The patient who has tested positive for a gene associated with breast cancer is concerned that this finding will affect her ability to get a government job position for which she has applied. How should the nurse respond to this concern?
1. "Surely there would be no way for the personnel department to find out that information."
2. "There is a federal law that prohibits genetic information from being used in employment decisions."
3. "Worrying about these concerns is not good for your health."
4. "It should be a problem only if you intend to use the insurance plan."
2
Rationale: This statement does not offer the patient guidance and is not therapeutic. It may increase the patient's concern as it indicates that the nurse is not certain about the confidentiality of the information.
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A newly admitted patient is experiencing a manic episode. The patient is verbally and physically aggressive. The plan for care should include
a. setting clear limits, providing a quiet environment, and limiting activities. b. avoiding use of antipsychotic drugs for 24 hours and providing nourishment ad lib. c. orienting to unit activities, encouraging gross motor activity, and watching television. d. avoiding confrontations by not enforcing limits and encouraging physical exercise at bedtime.
The client comes to the emergency department after having been in the sun for an extended pe-riod of time. The nurse also determines that the client is taking a diuretic. Heatstroke is suspected and the nurse observes for:
1. Diaphoresis 2. Confusion 3. Temperature of 36? C 4. Decreased heart rate
A psychiatric nurse addresses Axis I of the DSM-IV-TR as the focus of care but also considers the presence of other long-term, nonmedical disorders that may affect treatment. To which axis should the nurse refer for this information?
a. II b. III c. IV d. V
The nurse is caring for a 2-year-old girl in a bilateral brace with tibia vara. Her parents are upset by their toddler's limited mobility. Which response by the nurse would be most appropriate?
A) "If you don't follow the therapy, your daughter could develop severe bowing of her legs." B) "It's important to use the brace or your daughter may need surgery." C) "You are doing a great job. Let's put our heads together on how to keep her busy." D) "You'll need to accept this since treatment may be required for several years."