The 80-year-old man who is experiencing stress because visual loss has caused him to quit driving says, "I have friends and family who will be my transportation. I can still get around and I'll have entertaining company."
What coping mechanism is the man using?
a. Confrontation
b. Escape
c. Emotional distancing
d. Avoidance
ANS: C
Emotional distancing requires that the patient change his or her attitude toward the stressor.
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A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis
The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is: 1. Steatorrheic stools. 2. Constipation. 3. Meconium ileus. 4. Rectal prolapse.
An elderly person who just bumped his head is complaining of vision problems that seem like a curtain is drawing across his right eye. What should you do first?
a. have him sit still b. call his family c. tell him he is showing signs of glaucoma d. call his doctor
The nurse prepares discharge teaching for a client receiving isosorbide dinitrate for treatment of angina. What information must the nurse include?
A) Limit exercise to 30 minutes twice per week. B) Avoid alcohol consumption. C) Monitor intake and output. D) Report skin flushing to the physician.
The theory developed for WC was that the proton inhibitor decreased the possibly already reduced absorption of B12, causing PN. When blood was analyzed, B12 was in the normal range but, considering the large doses that WC had been taking for several
weeks without taking Nexium, it was assumed that B12 should have been higher. A clue that this was correct was the elevation of folic acid. If B12 is low, why would folic acid be higher than normal? (Hint: look up the methyl folate trap).