As a nurse caring for a patient with a colostomy that resulted from the treatment of a benign tumor of the bowel, you most appropriately classify this self-concept component as:
A. role performance stressor.
B. sexuality stressor.
C. identity stressor.
D. body image stressor.
D
A role performance stressor occurs when acute and chronic illness alters a person's ability to carry out his or her roles. Alterations in sexual health occur from a variety of situations such as illness, infertility, trauma, or abuse. Identity stressors affect an individual's identity, but identity is particularly vulnerable during adolescence.
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A patient emerges from general anesthesia screaming, shouting, and thrashing wildly. The nurse identifies this reaction as
a. emergence hallucination. c. emergence hyperactivity. b. normal. d. emergence delirium.
Which assessment data support the medical diagnosis of coronary heart disease? Select all that apply
a. The client consistently asks the nurse to repeat the interview questions stating, "I'm sorry, I lost track of what you were saying." b. The spouse shares that, "He just isn't his same old cheerful self; he must be more cranky than ever before." c. Client reports, "I never had problems with my bowels like I do now." d. Client is observed experiencing what appears to be problem with balance. e. Client reported an unexplained gain of 10 pounds in last 6 months.
A 30-year-old client seeking therapy states, "My mom cries when she is not included in all my social activities and thinks of my friends as her own
" How would the nurse describe the boundaries between this family's parent and child subsystems? A. The boundaries are rigid. B. The boundaries are restructured. C. The boundaries are enmeshed. D. The boundaries are disengaged.
The nurse is teaching about the process of exchanging gases through the alveolar capillary membrane. Which term will the nurse use to describe this process?
a. Ventilation b. Surfactant c. Perfusion d. Diffusion