The nurse is caring for a client with depression who is withdrawn. Which of the following statements suggests that the nurse is able to challenge his or her dogmatic beliefs?
1. "I understand that clients with depression have anger turned inward."
2. "I realize that if clients would just change their negative thoughts, they wouldn't be depressed."
3. "I realize that clients with depression are not just avoiding their problems."
4. "I understand that if clients would just develop strong interests, they wouldn't be depressed."
3
Rationale: The nurse who realizes clients with depression are not just avoiding their problems has been challenged to change their beliefs as the result of caring for clients with depression. Continuing to hold beliefs that clients remain depressed because of negative thoughts, anger turned inward, or a lack of strong interests demonstrates that the nurse is unable or unwilling to form new ideas and research about mental illness in order to fit his or her preconceived notion of depression.
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The client has frequently presented to the clinic with multiple physical complaints. The multiple physical complaints would warrant the nurse to screen the client for:
1. A chronic illness. 2. Deviant behavior. 3. Hospitalization. 4. A mental disorder.
The nurse is at the bedside of her 90-year-old patient, Ruth, who is comatose and on life support in the ICU, when she begins to feel the room shaking violently. The power suddenly fails and emergency generators have not started yet
The nurse provides bag-mask resuscitation for Ruth while she waits for the power to be restored. Moments later, the ICU is inundated with patients injured by the collapse of a nearby apartment building as a result of the earthquake. The nurse is called to help. Kevin has been impaled by a metal rod through the chest, is in a state of shock, and will die without immediate intervention. Gwyneth has compound fractures of the femur and a dislocated shoulder, is in pain, but is responsive. Mason is unconscious and unresponsive. Based on the START triage categories, whom should the nurse assist first in this situation? A) Ruth B) Kevin C) Gwyneth D) Mason
An estimate of reliability based on the average correlation among items within a test is called:
A. internal consistency reliability. B. alternate forms reliability. C. test-retest reliability. D. split-half reliability.
The nurse is providing postsurgical care for an infant who has undergone a hypospadias repair. Which action by the nurse would be most important to help keep the area clean while maintaining proper position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position B) Administering antibiotics as ordered C) Administering analgesics as prescribed D) Using a double-diapering technique