A patient newly diagnosed with prostate cancer tells the nurse that his wife died a few weeks ago and he does not know how he is going to deal with this new health problem. What can the nurse do to help this patient?
1. Tell the patient that it seems overwhelming now, but everything is going to work out all right.
2. Suggest that the patient talk with a spiritual counselor.
3. Listen quietly while the patient talks.
4. Talk with the patient about his support systems and what he can do to maintain stability.
4
Rationale 1: The nurse should not minimize the patient's losses by saying that everything will work out. The nurse has no way of knowing if this will occur.
Rationale 2: Suggesting that the patient talk with a spiritual counselor may or not be appropriate, but it does not immediately address the patient's concerns.
Rationale 3: The nurse needs to do more than listen quietly while the patient talks.
Rationale 4: The best approach would be for the nurse to talk with the patient about his support systems and what he can do to maintain autonomy and stability. The patient is experiencing two losses—the loss of his wife and the perceived loss of his health—and is still working through the stages of grief for his wife.
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You are the nurse caring for a patient who has paraplegia following a hunting accident. You know to assess regularly for the development of pressure ulcers on this patient. What rationale would you cite for this nursing action?
A) You know that this patient will have a decreased level of consciousness. B) You know that this patient may not be motivated to prevent pressure ulcers. C) You know that the risk for pressure ulcers is directly related to the duration of immobility. D) You know that the risk for pressure ulcers is related to what caused the immobility.
The nurse manager asks a group of nurses to work together to create a schedule that will meet the staffing needs of the unit. Each nurse volunteers to gather data prior to the next meeting. Of which type of problem solving is this an example?
1. Negotiation 2. Collaboration 3. Compromise 4. Forcing
A nurse educator is a teaching a group of students about the comprehensive theory of addiction by George Engel. Which statements indicate that the students understand the theory? Select all that apply
A) "Addiction occurs due to a lack of emotional attachment." B) "There is a biological factor involved in the development of addiction." C) "There are social factors that contribute to the development of addiction." D) "There is a moral factor involved in the development of addiction." E) "There is a psychological factor involved in the development of addiction."
Patients at high risk for developing significant coronary heart disease are those with:
1. LDL values between 100 and 130 2. Systolic blood pressure between 120 and 130 3. Class III angina 4. Obesity