The nurse notices burn marks on a client's arms that were not noted in the medical record. When questioned about the marks the client responds with, "Oh, sometimes I accidentally burn myself with my cigarette."
The nurse asks, "How does that happen?" The client smiles and says, "Well, maybe it really isn't an accident.". What is the relationship between the behavior and the client's feelings? A) The client wants the nurse to know that the burns are "no big deal.".
B) The client is describing a lack of control over the impulses to self-injure.
C) The client is telling the nurse that these are intentional acts used to cope.
D) The client is expressing suicidal intentions.
C
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The home health nurse is visiting a 78-year-old woman who seems confused, withdrawn, and says that her neighbor who has been a friend for years has been "watching her." The nurse suspects that the woman suffers from:
A) Panic disorder B) Loss and grief C) Depression D) Anxiety
What is the most common skill shared by effective nurse leaders in leadership theories or models?
1. Critical care experience 2. Political knowledge 3. Communication 4. Informal power
A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?
a. Within 12 hours after burn trauma b. 24 to 36 hours after burn trauma c. 24 to 48 hours after burn trauma d. 48 to 72 hours after burn trauma
A child is admitted to the hospital with a diagnosis of lead poisoning. Which should be included in the home assessment to determine the probable source of the lead poisoning?
1. The home's foundation for a possible radon leak 2. The home's water pipes 3. The dirt surrounding the house 4. The presence of imported toys or antique baby furniture 5. Gas stored in cans in the garage.