The nurse is admitting a client with a sudden onset of dyspnea and a blowing high-pitched murmur. The nurse understands that these are typical clinical manifestations of:
1. Acute mitral valve regurgitation.
2. Acute mitral valve stenosis.
3. Aortic stenosis.
4. Mitral valve prolapse.
Acute mitral valve regurgitation.
Rationale: The sudden onset of symptoms indicates it is an acute problem. The dyspnea and blowing high-pitched murmur are classic clinical manifestations of mitral valve regurgitation. Chronic valve disorders have a gradual onset of symptoms. Mitral valve stenosis has a low-pitched, rumbling, crescendo-decrescendo diastolic murmur. Aortic stenosis has a harsh crescendo-decrescendo systolic murmur. Mitral valve prolapse has a mid-systolic to late-systolic click heard between S1 and S2.
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Interventions to help caregivers cope with their anger focus on
1. learning to effectively interact with clients. 2. assessing which stressors and coping skills are being used. 3. learning to effectively control their feelings of anger. 4. establishing a trusting therapeutic relationship via clear communications.
A patient who presents for an eye examination is diagnosed as having a visual acuity of 20/40. The patient asks the nurse what these numbers specifically mean. What is a correct response by the nurse?
A) "A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away." B) "A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away." C) "A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away." D) "A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away."
A nurse identifies that a smoker is in the action stage of behavioral change related to smoking cessation when the smoker is doing which of the following?
1. entertaining thoughts about quitting 2. actively trying to abstain from smoking for 2 weeks 3. experiencing continued smoking abstinence 8 months after quitting 4. being ready and open to advice about smoking cessation
When teaching the orientation portion of a psychiatric nursing course, which statement would the instructor be most likely to make to the students?
a. "There is one approved theoretical framework for psychiatric nursing practice.". b. "Psychiatric nursing has yet to be recognized as a core mental health discipline.". c. "Contemporary practice of psychiatric nursing is primarily focused on inpatient care.". d. "The psychiatric nursing patient may be an individual, a family, a group, or even a community.".