The nurse is asked by the spouse of a client seeking crisis intervention to give an example of an
adventitious crisis. The nurse should mention
a. the death of a child from sudden infant death syndrome.
b. being fired from one's job because of company downsizing.
c. retirement of a 55-year-old.
d. a riot at a rock concert.
D
The rock concert riot is unplanned, accidental, violent, and not a part of everyday life. Options A
and B are examples of situational crises. Option C is an example of a maturational crisis.
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The nurse does not know the answer to a question posed by a client. Which of these actions should the nurse take?
a. Admit not knowing but offer to find out. b. Give the client literature pertaining to the subject. c. Suggest the client ask the health care provider. d. Tell the client what a possibly correct answer may be.
A woman has sought care from her primary care provider, stating, "The front of my foot aches constantly these days, and it's gotten so bad that it keeps me up at night"
The nurse should recognize that this patient may be experiencing the symptoms of: A) Lymphangitis B) Deep vein thrombosis (DVT) C) Raynaud's disease D) Severe arterial insufficiency
The nurse caring for a client taking thiazide diuretics should be sure to observe for
a. decreased urine output. b. increased peristalsis. c. neurologic depression. d. neuromuscular irritability.
What is the priority nursing diagnosis for the adult client with severe cystic acne?
A. Impaired Comfort related to skin irritation B. Risk for Infection related to open skin lesions C. Deficient Knowledge related to personal hygiene D. Disturbed Body Image related to presence of facial lesions