A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects:

a. guilt.
b. denial.
c. shame.
d. rescue feelings.


ANS: A
The parents' statements indicate guilt. Guilt is evident from the parents' self-chastisement. The feelings suggested in the distracters are not clearly described in the scenario.

Nursing

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For a client who has a subtotal thyroidectomy, which nursing intervention is essential?

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In an outpatient facility, the nurse obtaining information on a patient newly diagnosed with HIV is aware that many patients with HIV utilize various alternative or complementary therapies

The nurse addresses complementary or alternative therapy by stating: A) "Complementary therapies such as acupuncture or herbal therapy are dangerous to patients with HIV and we discourage you from exploring them." B) "Researchers have not looked at the benefits of alternative therapy for patients with HIV, so we suggest that you stay away from these therapies until there is solid research data available." C) "We see many patients with HIV who are using some type of alternative therapy and there are benefits and risks. Are there any types of alternative or complementary therapies that you follow or are there any herbs that you take?" D) "You do not take herbs or practice some type of alternative medicine such as acupuncture, message therapy, hypnosis or diet therapy, do you?"

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The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. Which response by the nurse would best reassure this patient?

A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."

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The patient taking furosemide (Lasix) to correct excess edema shows a weight loss of 5.5 pounds in 24 hours. The nurse calculates this weight loss to be the excretion of approximately _____ li-ters of fluid

a. 1.0 b. 1.5 c. 2.0 d. 2.5

Nursing