Your client did not talk to staff about the loss of his wife because it was too painful for him to think his wife was dead. This is an example of which type of cognitive denial?
1. selective attention
2. deception
3. true denial
4. anger
ANS: 1
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The nurse is conducting a home care visit of an 82-year-old patient. The client's vital signs include a blood pressure of 150/100 mm Hg
In reviewing the medication administration, the client reports that she takes the blood pressure medicine only when she feels tense and feels that the blood pressure is elevated. The nurse would instruct the patient to A) continue to administer the blood pressure medication as needed. B) contact the physician for an increase in blood pressure medication. C) have the client take the blood pressure medication twice the prescribed dosage for 1 day then resume the daily schedule. D) instruct the client to take the blood pressure medication as prescribed regardless of feeling tense.
The nurse is providing some teaching to the parents of a 2-year-old child who has had surgery to correct an anorectal malformation. The nurse will advise the parents or caregivers that toilet training will:
a. likely be delayed c. be no different than for other toddlers b. require help from an expert d. be easier
The nurse is admitting a school-age Vietnamese client who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic and denies pain
Which nursing actions are most appropriate in this situation? 1. Use the FLACC scale to determine the child's pain level. 2. Tell the child to ring the call bell if the leg starts hurting. 3. Administer pain medication now and continue on a regular basis. 4. Ask the child's parents to notify the nurse if the child complains of pain. 5. Use the NIPS scale to determine the child's pain level.
The nurse should teach a patient who is taking which of the following drugs to avoid prolonged sun exposure?
A. Tetracycline B. Ipratropium C. Morphine sulfate D. Oral contraceptives