A patient who is a war veteran states, "It should have been me that died. I'll never forgive myself for leaving my buddy when he needed me." The nurse recognizes this statement is most associated with which diagnosis?
a. Bipolar depression
b. Generalized anxiety
c. Obsessive-compulsive disorder
d. Post-traumatic stress disorder (PTSD)
ANS: D
A behavior associated with PTSD is survivor guilt, which is the feeling of guilt expressed by those who have survived a tragedy. A survivor of an airline crash may say, "Why me? Why did I make it? I should have died too!" A. B. C. Survival guilt is not associated with bipolar depression, generalized anxiety, or obsessive-compulsive disorder.
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A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?
a. Administer fresh-frozen plasma. b. Apply an ice pack to the site. c. Place the client in the prone position. d. Obtain serum coagulation test results.
The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility. The client asks what the crutch looks like. Which description of the crutch by the nurse is the most accurate?
1. It rests just under the axilla with a hand bar. 2. It has a cuff for the upper arm. 3. It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 4. It has a rubber tip to prevent slippage on a floor surface.
A new nurse is learning how to delegate properly. The nurse understands that certain legal aspects are still in place when duties are delegated to others. Which effect should the nurse achieve by correctly using delegation and supervision?
A) Reduce personal liability B) Increase scope of practice C) Reduce accountability when related to UAPs skill D) Responsible for negligence of UAP
After shaving the patient, put the disposable razor in the
A. patient's top drawer. B. wastebasket. C. sharps container. D. bathroom.