The 20-year-old client at 10 weeks' gestation is preparing for her first prenatal visit. She confides, "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant
And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? 1. "It's really unusual for a pregnant woman to feel this way early in the pregnancy."
2. "These thoughts are because your mother died when you were four years old."
3. "You should go to a pregnancy support group to be a good mother."
4. "It's common to feel ambiguous about pregnancy in the first trimester."
4
Rationale:
1. Fathers might not be told immediately about the diagnosis of pregnancy.
2. Loss of the client's own mother at a young age would not affect the occurrence of ambivalence in the first trimester.
3. No psychopathology is present, so a support group is not indicated.
4. Ambivalence toward the pregnancy is very common in the first trimester.
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A researcher conducts research on optimism. The researcher is calculating a multiple regression equation to predict levels of optimism and wishes to consider religious affiliation as one of the predictor variables
The researcher creates several dummy variables for this purpose. Why must this be done? (Select all that apply.) a. It is safer to create more variables than fewer, since they may each contribute. b. Multiple regression requires that the researcher enter numerical values, not names such as Lutheran, Orthodox Jewish, Buddhist, Islamic, and so forth. c. Reducing nominal or categorical data to one or a series of dichotomous values allows mathematical computation of the regression equation. d. Religious affiliation is a protected entity under HIPAA and must be coded before it is used in calculations. e. The researcher's aim is to develop a formula with which to calculate optimism, given certain other variables, so these must all be represented as numbers.
The nurse is teaching pursed lip breathing to a patient with severe COPD. Which behavior indicates to the nurse that teaching has been effective?
A) Lips are puckered on inhalation. B) Lips are wide apart on inhalation. C) Lips are pursed on inhalation and exhalation. D) Lips are puckered on exhalation.
An older adult with heart failure and mild dementia states the intent to refuse low sodium diet and diuretics, stating: "It's important to me to live free, without restrictions on what I eat." The family is supportive. Which action, by the nurse
should be done first? A) Assure that the client understands the consequences of this decision. B) Discuss this decision with the older adult's family to plan for the future. C) Document the client's wishes in the plan of care. D) Notify the primary health care provider of the client's wishes.
Good body alignment is needed:
a. When standing b. When sitting c. When lying down d. a, b, and c.