An adult patient has just been diagnosed with paralysis due to a skiing accident that injured the spinal cord. The nurse can anticipate that, emotionally, the patient will:
A) Go through all stages of grief before adaptation takes place
B) Progress sequentially through five stages of the grief process
C) Need humor therapy
D) Respond to grief in an individual manner
Ans: D
Feedback: Not all patients experience all stages of grief. Grief over lost function is a normal response, and patients handle their grief in an individual manner. The nurse should not blithely encourage the patient to laugh, but should actively listen to the patient's emotional statements.
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A client with schizophrenia who frequently has auditory hallucinations has been taught strategies to deal with them. The nurse documents that the client demonstrates use of the interacting strategy when observing the client:
A) talking to the voice and pretending to use a mobile phone. B) playing the piano and singing loudly. C) reading out loud while reading the newspaper. D) sitting quietly and listening to what the voices have to say.
A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which of the following actions should the nurse take?
A) State that the physician will be a witness B) Arrange for other colleagues to sign as a witness C) Note that the nurse caring for the client cannot be a witness D) Inform the physician about the living will
A 3 1/2-year-old child who is toilet trained has had several "accidents" since hospital admission. What is the nurse's best action in this situation?
a. Find out how long the child has been toilet trained at home. b. Tell the parent it is necessary to begin toilet training again. c. Explain how to use a bedpan and place it close to the child. d. Follow home routines of elimination.
Fertilization occurs
A) when the testes secrete testosterone. B) once a month. C) when the ovum and sperm unite. D) all of the above