Culver suggests that regardless of one's specific environment, two essential environmental needs are evident for each person. The nurse can correctly identify these needs as
a. diversion and recreation.
b. emotional and spiritual support.
c. body alignment and activity.
d. oxygen and safety.
ANS: D
The most essential component of the environment is oxygen; the next most important need is safety. After these environmental needs have been met, the individual can focus on altering the environment to accommodate comfort and personal taste. The other options are not identified as needs relating to the environment.
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A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?
1. "Is there any reason you do not want your fiancé to know about your genetic illness?" 2. "It is probably best that he is not aware of the disease.". 3. "Are you afraid he will not want to marry you if he knows?" 4. "There are worse disease processes than Huntington's chorea.".
You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?
a. A 7-year-old b. An 18-year-old c. A 30-year-old d. A 50-year-old
The physician orders hydromorphone (Dilaudid). The nurse knows that this is the drug of choice because of which reason?
a. It minimizes some of the common side effects. b. It will not make the patient sleepy. c. It is not strong as morphine and is less addicting. d. It can be given transdermally.
A patient has recently been diagnosed with diabetes. The patient is clinically obese and is sedentary. How can the nurse best ensure potential success to increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend. B) Have a family member ensure the patient follows a suggested exercise plan. C) Construct an exercise program and have the patient follow it. D) Identify barriers with the patient that will inhibit change.