Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies?
a. "My employer should have paid for a health club membership for me."
b. "My family will see me through this. It won't be easy, but I will never be alone."
c. "My heart attack was no fun, but it showed me up the importance of a good diet and more exercise."
d. "I accept that I have heart disease. Now I need to decide if I will be able to continue my work daily."
ANS: A
Blaming someone else and rationalizing one's failure to exercise are not adaptive coping strategies. Seeing the glass as half full, using social and religious supports, and confronting one's situation are seen as more effective strategies. The distracters demonstrate effective coping associated with a serious medical condition.
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A family member of a patient with COPD asks the nurse why the patient is not receiving high oxygen flow rates. Which of the following statements best describes the rationale for giving only low levels of oxygen to a person with chronic lung disease?
A) When low levels of oxygen are administered through nasal prong, the lungs receive 100% oxygenation. B) Low levels of oxygen prevent confusion. C) Raising the patient's blood oxygen level may suppress his or her respiratory drive, causing increased retention of carbon dioxide. D) With high levels of oxygen, a rebound effect occurs, resulting in decreased levels of carbon dioxide in the blood.
A client who is to take a drug at equal intervals three times a day and who usually awakens at 8:00 AM and goes to bed at 10:00 PM should take the drug at what times? _______________
a. 0800 and 2000 b. 0900 and 2100 c. 0900, 1400, and 2000 d. 0800, 1500, and 2200
Critical to caring for the immunocompromised patient is the understanding that:
a. the immunocompromised patient has normal white blood cell (WBC) physiology. b. the immunosuppression involves a single element or process. c. infection is the leading cause of death in these patients. d. immune incompetence is symptomatic even without pathogen exposure.
A patient with Cushing's syndrome has undergone surgery and radiation treatment. The nurse will expect to teach the patient about which medication?
a. Cosyntropin b. Dexamethasone c. Fludrocortisone acetate (Florinef) d. Ketoconazole (Nizoral)