A patient in an alcohol rehabilitation program says, "I have been a loser all my life. I'm so ashamed of what I have put my family through. Now, I'm not even sure I can succeed at staying sober." Which nursing diagnosis applies?
a. Chronic low self-esteem
b. Situational low self-esteem
c. Disturbed personal identity
d. Ineffective health maintenance
ANS: A
Low self-esteem is present when a patient sees him- or herself as inadequate. It is a chronic problem because it is a lifelong feeling for the patient. Data are not present to support the other options.
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A lawsuit has been filed claiming that a nurse's actions caused the death of a neonate. Why does the attorney for the plaintiff want to prove proximate cause?
1. Proximate cause determines how far the nurse's liability extends for consequences of the alleged negligent actions. 2. The need for expert witnesses is eliminated because harm can be approximated. 3. A direct line of causation, from incident to injury, is proved. 4. To identify if the harm could have been predicted to result from the action of the defendant
During an assessment the nurse becomes concerned about a patient's lung compliance. What factors about the patient's respiratory status causes the nurse to have this concern?
Select all that apply. 1. patency of the nares 2. flexibility of the rib cage 3. status of a sinus infection 4. elasticity of the lung tissue 5. pulse oximeter reading of 97%
The primary mechanisms of action of certain antidepressants result from neurotransmitter inactivation by enzyme-based metabolism and
a. electrochemical stimulation. b. stimulation of natural precursors. c. extraction of precursors from the bloodstream. d. reuptake into the presynaptic storage vesicles.
Phenytoin and folic acid use the same binding sites in the body. If an increased intake of folic acid inhibits phenytoin therapy to the extent that seizure activity increases, the effect is termed
1. Presystemic clearance (first-pass mechanism) 2. Pharmacodynamic 3. Pharmacokinetic 4. Subtherapeutic