A patient tells the nurse, "I'm ashamed of being bipolar. When I'm manic, my behavior embarrasses everyone. Even if I take my medication, there are no guarantees. I'm a burden to my family." These statements support which nursing diagnoses?
Select all that apply.
a. Powerlessness
b. Defensive coping
c. Chronic low self-esteem
d. Impaired social interaction
e. Risk-prone health behavior
ANS: A, C
Chronic low self-esteem and powerlessness are interwoven in the patient's statements. No data support the other diagnoses.
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Your patient is a 20-year-old college student who worked for the past four summers as a lifeguard at the community swimming pool. During the examination, the patient asks many questions related to the care of her skin and hair
Because your patient's work environment involved daily exposure to sunlight, the patient is at risk for which of the following? a. contact dermatitis and eczema b. rashes, urticaria, and angioedema c. basal or squamous cell carcinoma and wrinkles d. seborrheic keratosis and acne
Laboratories commonly report the PT values with which measurement?
1. ISI 2. PTT 3. DIC 4. INR
A patient comes into the emergency room after being rear-ended in a motor vehicle accident. The nurse realizes that the patient most likely sustained which of the following types of injuries?
1. hyperextension 2. hyperflexion 3. axial loading 4. ankylosing spondylitis
A client, hospitalized with an extensive cerebral vascular accident, is unable to make any treatment decisions. Which of the following documents addresses the client's treatment choices? (Select all that apply.)
1. Living will 2. Durable power of attorney for health care 3. Incident report 4. Verbal advance directive 5. Advance directive 6. Medication administration record