A patient has been admitted to the hospital with anemia and a gastrointestinal bleed secondary to alcohol use. During a discussion with the nurse about his drinking, the patient stated,
"Obviously I can see that there's a problem with me, but what it comes down to is that I'm just not sure I'm ready to quit." What stage of change is this patient most clearly exemplifying?
A) Precontemplation
B) Contemplation
C) Relapse
D) Preparation
Ans: B
The contemplation stage of change is characterized by an awareness of the substance-related problem but the patient or client does not possess the motivation to change at this time. Precontemplation is associated with unawareness of the problem, and preparation involves getting ready to change. A relapse is a return to substance use following an attempt to cease.
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A female client asks the nurse if the medication risperidone (Risperdal), an antipsychotic medication for schizophrenia, has any side effects. Which response by the nurse would violate the ethical concept of veracity?
a. "I am not sure, but I will find out." b. "Risperdal has no documented side effects." c. "Risperdal does have some side effects." d. "Let's talk to your physician about potential side effects."
Which setting for childbirth allows for the least amount of parent-infant contact?
a. Labor/delivery/recovery room b. Birth center c. Traditional hospital birth d. Home birth
Which of the following is a necessary assumption for evaluation to occur?
a. Accrediting agencies focus on careful documentation. b. Actions have both intended and unintended results. c. Nursing care is dependent on the reimbursement available. d. People expect professionals to document their care.
Which of the following statements best demonstrates a client's intention to start exercising on a regular basis?
a. "I bought walking shoes and have scheduled a walk before breakfast each day." b. "I exercise when I can find someone to walk with." c. "I need to buy a treadmill or exercise bike so that I don't get fat." d. "I think exercising would reduce my stress and help my appearance."