An older adult patient who underwent bowel resection is recovering from surgery without complication. He ambulates in the hallway and requires little analgesia for pain
During the healthcare team's morning rounds, the surgeon informs the patient that the lesion removed was cancerous. Which factor will likely be the patient's most significant obstacle for learning?
a. The patient's baseline physical condition
b. A negative environmental influence
c. Anxiety associated with the new diagnosis
d. Reduced ability to understand the diagnosis
C
Anxiety associated with the new diagnosis of cancer will most likely be a barrier to learning in this patient. Fear of the unknown, fear of pain, fear of physical discomfort with treatment options, fear of altered role in home or work life, and many other fears accompany the anxiety that patients often experience when potentially life-threatening diagnoses are communicated. The patient has been ambulating and requiring a minimal amount of pain medication; therefore, his physical condition is probably not the most significant barrier to learning. Simply because the patient is an older adult does not suggest he has reduced capacity to learn.
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Twelve new cases of the measles have been diagnosed last week in a particular county. In that same county, 20 children are currently under treatment for the measles
What should the population nurse identify as being the incidence rate of the measles infection? 1. 8. 2. 12. 3. 20. 4. Unknown.
A researcher uses matching to constitute his control group, while performing a study on psychotherapy as an adjunct treatment for substance addiction. What type of validity might be enhanced by matching, in this instance?
a. Construct validity b. Statistical conclusion validity c. External validity d. Internal validity
When admitting a client to the medical-surgical unit, the nurse asks the client about cultural issues. The nurse is demonstrating use of the concept of
a. person. b. environment. c. health. d. nursing.
Hourly neurovital signs have been ordered for a client who has been admitted after experiencing an ischemic stroke. The client's neurological status has declined over the past few hours
Which nursing action best prevents an adverse outcome in this client's care? A) initiating rehabilitation as soon as possible B) arranging for STAT computed tomography of the client's head C) documenting any changes in the client's status in a detailed and timely manner D) assessing the client's neurological status more frequently than ordered