Which of the following are risk factors that may continue to promote disequilibrium?
1. Sudden experience, no warning signs
2. Poverty, abuse, pre-existing psychiatric disorder
3. Coping skills, strong self-esteem
4. Communication with others
2
Rationale: Poverty, abuse, and psychiatric disorders can contribute to instability, making it difficult to establish a new equilibrium. Communication, coping skills, and strong self-esteem are included in balancing factors that may help the client after a crisis. Suddenness and a lack of warning signs are characteristics of events that cause a situational crisis.
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The nurse instructs an anxious mother of a child with Rocky Mountain spotted fever that the disease is:
a. extremely contagious among humans. b. contracted from handling unvaccinated animals. c. a hemolytic B Streptococcus infection spread by droplet transmission. d. a serious disease contracted from the bite of a tick.
The client with right heart failure asks the nurse to explain the necessity of taking a daily weight. What would be the nurse's best response?
A. "Weight is the best indication that you are gaining or losing fluid." B. "Weighing you every day will help us adjust your medication." C. "It is required that all inpatients be weighed daily." D. "Being overweight contributes to heart failure."
A nurse is assisting a client to shave his beard. Which of the following statements accurately describes a recommended step in this process?
A) Cover the client with a blanket. B) Fill a basin with cool water. C) Apply cream to area to be shaved in a layer about 1/2-inch thick. D) Shave against the direction of hair growth in upward, short strokes
When working with the older adult age group, the nurse realizes that physiological and psychosocial changes will be evident. Those in this age group who will have at least one chronic disease condition will constitute what portion of the group?
1. 50% of the group 2. 80% of the group 3. 100% of the group 4. 90% of the group