived
c. Maturational
d. Situational
C
People experience maturational losses as they go through a lifetime of normal developmental processes. For example, when a child goes to school for the first time she will spend less time with her parents, leading to a change in the parent-child relationship. People experience an actual loss when they can no longer touch, hear, see, or have near them valued people or objects. Examples include the loss of a body part, pet, friend, life partner, or job. Perceived losses are uniquely experienced by a grieving person and are often less obvious to others. A perceived loss is very real to the person who has had the loss. For example, a person perceives that she is less loved by her parents and experiences a loss of self-esteem. Situational loss occurs as a result of an unpredictable life event.
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A patient has been taking prednisone for several weeks after experiencing a hypersensitivity reaction. To prevent adrenal insufficiency, the nurse should ensure that the patient knows to do which of the following?
A) Take the drug concurrent with levothyroxine (Synthroid). B) Take each dose of prednisone with a dose of calcium chloride. C) Gradually replace the prednisone with an OTC alternative. D) Slowly taper down the dose of prednisone, as ordered.
An elderly client was given a nursing diagnosis of risk for injury related to disorientation. Which statement would the nurse use as appropriate for an expected outcome? The client:
1. Maintains continence on four out of five voidings. 2. Does not become lost or sustain injury during wanderings. 3. Sleeps through the night and stays awake most of the day. 4. Receives appropriate care consistent with his or her specific values and expected outcomes.
Hyperglycemia may be caused by:
1. Too much insulin 2. Infection 3. Eating less food than usual 4. More exercise than usual
Cesarean birth at the onset of labor is indicated for the woman infected with:
a. Hepatitis b. Chlamydia c. Syphilis d. Herpes simplex