A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient?

a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation


ANS: D

A
The person in the first stage believes that the symptoms do not really represent illness and will go away.
B
At the second stage the person is angry at the body for not functioning properly or displaces anger onto self or others.
C
The person in the third stage usually seeks help and knowledge as ways to gain control.
D
Acceptance and participation is the final stage in the adjustment to an illness. A person in this stage is ready to participate in decisions about treatment.

Nursing

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When a child is in the physician's office for a blood draw, the nurse notices that it has been several months since the child's last visit. The child is to have monthly labs for a chronic illness. What would be a rationale for this?

A) The parents have been too busy to bring the child. B) The child is afraid of having the blood drawn, so the parents do not bring him. C) The parents are having a difficult time grieving with the idea of the child's illness. D) They do not have the money to pay for multiple visits.

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The mother of a 2-month-old infant complains to the nurse that the infant has been crying continuously all evening. On examination the nurse understands that the newborn is colicky

Which of the following is the most common reason for the onset of colic in an infant? A) Consumption of caffeine by the nursing mother B) Consumption of cow's milk by the nursing mother C) Consumption of alcohol by the nursing mother D) Frequent breastfeeding by the newborn

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The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:

a. Bend over and touch her toes. b. Lie down on her left side and notice any retraction. c. Shift from a supine position to a standing position, and note any lag or retraction. d. Slowly lift her arms above her head, and note any retraction or lag in movement.

Nursing

A client with chronic pancreatitis is taking pancreatic enzymes. The client understands the client teaching when the client states:

1. "I will take this medication with food.". 2. "I should take this medication on an empty stomach.". 3. "I take this medication only when my stomach is hurting.". 4. "This medication is monitored by the lab work.".

Nursing