A patient who had a below-the-knee amputation 2 months ago is seen walking with a new limb prosthesis and returning to work. What does the nurse realize about this patient?
A. The patient is forgetting about the disease that caused the loss of the limb.
B. The patient has completed the work of mourning the loss of the leg.
C. The patient is in denial.
D. The patient is having difficulty with grief.
Answer: B
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The client has been taking fluvoxamine (Luvox) for years, has been symptom-free for one year, and is now considering taking a drug holiday. What nursing teaching is necessary?
1. The client should be symptom-free for at least two years before trying to go off the medication 2. The client should let the prescriber make these decisions and should not suggest this 3. A drug holiday should be avoided due to discontinuation symptoms 4. This is worth trying since the client has been symptom-free for a year
A client is being admitted to the inpatient psychiatric unit. Which actions would be appropriate for the nurse to assess the client's risk of violence? Standard Text: Select all that apply
1. Wait to assess the client's risk of violence once the psychiatric symptoms have stabilized. 2. Assess history of psychotic illness as this is the most important predictor of violence potential. 3. Ask the client, "What is the most violent thing you have ever done?" 4. Review the client's past records and get information from the client's family. 5. Avoid discussing the client's past history of violence as this could provoke the client.
The health care provider orders meticulous foot care on a patient with diabetes. What is the best rationale for the nurse to assess the patient for complications?
a. Poor hygienic practices in patients with diabetes b. Vascular changes, which reduces circula-tion c. The aging process, which causes skin breakdown and ulceration d. Limited joint range of motion, which makes caring for feet difficult
The nurse is doing preoperative teaching with a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What preoperative teaching should the nurse be sure to include for this patient?
A) Menstrual periods will continue to occur for several months, some of them heavy. B) Normal activity will be permitted following surgery. C) After a hysterectomy, hormone levels remain balanced. D) Bladder must be emptied prior to surgery and a catheter may be placed during surgery.