A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?
A) These behaviors are expected before major surgery.
B) These behaviors are signs of spiritual distress.
C) Family members live far away and the client is lonely.
D) The client is naturally emotional and reactive.
Ans: B
Many clients find it difficult to talk about their spiritual beliefs and problems but may have behavioral indicators of spiritual distress. Significant behavioral observations include sudden changes in spiritual practices, mood changes, sudden interest in spiritual matters, and disturbed sleep.
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The nurse reviews the patient's lab values and determines warfarin therapy is at therapeutic levels with what lab result?
A) Partial thromboplastin time (PTT) 1.5 to 2.5 times the control B) Prothrombin time (PT) 1.3 to 1.5 times the control C) International normalized ratio (INR) of 3 to 4 D) Activated partial thromboplastin time (aPTT) 3 to 4 times the control
The nurse is assisting the client to eat. Which action by the nurse is the most appropriate?
1. Sitting on the side of the bed while feeding the client 2. Telling the client to sit back and relax while the nurse does all the work 3. Asking what the client would like to eat or drink next 4. Feeding the client quickly to decrease the feeling of being a burden
Pain can in some families, due to family dynamics, allow a person to dysfunctionally regulate the intensity of his or her relationships with others
Indicate whether the statement is true or false
A hospice is
a. A skilled nursing facility b. A home health care agency c. A health care program for persons who present dangers to themselves or others d. A health care agency or program for per-sons who are dying