A patient is exhibiting addictive behaviors and has admitted to using illegal drugs
Which statements by the patient are consistent with addictive behaviors? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I think even as a child I didn't have much self-esteem.".
2. "When I was in the hospital for appendicitis, they told me they had to give me more pain medication than normal because I was still in pain.".
3. "Sometimes I steal things from stores just to see if I can get away with it.".
4. "I like to play it safe. When my friends were bungee jumping off the bridge, I just watched.".
5. "I have always been very slow to anger.".
1,2,3
Rationale 1: People may turn to substance abuse because of low self-esteem.
Rationale 2: Substance abusers are more likely to have a low tolerance for pain.
Rationale 3: Substance abusers are more likely to participate in risky behaviors such as stealing.
Rationale 4: Substance abusers are more likely to participate in risky behaviors such as bungee jumping without regard for social norms or their own safety.
Rationale 5: Substance abusers are more likely to have problems with anger control than others who do not abuse substances.
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The 75-year-old client tells his nurse that this is the first time he will have had his intraocular pressure measured and that he only came because his daughter insisted
He also says that he is afraid the test will hurt and that he might find out he has glaucoma and will go blind. What is the nurse's best response? A. "The test is painless because you will receive a sedative. If you have glaucoma, the correct glasses or contact lenses can prevent blindness." B. "The test is quick and painless because a local anesthetic is used. Early detection of glaucoma allows medications and other procedures to prevent blindness." C. "The test does cause a little pain, but it is over very quickly. This test, however, does not determine whether or not you have glaucoma or are at risk for glauco-ma." D. "The test causes some pain and tearing, but you can have your daughter present to hold your hand. It is unlikely that you have glaucoma because no one in your family has it."
A client who has AIDS tells the nurse, "I don't know why I should even keep trying. This disease is so horrible and so many people die from it. It will get me, too." The nurse recognizes this statement as being
1. an indication of hopelessness that should be further evaluated for treatment. 2. a simple statement of the facts regarding AIDS. 3. common and expected in those facing the end of life. 4. proof that the client is accepting the facts of the illness and impending death.
New research indicates that to increase safety the nurse should instruct parents to do which of the following?
1. Provide a stuffed toy for comfort. 2. Cover the infant loosely with a blanket. 3. Place the infant on his or her back. 4. Use small pillows in the crib.
Consider this comment to three different nurses by a patient diagnosed with an antisocial personality disorder, "Another nurse said you don't do your job right." Collectively, these interactions can be assessed as:
a. seductive. b. detached. c. manipulative. d. guilt-producing.