A recently widowed patient tells the health care provider, "I have so much epigastric discomfort. I wonder if I have an ulcer." Diagnostic tests are negative. The symptom demonstrates:
a. early reorganization behavior
b. disorganization and depression
c. preoccupation with the deceased
d. normal phenomenon of mourning
ANS: D
Sensations of somatic distress are often experienced during the acute stage of grieving. They include tightness in the throat, shortness of breath, exhaustion, and pain or sensations such as those experienced by the dead person.
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What does assessment of a client's pulse measure?
a. quality of cardiac function b. pressure impulse created with cardiac contraction and ejection of blood into the aorta c. peripheral resistance of vascular system d. length and caliber of cardiac cycle
The nurse is caring for a patient who is a victim of interpersonal violence (IPV). What is the nurse's first priority?
1. Assist the patient to devise a safety or escape plan. 2. Encourage the patient to take charge of the situation. 3. Make it clear to the patient that the partner needs to see a therapist. 4. Offer to contact outpatient services if the patient promises not to return home after discharge.
The nurse is teaching self–breast examination to a client and demonstrates inspecting the breasts with arms over the head. The client asks the nurse why this is necessary. The nurse would respond with which of the following?
1. "It allows any masses to bulge forward to be seen.". 2. "This is the only position to detect Paget's disease.". 3. "This is the best position to look for skin dimpling.". 4. "It is the only way to look for nipple retraction.".
The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack. The patient was referred to the hospital's cardiac rehabilitation program after her previous admission The patient states that she began going to cardiac rehabilitation and liked it but stopped. When asked why, she states that, at the beginning, the classes were at 9 AM, but then got switched to 7 PM, when it's dark. The cardiac rehabilitation program was within walking distance of the patient's home. What is the most likely cause of the patient's unwillingness to go to cardiac rehabilitation?
a. Lack of transportation b. Fear of walking at night c. Reimbursement issues d. Noncompliance