A patient, aged 42 years, seeks crisis intervention. She tells the nurse, "I cannot take it anymore! It has to stop. Last year my husband had an affair, and we do not communicate anymore
Three months ago I found a lump in my breast that the doctor is watching closely, and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend.". Which comment or concern should be the priority for further assessment? a. What support persons and coping skills the woman has to draw upon
b. The status of the marriage and whether the husband is involved in the affair
c. How the patient feels about the possibility of having a mastectomy
d. What the patient has in mind when she says she "cannot take it anymore"
D
During crisis intervention, the priority concern is patient safety, so it is most important to assess whether the patient is a risk of self-harm (or other-directed violence). Assessing coping skills and resources, assessing her response to the possible breast cancer and her daughter's plans, and the current status of her marriage would all be assessed subsequent to establishing her safety.
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The following diagram is for which design?R X 01 (experimental group)R 01 (comparison group)
1. Pretest-posttest control group design. 2. Posttest only control group design. 3. Nonequivalent control group. 4. Time-series.
A new mother insists that her baby must be cold because its hands and feet are blue. What should the nurse explain to the mother about the infant's blue coloring?
a. It is called acrocyanosis and will improve as the baby's circulation improves. b. It is cyanosis and will require administration of oxygen until it resolves. c. It is due to patent ductus arteriosus, which is normal for several hours after birth. d. It is indeed due to being cold, and the baby should be returned to the warmer.
A patient asks the nurse what it means to have hospice care at home. What should the nurse respond to this patient?
1. "Hospice makes sure that you are comfortable at home." 2. "Hospice care helps cure your illness." 3. "Hospice care is for patients who will be sick for longer than a year." 4. "Hospice care means your physical needs will be met."
A nurse is administering medications at school. Which of the following guidelines should be used by the nurse?
a. A current drug reference should be availa-ble in case information is needed. b. The nurse should administer medications brought by the child. c. Medications cannot be administered without a physician order. d. Narcotics and controlled substances should be kept in a locked cabinet.