A nurse cares for these four patients. Which patient has the highest risk for problems with sleep physiology?
a. Retiree who volunteers twice a week at Habitat for Humanity
b. Corporate accountant who travels frequently
c. Parent with three teenagers
d. Lawn care worker
ANS: B
The corporate accountant is likely to work long hours and have significant stress associated with work demands. Compounded by travel, these factors are likely to precipitate unstable sleep patterns and inadequate sleep time. The retiree and lawn care worker engage in physical activity during the day, which will promote natural fatigue and sleep. The parent's sleep is unlikely to be disturbed; teenagers sleep through the night.
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A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months
Which response by the nurse is appropriate? a. "If these symptoms persist, you may need arthroscopic surgery." b. "You are experiencing degeneration of your knee, which may not resolve." c. "Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest." d. "Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee."
The nurse is using the nursing process to care for a patient with mental illness. At what point of the nurse-patient interaction will the nurse perform the assessment phase of the nursing process?
1. It begins at the first face-to-face meeting with the patient and continues until the evaluation phase. 2. It begins at the first face-to-face meeting with the patient and continues until the patient leaves the setting. 3. It may begin prior to the first face-to-face meeting with the patient, and it continues until the diagnosis phase. 4. It may begin prior to the first face-to-face meeting with the patient, and it continues until the patient leaves the setting.
The technology-savvy nurse often refers patients to interactive online learning resources for health care information. What issue does this nurse need to consider as a priority when using this method of instruction?
a. Divide between people with technology and those without it b. Learning style most receptive to using Internet resources c. Relative lack of information on specific disease topics d. The types of devices on which patients access these sites
Discharge teaching for a male patient with an external urinary catheter would include which of the following instructions?
a. Retract the foreskin of the penis before applying the catheter. b. Remove the hair at the base of the penis before applying the catheter. c. Apply a petroleum-based skin barrier to the penis first. d. Press the catheter adhesive to encourage adherence to the penis.