A client, divorced for one year, has recently had crisis counseling. The client has begun to take classes at the community college and has enrolled the children in day care. These new actions could be referred to as:
1. A response to stress.
2. A situational crisis.
3. A turning point in life.
4. A maturational crisis.
3
Rationale: Crisis situations such as a divorce can become turning points or junctures in life that result in a change in equilibrium, positive or negative. The client may have experienced a situational crisis and stress, but the events of the client's last year have resulted in a turning point. A maturational crisis is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals.
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A patient tells the nurse that he hates to exercise. The nurse should instruct the patient about the benefits of exercise EXCEPT
a. decreased energy c. improved bone den-sity b. lowered cholesterol d. normalized glucose tolerance
Mr. Worley is in the critical care unit of the hospital and is on a fluid restriction. Today he has consumed 250 mL of clear broth and 200 mL of water. He weighs 142 lb. To achieve his DMFN, the hourly flow rate on his IV should be ________. (A volume control chamber is not being used on his IV.)
Fill in the blank(s) with the appropriate word(s).
The nurse is caring for a patient who is at risk for psychosis. Which therapeutic modality might be the most effective for this patient?
1. Hypnosis 2. Psychoanalysis 3. Brief solution focused therapy 4. Cognitive-behavioral therapy (CBT)
Handoff communication is
A. given when a patient transfers to the care of another worker or department. B. not necessary if your shift report and documentation are complete and timely. C. given to the patient and family members by the nursing assistant at the time of discharge. D. given by licensed professionals only because this is a highly technical procedure.