Of the four individuals described below, which client has the highest potential for attaining the
outcome "the client will cope effectively with current stressors"?
a. A, who "stews" about negative feelings and situations without taking action
b. B, who blames himself for the situation, saying he acted "stupidly"
c. C, who states he thinks things will eventually work out by themselves
d. D, who sought help from siblings with whom he has close, conflict-free
relationships
ANS: D
The use of high-quality social support is a positive response to stress likely to promote positive
client outcomes. Clients A, B, and C are using the negative responses of avoidance, self-blame, and
wishful thinking.
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A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, "I don't know what the matter is. All of a sudden, I can't hear you out of my left ear!" What should the nurse do next?
a. Make note of this finding for the report to the next shift. b. Prepare to remove cerumen from the patient's ear. c. Notify the patient's health care provider. d. Irrigate the ear with rubbing alcohol.
A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end. How long will the nurse indicate that antibiotic therapy will probably last?
a. 2 weeks b. 6 weeks c. 2 months d. 3 months
A nurse is assessing social determinants of health. Which does the nurse include in the assessment? (Select all that apply.)
a. Vaccination compliance b. Family structure c. Communication patterns d. Roles for women e. Education
The nurse is teaching a female client with chronic fatigue due to clinical depression regarding ways to increase energy levels. Which client statement indicates that teaching has been effective?
A) "I need to increase exercise time each week." B) "I will spend time with friends." C) "I will take Wellbutrin as prescribed." D) "I will go shopping once a week."