A client has had the following problems identified: ineffective coping related to mastectomy for
breast cancer, deficient knowledge of cancer treatment options, dysfunctional grieving related to
perception of loss, and disturbed body image related
to mastectomy. A psychiatric mental health
liaison nurse has been called. The problem that the liaison nurse should suggest an oncology nurse
address is
a. ineffective coping.
b. deficient knowledge.
c. dysfunctional grieving.
d. disturbed body image.
ANS: B
The psychiatric mental health liaison nurse will intervene in the phenomena of emotional stress
components of illness, self-concept changes, and grief. The knowledge deficit will be important to
address but is the domain of an oncology nurse.
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The nurse is preparing to bathe a patient. What should the room temperature be set at?
a. No warmer than 67 ° F b. No cooler than 68 ° F c. No cooler than 70 ° F d. 75 ° F or warmer
The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for?
a. Clarity of mind b. Suicidal wishes c. Concurrent substance use d. Using someone else's medications
A client has recently undergone an anterior colporrhaphy. Which is the most important discharge instruction that the nurse can provide?
a. "Avoid sexual intercourse for 2 weeks." b. "Call us for fever and pain that does not improve." c. "Sutures will need to be removed in 2 weeks." d. "An ice pack on your incision will help the pain."
MC Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly
A. Inhale deeply and hold your breath. B. Tense the painful area. C. Completely relax the painful area. D. Find a point of tension in your body.