The nurse is caring for the parents of a newborn and explaining that many new parents feel stress at this time
When the parents express surprise at the use of the term stress, the nurse explains that the birth of a child can be categorized as a(n): 1. Internal source of stress
2. An external source of stress
3. Developmental
4. Situational
4
Rationale: Depression is an example of an internal source of stress.
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Which of the following the most appropriate goal for a patient with the nursing diagnosis of Deficient Fluid Volume?
1) Electrolyte balance restored, as evidenced by improved levels of alertness and cognitive orientation 2) Electrolyte balance restored, as evidenced by sodium returning to normal range 3) Patient demonstrates effective coughing and deep breathing techniques 4) Maintains fluid balance, as evidenced by moist mucous membranes and urinating every 4 hours
A client is trying unsuccessfully to clear the airway with a cough. The measure the nurse would suggest to help the client cough more effectively is
a. cough while leaning forward. b. drink milk to coat the throat. c. insert a large-lumen suction catheter before coughing. d. place a clean finger over the tracheostomy tube and cough.
The nurse is working with a client diagnosed with multiple sclerosis. The goal is that the client will be capable of living independently. The nursing theory that best supports this client's situa-tion is:
1. Orem's theory 2. Neuman's theory 3. Abdellah's theory 4. Henderson's theory
A disheveled patient with severe depression and psychomotor retardation has not showered for several days. The nurse should:
a. avoid forcing the issue. b. bring up the issue at the community meeting. c. calmly tell the patient, "You must bathe daily." d. firmly and neutrally assist the patient with showering.