A patient with somatoform pain disorder reveals to the nurse that he has begun to question why God has made him an invalid who is unable to provide for his family
He states that he believes the burden placed on his spouse and his children may be even greater than the burden he must bear. He blames God for punishing his "innocent family.". Which nursing diagnosis should be the priority diagnosis? a. Spiritual distress
b. Self-care deficit
c. Decisional conflict
d. Ineffective role performance
D
Although the patient's verbalization is consistent with spiritual distress as well, the priority diagnosis here is Ineffective role performance, because resolving that issue will in turn likely produce improvement in his spiritual distress. Data are not provided to support diagnoses of self-care deficit or decisional conflict.
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Discharge planning for a client admitted to the acute care facility ideally begins
a. shortly after the client is admitted to the acute care setting b. the morning of discharge c. at the time of the first postdischarge visit to the primary care provider d. only when the client states she is ready to listen to the process
A client has just been diagnosed with cervical dysplasia. The client demonstrates understanding of this condition when she states:
A) "Cervical dysplasia usually resolves without any invasive treatment, if I quit smoking, always use condoms, and avoid douching." B) "I will not be able to have any more children after laser treatments for removal of the cancerous tumor." C) "My tests show changes in the cells on my cervix that might have been caused by exposure to a virus." D) "Treatment will most likely begin with a hysterectomy, followed by chemotherapy."
During the first 24 to 48 hours after a major burn, the focus of nutrition care is
a. provision of adequate protein. b. prevention of nausea and vomiting. c. replacement of fluids and electrolytes. d. education concerning nutrient needs.
While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!"
Which response is most appropriate by the nurse? 1. Asking the child if she would like to sit down and drink some water 2. Sitting the child down in an empty room with markers and paper so that she can draw a picture 3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them 4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens