Which action should the nurse take to prevent emotional contagion when working with hospitalized depressed clients? Expect the clients to:
1. Be appreciative of a daily one-to-one session.
2. Be open to working on their problems.
3. Show improvement within 24 hours after admission.
4. Be disinterested in a nurse–client relationship.
4
Rationale: Clients who are hospitalized for depression will be disinterested in a nurse–client relationship. It is easy for the nurse to internalize the client's mood if the nurse is not self-aware. Depressed clients are usually not open to working on their problems. They may feel hopeless and helpless. Depressed clients may not show improvement within 24 hours of hospitalization. Most hospitalized clients with depression are not appreciative of a daily one-to-one session because they desire to isolate and to be left alone.
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Which of the following statements regarding beta-blockers is correct?
a. They increase heart rate and are contraindicated in tachydysrhythmias. b. They result in bronchospasm and should not be used in patients with COPD. c. They increase cardiac output and help with left ventricular failure. d. They are helpful in increasing atrioventricular node conduction and are used in heart blocks.
The nurse is planning care for a client with hypothyroidism. Which of the following would be the priority nursing diagnosis for this client?
1. Risk for constipation related to metabolic imbalance 2. Activity intolerance related to fatigue 3. Risk for injury related to confusion and lethargy 4. Altered nutrition, less than body requirements
During the cardiac assessment of a client, the nurse hears a loud rumbling during diastole that increases toward the end of the sound. This sound is heard with the bell of the stethoscope over the lower left sternal border. The nurse would suspect which of the following in this client?
1. Aortic stenosis 2. Tricuspid stenosis 3. Mitral regurgitation 4. Pulmonic stenosis
A client asks the nurse how he developed chronic obstructive pulmonary disease (COPD). Which of the following would be the best response for the nurse to make to this client?
1. Cigarette smoking is the number one cause of COPD. 2. COPD is caused from asthma. 3. COPD is caused from working in an industrial environment. 4. Once diagnosed with COPD, quitting smoking won't help the disease.