A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy?
a. "What are your feelings about not eating the food that you prepare?"
b. "You seem to feel much better about yourself when you eat something."
c. "It must be difficult to talk about private matters to someone you just met."
d. "Being thin doesn't seem to solve your problems. You're thin now but still unhappy."
ANS: D
The correct response is the only strategy that attempts to question the patient's distorted thinking.
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A patient comes in for a physical examination and complains of "freezing to death" while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
a. Venous pooling. b. Peripheral vasodilation. c. Peripheral vasoconstriction. d. Decreased arterial perfusion.
The nurse understands the rationale for drying a wound after irrigation is:
a. to ensure the new dressing adheres to the wound. b. to ensure the new dressing remains occlusive. c. to prevent skin breakdown from moisture. d. to prevent infection from irrigate solution.
Muscles are surrounded and divided by fibrous envelopes called:
a. sarcolemma c. fascia b. endomysium d. epimysium
The client has been consuming very high amounts of vitamin A. He asks the nurse why this is a problem since it is just a vitamin. What is the best response by the nurse?
1. "Water-soluble vitamins like vitamin A are readily excreted in your urine." 2. "It really isn't a problem; your body will just get rid of the excess vitamins." 3. "It's okay to take what you want; just cut back if you experience side effects." 4. "Fat-soluble vitamins like vitamin A are stored in your body and too much can be toxic."