When an individual seeks help from family, friends, or a community resource during a time of stress, the nurse assesses that this is an example of:

1. internal response.
2. external response.
3. physiologic response.
4. psychological response.


2
Patients dealing with stress may use external responses, including help from family, friends, and service agencies in the community.

Nursing

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The nurse administers an analgesic to a patient with a headache. What is the best way for the nurse to assess the patient's response to the medication?

a. Ask the patient to describe the pain. b. Observe the patient's behavior. c. Monitor the patient's blood pressure and pulse. d. Have the patient rate the pain on a scale of 0 to 10.

Nursing

A 70-year-old man is being treated for herpes zoster virus. He has been prescribed acyclovir (Zovirax). The clinic nurse should prioritize assessments of which of the following?

A) Neurologic function B) Renal function C) Cardiac function D) Respiratory function

Nursing

A medical nurse has admitted four patients over the course of a 12-hour shift. For which patient would assessment of ankle-brachial index (ABI) be most clearly warranted?

A) A patient who has peripheral edema secondary to chronic heart failure B) An older adult patient who has a diagnosis of unstable angina C) A patient with poorly controlled type 1 diabetes who is a smoker D) A patient who has community-acquired pneumonia and a history of COPD

Nursing

The patient at 37 weeks' gestation calls the clinic nurse to report that neither she nor her partner has felt fetal movement for the past 48 hours. The nurse anticipates that the physician will order which test to assess fetal viability?

1. Ultrasound 2. Serum progesterone levels 3. Computed tomography (CT) scan 4. Contraction stress test

Nursing