An adult confides to a nurse, "The cancer in my neck spread in only 2 months. That is how my whole life has been. No matter what I do, I am sabotaged.". As this patient faces the prospect of dying, which motif is evident?

a. Quest: seeking meaning in dying
b. Volatile: unresolved and unresigned
c. Endurance: triumph of inner strength
d. Incorporation: belief system accommodates death


B
The patient's comment demonstrates lack of control over major forces in life. The volatile motif is characterized by feelings that are unresolved and unresigned. The quest motif seeks meaning in the experience of dying. The endurance motif includes the triumph of inner strength. The incorporation motif accommodates life and death.

Nursing

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A post surgical patient tells the nursing assistant (NA) her pain is an 8 on a 10 scale. The NA tells the nurse the patient is exaggerating and does not need pain medication. The nurse's best response is:

A) Pain often comes and goes with post surgical patients; please ask her about the pain again in about 30 minutes. B) We need to provide pain medications because it is the law and we must always follow the law. C) Professionally, I believe "pain is what ever the patient says it is." D) Patients often misreport pain "to get our attention when we are busy."

Nursing

A client with a cardiac arrhythmia has a serum glucose level of 239 mg/dL. Which finding should the nurse expect when assessing this client? (Select all that apply.)

a. Hypokalemia b. Hypocalcemia c. Hypernatremia d. Muscle weakness e. Minimal intake of fresh fruits and vegetables

Nursing

When performing a skin assessment, the nurse notes several angiomas on the chest of an older patient. Which action should the nurse take next?

a. Assess the patient for evidence of liver disease. b. Discuss the adverse effects of sun exposure on the skin. c. Teach the patient about possible skin changes with aging. d. Suggest that the patient make an appointment with a dermatologist.

Nursing

The nurse instructs the client that which foods contain high amounts of Omega-3 fatty acids? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected

1. Green beans 2. Bananas 3. Tofu 4. Salmon 5. Red meat

Nursing