Which patient is at most risk for experiencing difficult grieving?
a. The middle-aged woman whose grandmother died of advanced Parkinson's disease
b. The young adult with three small children whose wife died suddenly in an accident
c. The middle-aged person whose spouse suffered a slow, painful death
d. The older adult whose spouse died of complications of chronic renal disease
ANS: B
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A nurse is caring for a 38-year-old female patient who just started taking lithium for bipolar disorder. Which of the following outcomes would be most appropriate for this patient?
A) The patient will reestablish and maintain a normal pattern of bowel functioning. B) The patient will identify appropriate interventions to promote sleep. C) The patient will identify satisfying and acceptable sexual practices and some alternative ways of dealing with sexual expression. D) The patient will adopt strategies to maintain proper fluid balance.
The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities are part of the educator role of the nurse? Select all answers that apply
A) Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding a parent to give a full course of antibiotics D) Giving a DTaP vaccination at the proper interval E) Advising parents of their rights regarding home health care F) Integrating research findings to establish evidence-based practice
Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot
His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton's foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton's mom put some gauze over the wound and prepared to take him to the local community health clinic. What is the physiologic mechanism causing the wound to become red, hot, swollen, and painful? How is this different than the inflammatory response that might occur in an internal organ? What are the immunologic events that are happening at the local level during Carlton's acute inflammatory response? Nutrition plays an important factor in wound healing. What stages of wound healing would be affected by a deficiency in vitamins A and C?
What is the rationale for seeking information about the effects of prescribed medications on a patient's sexual function?
a. Sexual dysfunction may result from use of prescription medications. b. The question eases the transition to questioning about sexual practices. c. Patients are more comfortable talking about medications than about sex. d. The question provides an opening to question about nonprescription drug use.