A patient who is undergoing chemotherapy for lymphoma says, "I thought I was ugly before this all started. Now I know for sure I'm disgusting to look at." What is this patient most at risk for developing related to these comments?
A. Reduced sexual response
B. Changed body image perception
C. Inability to cope with the diagnosis and treatment
D. Altered taste sensation
Answer: B
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A 42-year-old patient admitted yesterday with a DRG (diagnosis-related group) diagnosis of Abdominal Pain, cause unknown, is being discharged this afternoon, because all diagnostic tests have been negative. This is an example of:
1. effective laboratory response. 2. Medicare guidelines limiting hospital stay. 3. cost containment related to DRG. 4. a patient who should not have been admitted in the first place.
A nurse is caring for a client who has designated someone else to make health care decisions when he or she is unable to do so. Which of the following is being used by the client?
a. An advanced medical directive b. A living will c. A durable medical power of attorney d. The Patient Self-Determination Act
A teenager confides that she and her boyfriend engage in sadomasochistic practices. She reports, "It's not a big deal. We're just having fun." What is the most appropriate nursing response?
A) "Make sure to protect yourself from communicable diseases." B) "You should not be doing unnatural things like that! You should be ashamed of yourself!" C) "You wouldn't want your parents to find out, would you?" D) "Some sadomasochistic acts can result in death, especially those involving sexual arousal by oxygen deprivation."
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. What is an example of using atraumatic care for this child?
A) Use restraint or 'holding down' of the child during the procedure to prevent injury. B) Have the parent stand near and/or rub the child's feet during the procedure. C) Insert a saline lock if the child will require multiple doses of parenteral medications. D) Avoid using numbing techniques for multiple blood draws or IV insertion.