A client has many relatives in the three-generation pedigree who are or were substance abusers. The client says, "I don't understand all the emphasis on what my ancestors did. I don't abuse anything." How should the nurse respond?
1. "We are trying to develop screening tests for substance abuse tendency, and your family history is very interesting to us."
2. "Your history would help guide medication therapy if you ever became a substance abuser."
3. "Knowing your family history gives you advance notice to improve your coping skills and learn to manage your stress."
4. "We can give you medications to prevent your becoming a substance abuser."
3
Rationale 1: This statement does not explain why the client should be concerned with this information.
Rationale 2: This may be true, but it does not explain why the client should be concerned with this information now.
Rationale 3: The idea that the client can use this information to improve personal health now and in the future makes it real and pertinent.
Rationale 4: No such medication exists.
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The patient has a potassium level of 5.0 . The nurse closely monitors the patient for: (Select all that apply.)
a. muscle weakness. b. cardiac dysrhythmias. c. decreased reflexes. d. urinary retention. e. hypotension.
A form of qualitative statistical analysis that categorizes unit of meaning through a process of comparing incident to incident is termed:
A. basic social process. B. substantive coding. C. symbolic interaction. D. constant comparative method.
During discharge planning, a patient whose manic symptoms are remitting asks, "Do I have to take lithium even though I'm not high any longer?" The most appropriate response is:
a. "You can stop the medication 1 week after discharge.". b. "You will need to take medication for about 12 weeks.". c. "Usually patients take medication for 6 months after discharge.". d. "Taking the medication daily will help you avoid relapses and recurrences.".
When assessing a 10-year-old child with myasthenia gravis, the nurse notes ptosis and drooping facial expressions. The nurse knows this disease will require all of the following except:
1. Supportive care, as there is no cure for the disease. 2. Administering beta blockers to improve the muscle tone. 3. Check the child for a depressive state due to body image issues. 4. Explain procedures to the child as needed and provide emotional support.