Which comment by the patient indicates use of a maladaptive or ineffective coping strategy?

a. "That heart attack was no fun, but at least it woke me up to my need for a better diet and more exercise.".
b. "My family and God will see me through this. It won't be easy, but I'll never be alone.".
c. "I definitely have cancer. Now I need to look at the effects of treatment and decide whether I will be able to work daily.".
d. "I wouldn't be in this position if the company had better health benefits. If they paid for health club memberships, maybe I wouldn't be here now.".


D
Blaming someone else and rationalizing one's failure to exercise are not usually considered to be adaptive coping strategies. Seeing the glass as half full, using social and religious supports, and confronting one's situation are seen as more effective strategies.

Nursing

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A man seeks treatment for urges involving sexual contact with children. He has not acted on these urges and is ashamed of them. Which of the following outcomes would indicate that the patient is making progress in his treatment?

a. He consistently drives far around school yards and shops only during school hours. b. He reports that he no longer has fantasies about sexual contact with children. c. The patient indicates that his sexual drive and enjoyment from sex have decreased. d. He reports that he has an active and satisfying his sex life with his adult partner.

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Order: 2,000 mL of 3% amino acids and 10% dextrose in 24 hours in TPN solution How many total kcal will the client receive? _____

a. 260 b. 240 c. 800 d. 1,040

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A laboring woman with no known risk factors suddenly experiences spontaneous rupture of membranes (ROM). The fluid consists of bright red blood. Her contractions are consistent with her current stage of labor

There is no change in uterine resting tone. The fetal heart rate begins to decline rapidly after the ROM. The nurse should suspect the possibility of: a. Placenta previa. b. Vasa previa. c. Severe abruptio placentae. d. Disseminated intravascular coagulation (DIC).

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A patient tells the nurse "I know I have diabetes. I don't like it but I know it.". The nurse realizes this patient has achieved learning in which of the following domains?

a. psychomotor c. intellectual b. cognitive d. affective

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