Select the element in managed care that has contributed to the need for increased client education
a. Use of the team method of nursing care
b. High rates of nosocomial infections
c. Emphasis on increased client responsibility for care
d. Physician control of the health-care envi-ronment
C
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A nurse is counseling a patient with an anxiety disorder by using cognitive therapy strategies
She gives the patient a homework assignment to keep a diary in which he records the symptoms of anxiety he experiences and the events that transpired just before the onset of symptoms. What is the rationale for this strategy? a. Keep the patient intellectually occupied to prevent dwelling on physiological phenomena. b. Link symptoms with precipitating events, which provides a basis for discussion and reframing. c. Anxiety gives rise to automatic, negative thoughts that must be identified and analyzed. d. Show the patient that certain events are the likely cause of his anxiety and should be avoided.
The spouse of a client with Alzheimer disease does not understand why the client developed the disorder because no one else in the family has the health problem. Which response by the nurse is appropriate?
A) "Alzheimer disease develops because of smoking and alcohol intake." B) "Someone in your family must not have been correctly diagnosed with the disorder." C) "Alzheimer disease does not have the same course in every individual." D) "There are genetic and environmental factors in the development of Alzheimer disease."
By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that apply
A) That sexual issues are valid health issues B) That it is safe to talk about sexual issues C) That sexual issues are only a minor aspect a person's identity D) That changes or problems in sexual functioning should be discussed E) That changes or problems in sexual functioning are highly atypical
Which of the following is important for a woman scheduled to undergo a tubal ligation to understand?
A) She will have lessened dysmenorrhea following the procedure. B) She must think of the procedure as irreversible. C) The procedure will reduce her menstrual flow in amount. D) She should schedule it to be done just before a menstrual flow.