In applying Gould's developmental theory, the nurse anticipates that clients will have a greater concern for their health within which theme and age group?
a. First theme (20s)
b. Second theme (early 30s)
c. Fourth theme (40s)
d. Fifth theme (50s)
D
During the fifth theme (50s), Gould finds a realization of mortality with a concern for one's state of health.
During the first theme (20s), Gould finds individuals wanting to get away from their parents.
During the second theme (30s), Gould finds young adults working to accept who they are and to accept their growing children as being unique and separate.
During the fourth theme (40s), Gould finds resignation and the belief that possibilities are lim-ited.
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The nurse is caring for a patient who was involved in an automobile accident 2 weeks ago. The patient sustained a head injury and is unconscious. The nurse is able to identify that the major element involved in the development of a decubitus ulcer is
a. Pressure. b. Resistance. c. Stress. d. Weight.
The nurse takes into consideration that the primary cause of infant mortality according to Healthy People 2010 statistics is:
a. Congenital deformities b. Low birth weight c. Sudden infant death syndrome d. Systemic infection
A nurse notes a new order for sputum specimen for culture to be collected on a 91-year-old. The patient has a weak cough. The best action by the nurse is to
1. Place a clean cup at the patient's bedside and instruct him or her to spit into it whenever he or she is able. 2. Contact respiratory therapy to induce sputum collection. 3. Explain the order to the patient and plan sputum collection for the following morning. 4. Encourage the patient to limit fluid intake so that sputum can be more readily collected.
A patient with burn injuries has had good coping skills for several weeks. Today, a newly assigned nurse is poorly organized. The patient's usual schedule was not followed. By mid-afternoon, the patient is angry and loudly complains to the nurse manager
Which is the nurse manager's best response? a. Explain the reasons for the disorganization, and take over the patient's care for the rest of the shift. b. Acknowledge and validate the patient's distress and ask, "What would you like to have happen?" c. Apologize and explain that the patient will have to accept the situation for the rest of the shift. d. Ask the patient to control the anger and explain that allowances must be made for new staff members.