A client who became severely depressed after losing her job tells the nurse that she is not worth the
time the nurse spends with her. The client often mentions that she is "the worst person in the world.".
On the basis of these data, the nursing diagnosis that should be considered for this client is
a. powerlessness.
b. defensive coping.
c. situational low self-esteem.
d. disturbed personal identity.
C
The client's statements express feelings of worthlessness and most clearly relate to the nursing
diagnosis of situational low self-esteem. Insufficient information exists to lead to other diagnoses.
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A patient is suspected of having a hypersensitivity reaction. Which laboratory test result supports this suspicion?
1. patch test with a 1-inch area of erythema 2. eosinophils 2% of the total WBC 3. Coombs indirect showing no agglutination 4. elevated hematocrit level
While interviewing a client, the client reports an intense fear of spiders, stating, "I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one." The nurse documents this finding as which of the following?
A) Algophobia B) Entomophobia C) Arachnophobia D) Cynophobia
The heart is surrounded by a protective fibrous membrane called the__________.?
A) epicardium B) myocardium C) endocardium D) pericardium
A 75-year old patient tells the nurse, "I just do not enjoy eating as much as I used to because the food does not have much taste or smell." Which statement by the nurse is most appropriate?
a. "You should make an appointment with your health care provider." b. "Try eating small, frequent meals." c. "The senses of smell and taste decrease as we age." d. "Maybe you should use saline drops in your nose."