While attempting to choose a nursing diagnosis, the nurse must decide whether the client is suffering from anxiety or fear. What key point would help the nurse make this decision?
1. Anxiety is a milder form of fear.
2. Fear results in a physiologic response, while anxiety is psychological.
3. The source of fear is identifiable, but anxiety may be vague.
4. Anxiety is generally based in reality, while fear is not.
3. The source of fear is identifiable; but anxiety may be vague.
Rationale:
The source of fear is identifiable, but anxiety is vague. Fear and anxiety can both be based in reality or may not be based in reality. Both fear and anxiety can have physiologic and psychological components. Fear and anxiety are different, so anxiety is not just a milder form of fear.
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A 68-year-old female patient admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care?
a. Restrict fluids between meals and after the evening meal. b. Apply absorbent incontinent pads liberally over the bed linens. c. Insert an indwelling catheter until the symptoms have resolved. d. Assist the patient to the bathroom every 2 hours during the day.
An older adult patient is prescribed amikacin (Amikin). Which assessment technique is most important for the nurse to perform daily?
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The nurse is preparing to teach a client about addiction, dependence, and withdrawal. The nurse asks the client, "What is the progressive and chronic abuse of a substance caused by an overwhelming feeling that drives someone to use a drug repeatedly despite serious consequences?" Which answer, by the client, is appropriate?
1. Physical dependence 2. Addiction 3. Psychological dependence 4. Withdrawal