An emergency room nurse is being occupationally "shadowed" by a 17-year-old male high school student who has also "shadowed" a computer programmer and a radio disc jockey "because they seem to be ‘cool' jobs
" The student brags about having had "at least a dozen" different girlfriends and asks the nurse for a referral to local mental health counselors for a "friend." Based on Marcia's (1994) categories of style used by adolescents to resolve issues of identity, the nurse understands that this student is in: a. foreclosure
b. moratorium
c. identity achievement
d. identity diffusion
D
The nurse would understand that the student is in identity diffusion. Identify diffusion refers to avoiding making commitments and may indicate a need for mental health services. The fact that student who is shadowing the nurse, has had several girlfriends, and is unsure of his career choice indicate that he may be socially skilled but unable to reach his intellectual or physical potential.
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When conducting patient teaching about using antibiotic medications, what is it critical for the nurse to include to help stop the development of resistant strains of microorganisms?
A) Antibiotics should be used quickly to treat colds and other viral infections before the invading organism has a chance to multiply. B) Antibiotic dosage should be reduced and used for shorter periods of time to reduce unnecessary exposure to the drug. C) Prescriptions for antibiotics should be readily available so they can be filled as soon as patients suspect they have an infection. D) It is very important to take the full course of an antibiotic as prescribed and not save remaining drugs for future infections.
The nurse provides a comprehensive initial assessment on a newly admitted client. What is the benefit to establishing this database from the client?
A) It will help determine what unit the patient needs to be admitted to. B) It will inform the healthcare team about what medications are best for the client. C) It will give the healthcare team all of the information about the client. D) It will be a yardstick for measuring effectiveness of care.
Patients with anxiety frequently complain of:
A. Chest pain B. Dizziness C. Shortness of breath D. A and B
You assist your client with tooth brushing by putting toothpaste on the toothbrush and guiding the client's hand. For which nursing diagnosis is this type of intervention made?
1. Bathing/hygiene self-care deficit 2. Disturbed sensory/perceptual 3. Activity intolerance 4. Impaired skin integrity