Which of the following clients exhibits the most realistic perception of his or her present crisis?
A) A woman whose daughter will soon graduate from high school experiences chronic insomnia due to worrying about her daughter's future.
B) A man believes that his business would have failed no matter what action he had taken to operate it differently.
C) A woman with uncontrolled diabetes states that it is a waste of time to monitor her blood sugar levels because "whatever happens was supposed to happen."
D) A woman newly diagnosed with lung cancer laments the fact that she has never made a sincere effort to quit smoking.
Ans: D
Identifying a link between past smoking habits and present lung cancer shows a realistic understanding of the causation of a crisis. Severe anxiety without tangible cause, resignation, and fatalism are defense and coping mechanisms that are associated with an unrealistic understanding of a crisis.
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Which of the following describes why the National Health Planning and Resources Development Act of 1974 was unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs?
a. A new president forced the legislation's repeal. b. No federal financing was included to implement the law. c. The federal government made no effort to enforce the law. d. The law did not affect the current health care delivery system.
The nurse is caring for two clients who both are in pain due to sickle cell anemia. One of the clients rates his pain as a 7 out of 10 (1 is no pain and 10 is the worst pain possible)
This client is moving around easily and is eating well, but has asked for pain medicine. The nurse would choose which of the following actions? 1. Wait 30 minutes and see if the client is still requesting the pain medicine. 2. Administer half the ordered does of pain medication. 3. Administer the pain medication if it is has been longer than the ordered interval. 4. Notify the healthcare provider that the client is faking his pain.
Once a window is cut, the solid piece of cast is replaced in its original site and secured with adhesive tape or a roller bandage
Indicate whether the statement is true or false
Which of these terms describes the reversible effect on the central nervous system that occurs soon after the use of a substance?
a. abuse c. tolerance b. intoxication d. withdrawal