During a self-esteem assessment of a young woman undergoing a complicated divorce, a nurse states: "Tell me something about the moral–ethical principles that govern your life." What aspect of self-esteem is the nurse assessing?
A) significance B) virtue C) power D) competence
B
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The growth process of the myelin sheath around the nerve fiber is called:
What will be an ideal response?
A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past. Which of the following is the most appropriate nursing intervention?
1. An abdominal restraint should be placed on the client during sleeping hours. 2. The client should be checked frequently during the night. 3. A radio should be left playing at the bedside to assist in reality orientation. 4. The client should be placed in a room that is away from the activity of the nurses' station.
If an intoxicated client admitted for trauma treatment last night at 2 AM is going to have withdrawal
symptoms, nurses should be alert for the symptoms to begin a. between 8 and 10 AM today (6 to 8 hours after drinking stopped). b. about 2 AM tomorrow (24 hours after drinking stopped). c. about 2 AM of hospital day 2 (48 hours after drinking stopped). d. about 2 AM of hospital day 3 (72 hours after drinking stopped).
When nurses are trying to determine whether patients and families need more information, they often ask, "Do you have any questions?" Which of the following statements best explains why this approach is flawed?
1. Patients and families will ask questions without being invited, and this approach is too direct. 2. This approach presumes that the family and patient are not on the healthcare team and may be condescending. 3. The question asks patients to share private information, which is a violation of HIPPA guidelines. 4. Patients and families often don't know enough about a situation to know what questions to ask.