A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities, which is causing stress. The nurse identifies which diagnosis as being appropriate for the client at this time?
1. Defensive Coping.
2. Disabled Family Coping.
3. Compromised Family Coping.
4. Ineffective Coping.
Correct Answer: 3
Rationale 1: Defensive Coping is the repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard.
Rationale 2: Disabled Family Coping is when the behavior of a significant person disables her capacities and the client's capacities to effectively address tasks essential to either person's adaption to the health challenge.
Rationale 3: Compromised Family Coping is applicable if a usually supportive primary person provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that might be needed by the client to manage or master adaptive tasks related to her health challenge.
Rationale 4: Ineffective Coping is the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use resources.
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The nurse intends to lobby the state legislature to write a new code of ethics for the nurses in the state. Is this an appropriate idea?
1. Yes, the code of ethics is written and published by individual state legislatures. 2. No, federal lawmakers have jurisdiction over codes of ethics. 3. No, the code of ethics is the product of hospital associations across the nation. 4. No, professional nursing organizations write the code of ethics for nurses.
The client receives medication from a small-volume nebulizer. Which client assessment is the nurse's priority during medication administration?
1. Nonperfusing ventricular arrhythmia 2. Wheezes throughout both lung fields 3. Frequent cough with many secretions 4. Inability to self-administer medication
A group of nurses mounting a consumer campaign would most likely consider which of the following as a political strategy?
a. Encouraging providers to make changes in delivery of services involuntarily b. Changing consumer perceptions through distribution of education materials c. Monitoring compliance with health care regulations and corrective action d. Consulting with consumer groups on routine issues
A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present at 24 weeks' gestation is approximately:
a. 500 mL b. 750 mL c. 800 mL d. 1000 mL