A patient and family attend a counseling session. The patient has become depressed after a job loss. The nurse leading the counseling session informs the patient and his family that this type of crisis is caused by:
a. situational factors.
b. maturational factors.
c. sociocultural factors.
d. compassion fatigue.
A
Situational factors include work-related stress. Coping strategies vary with the individual and the situation. Maturational factors involve stressors and coping strategies that vary with life stage. Sociocultural factors include prolonged poverty, physical handicap, and chronic illness. Com-passion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
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A patient is switched from furosemide (Lasix) to spironolactone (Aldactone). The patient asks the nurse why she has been switched to a new medicine. What is the nurse's best response?
A) "You will lose less potassium with spironolactone than with furosemide." B) "You will have greater potassium losses with spironolactone than with furosemide." C) "You will have greater water losses with spironolactone than with furosemide." D) "You will have greater sodium losses with spironolactone than with furosemide."
A patient is to receive diltiazem (Cardizem) 360 mg/d orally in four divided doses. How many mg will the nurse administer per dose?
A) 30 mg B) 60 mg C) 90 mg D) 120 mg
The client is to receive Ery-Tab (erythromycin) 0.666 gram po every 6 hours. Each tablet contains 333 mg. How many tablets would the client receive?
What will be an ideal response?
A client calls the mental health clinic and asks to speak with the nurse. The client explains that he or she has recently been diagnosed with a substance problem and the way it was explained is that it has "dependence"
The client asks if the nurse can explain what that means. What should be the nurse's response? A) "Substance dependence means physiologic and psychologic dependence on alcohol or other drugs that affect the central nervous system in such a way that withdrawal symptoms are experienced when the substance is discontinued." B) "I am sorry, I can't give you any information. You will have to ask your physician." C) "Substance dependence means the person has a maladaptive pattern of use that shows physiologic, cognitive, and behavioral indications that the person continues to use the substance despite the resulting negative effects." D) "Substance dependence means that you depend on alcohol or drug use to get through your normal daily activities."