A client tells the nurse that she worries about her health and wants to be as healthy as possible because she is worth it. The nurse realizes that how an individual feels about herself is referred to as:
a. identity.
b. body image.
c. self-esteem.
d. role performance.
ANS: C
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On a patient's admission to the hospital, a nurse asks the patient whether he has a living will or durable power of attorney for healthcare. He states he does and provides a copy for the chart. The basis for the nurse's inquiry is which of the following?
a. Code of Ethics for Nurses b. Patient Care Partnership c. Patient Self-Determination Act (PSDA) d. Health Insurance Portability and Accountability Act (HIPAA)
A client with increased intracranial pressure (ICP) is being repositioned. The nurse performs this intervention incorporating which of the following? Select all that apply
1. Manage the repositioning with slow, smooth, and gentle movement. 2. Inform the client regarding what is going to occur during the intervention. 3. Elevate the head of the bed to 30 degrees. 4. Accompany each repositioning with passive range-of-motion exercises. 5. Reposition the client every 1 to 2 hourss.
A nurse is administering pain medication to an 80-year-old man. What altered drug response might be expected due to the patient's age?
A) Decreased gastric pH causing stomach irritation B) Increased possibility of drug toxicity due to increased distribution of water-soluble drugs C) Increased excretion of drugs, leading to possible increased serum levels/toxicity D) Increased possibility of drug toxicity due to higher drug plasma concentrations
The nurse is assessing a patient with bulimia nervosa (BN). Which characteristics should the nurse associate with the psychological domain?
1. Impulsivity 2. Rituals 3. Loss of libido 4. Early menarche