Margaret Daniels is a nurse working for a large church in an urban setting. Which of the following activities would Margaret be least likely to perform?
1. Arranging for a mobile mammography unit to come to the church to provide low-cost mammograms
2. Facilitating a support group for women in the church who want to lose weight
3. Holding a training session for nurses who wish to volunteer in the parish health program
4. Performing BID dressing changes for a parishioner with an ulceration on his lower leg
ANS: 4
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A patient recently diagnosed with inoperable lung cancer tells a nurse, "I am looking forward to seeing my daughter graduate from college in 2 years." What stage of grief should the nurse rec-ognize this as according to Elizabeth Kübler-Ross?
a. Denial b. Anger c. Bargaining d. Depression
The patient is 3 weeks postoperative and has come in for a routine postoperative check-up. The patient reports that for the past week he has been experiencing sharp, shooting pains on an intermittent basis in the operative area
From the patient's description of what has been happening, the nurse knows that the patient had what surgery? A) Cochlear implant B) Mastoidectomy C) Removal of an acoustic tumor D) Ossiculoplasty
What etiology of abdominal pain is most likely causing his symptoms?
A 22-year-old law student comes to your office, complaining of severe abdominal pain radiating to his back. He states it began last night after hours of heavy drinking. He has had abdominal pain and vomiting in the past after drinking but never as bad as this. He cannot keep any food or water down, and these symptoms have been going on for almost 12 hours. He has had no recent illnesses or injuries. His past medical history is unremarkable. He denies smoking or using illegal drugs but admits to drinking 6 to 10 beers per weekend night. He admits that last night he drank something like 14 drinks. On examination you find a young male appearing his stated age in some distress. He is leaning over on the examination table and holding his abdomen with his arms. His blood pressure is 90/60 and his pulse is 120. He is afebrile. His abdominal examination reveals normal bowel sounds, but he is very tender in the left upper quadrant and epigastric area. He has no Murphy's sign or tenderness in the right lower quadrant. The remainder of his abdominal examination is normal. His rectal, prostate, penile, and testicular examinations are normal. He has no inguinal hernias or tenderness with that examination. Blood work is pending. A) Peptic ulcer disease B) Biliary colic C) Acute cholecystitis D) Acute pancreatitis
Critical incident stress management (CISM) is provided to help emergency personnel successfully manage the stress produced by the crises and disasters that they are called upon to respond to
As a result of meta-analysis of existing data about the effectiveness of CISM, Bledsoe recommends that CISM: a. is universally helpful to emergency personnel even if they initially resist the intervention b. is most effective when offered in a peer group counseling format c. should never be mandatory, because it may lead to a worsening of stress symptoms d. should be provided as one-on-one individual counseling over six or more sessions