On the basis of recent findings, which client could the nurse expect to have greater difficulty
adjusting to life changes that have occurred over the past year?
a. A, a 32-year-old woman who is pregnant, divorcing her husband, and changing
residences
b. B, a 40-year-old man who has received a promotion and undertaken a weight loss
program
c. C, a 45-year-old woman whose daughter left home to attend college and whose ill
mother is moving in
d. D, a 67-year-old retired man who lost his home in a hurricane
ANS: A
The scores on the Life-Changing Events Questionnaire are the following: A, 151; B, 58; C, 100; and
D, 95 . The higher the score, the greater the stress placed on the individual. In addition, women
assess and react to life stress events at a higher level than men. Men tend to underrate life change
units by approximately 17%. Even when adjustments are made to the scores of the men, A still rates
highest.
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To receive financial incentives, hospitals and physician offices must meet designated criteria established by which organization?
1. Centers for Medicare and Medicaid 2. The Joint Commission 3. American Nurses Association 4. TIGER Initiative
The administration of hepatitis B vaccine is an example of
a. disease prevention c. disease management b. health promotion d. risk assessment
What is the intent of problem-focused coping strategies?
a. To eliminate the cause of stress b. To deny the cause of stress c. To repress the response to stressors d. To use prescription drugs to alter perception of the problem
A 43-year-old patient who has sustained an accidental laceration to the forearm is brought to the Emergency Department by family
It is determined that the laceration will need repair with sutures, but the patient refuses treatment saying, "I'll just pull it together with some tape when I get home." What action should be taken by the nurse? 1. Insist that the patient have the suture repair. 2. Tell the patient that the family will have to make that decision. 3. Have the patient sign a refusal of treatment form. 4. Tell the patient that it is a violation of the Emergency Medical Treatment and Active Labor Act of 1986 to allow a patient to leave without treatment.