A client asks the nurse, "My wife has breast cancer. Could it be caused by too much stress?" The nurse responds with the knowledge that:
1. Too much stress causes all kinds of cancer
2. There are really no research findings about stress and disease yet
3. Stress causes the release of factors that suppress the immune system
4. There is no connection between stress and diseases of the body
ANS: 3
Research indicates that stress causes a release of corticotrophin-releasing factors that suppress the immune system. Research does not support option 1. Option 2 is incorrect because there is a sig-nificant amount of research about stress and the body. Option 4 is incorrect because there are some connections between stress and physical disease.
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An African-American woman has taken on the responsibility of raising her grandchild. Which intervention will best address a need commonly identified in this specific population?
a. Providing her with a list of local afterschool children's programs b. Suggesting she enroll in a local community center's senior support group c. Scheduling her for a complete physical examination d. Encouraging her to walk 1 mile 3 days a week
During an assessment, a patient tells the nurse that he drinks four alcoholic beverages every day and smokes one pack of cigarettes. The nurse realizes that these chemical agents can predispose the patient to develop: During an assessment, a patient
tells the nurse that he drinks four alcoholic beverages every day and smokes one pack of cigarettes. The nurse realizes that these chemical agents can predispose the patient to develop:
What are the symptoms of diarrhea? (select all that apply)
a. Weight loss b. Bowels still feeling full after a bowel movement c. Abdominal pain and cramping d. Fever and chills e. Feeling bloated f. Feeling ill
A narcotic substance abuser complains of severe incisional pain 1 hour after receiving 4 mg of intravenous morphine
When collaborating with the provider, which statement by the nurse indicates correct knowledge of pain management in opiate-tolerant patients? 1. "I think the patient has a tolerance to opiates and needs a higher dose than ordered.". 2. "The patient continually complains of pain to get more narcotics.". 3. "Perhaps administering a saline flush as a placebo will help the pain.". 4. "The patient should be getting ketorolac (Toradol) for pain, not morphine.".