The nurse is working with a hospitalized client who does not participate in her treatment plan. This client is asked to sit down to talk with the nurse. The client states, "I am all alone since my husband died
I cannot understand why he had to die. What reason is there to try to get well? I don't want to see the hospital chaplain or the pastor. They keep bothering me. It doesn't matter anyway. I've become empty and weak inside." The nurse selects which nursing diagnosis? a. Spiritual Distress
b. Powerlessness
c. Hopelessness
d. Helplessness
A
The most appropriate diagnosis for clients who feel empty and weak inside and refusing to see a chaplain or pastor is Spiritual Distress. Spiritual distress is a disruption in the client's belief system.
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To determine cultural influences on a client's diet, the nurse should first:
a. Evaluate the client's weight gain during pregnancy. b. Assess the socioeconomic status of the client. c. Discuss the four food groups with the client. d. Identify the food preferences and methods of food preparation common to that culture.
A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which of the following describes the mechanism of a metered-dose inhaler?
A) A canister containing medication that is released when the container is compressed B) A propeller-driven device that spins and suspends a finely powdered medication C) A device that forces liquid drug through a narrow channel using pressurized air D) A device that forces medication through a narrow channel with the help of inert gas
A dying client and family have requested that no attempts be made to resuscitate the client in the event of death. A doctor has written a DNR order. What is the nurse's responsibility if the client dies?
A) Follow his or her own conscience and perform CPR. B) Make no attempt to resuscitate the client. C) Follow a verbal physician's order for a slow code. D) If the client is at home, call 911 and begin CPR.
The process of making the body create antibodies to fight weakened or inactive germs is called:
What will be an ideal response?