A depressed client reports to a nurse a history of divorce, job loss, family estrangement, and cocaine abuse. Which theoretical principle best explains the etiology of this client's depressive symptoms?
1. According to psychoanalytic theory, depression is a result of negative perceptions.
2. According to object-loss theory, depression is a result of overprotection.
3. According to learning theory, depression is a result of repeated failures.
4. According to cognitive theory, depression is a result of anger turned inward.
3
Rationale: The nurse should assess that, according to learning theory, this client's depressive symptoms may have resulted from repeated failures. The learning theory is a model of "learned helplessness" in which multiple life failures cause the client to abandon future attempts to succeed.
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A nurse assesses a client with nephrotic syndrome. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Proteinuria b. Hypoalbuminemia c. Dehydration d. Lipiduria e. Dysuria f. Costovertebral angle (CVA) tenderness
The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 (Darvon 100) every 3 hours. He received the morphine 2 hours ago, and is complaining of pain again. What will the best plan of the nurse include?
1. Plan to administer the morphine again. 2. Plan to administer the propoxyphene 100 (Darvon 100). 3. Plan to have the patient do some distraction techniques. 4. Plan to assess the patient's level of pain.
The school nurse is educating students regarding the practice of safe sex to avoid contracting HIV. Which of the following would the nurse recommend to provide safer sex?
A) Practicing oral sex B) Using condoms C) Taking contraceptives D) Using the "day after" pill
You anticipate that your region will soon move towards an e-health record system. You begin to discuss this with your staff and are disappointed that you receive little positive response from the staff about this possibility. One staff member, in particular, seems to sum it up by saying "e-health? Won't happen in my working life! There are too many problems with it, like privacy issues." This response is most likely motivated by:
a. Lack of urgency regarding the need to change.
b. Lack of evidence to support importance of technology.
c. Deficits in education and experience.
d. Lack of organizational support for change.