The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
A) "I'm so upset; my husband has never left me like this before."
B) "I'm confused and hurt; I have lost my best friend and my lover."
C) "I don't understand; I can't seem to function like I usually do."
D) "No matter what I do, I am still overcome by these sad feelings."
B
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A priority nursing diagnosis for the nurse caring for a patient with cancer who is preparing for engraftment for a bone marrow transplant is:
A) Fatigue and activity intolerance B) Altered nutrition: less than body requirements due to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia
A patient has been newly diagnosed with heart failure (HF) and has come to the meet with the nurse at the clinic for health education. What lifestyle recommendation should the nurse provide to this patient when discussing dietary modifications?
A) "It's in your best interests to avoid excessive fluids and sodium in your diet." B) "Try to replace as many of the complex carbohydrates in your diet with simple sugars." C) "I'll teach you some good sources of potassium, which you should try to eat regularly." D) "Many people with HF find that small, frequent meals allow them to manage their diet effectively."
Which patient should take the varicella vaccine?
1. A child who stepped on a rusty nail 2. An adult who has never been immunized 3. A health care worker 4. Any child under 1 year of age
A client tells the nurse that she is having a series of massages to break up scar tissue created from back surgery which have caused uneven hip and shoulder height. The nurse realizes the type of massages the client is receiving would be:
1. shiatsu. 2. rolfing. 3. therapeutic. 4. relaxation.