A patient who received a diagnosis of HIV infection a week ago, reports to the clinic nurse symptoms that are seen in acute anxiety. Which behaviors are supportive of that diagnosis? Select all that apply
a. Incapable of staying physically relaxed
b. Difficulty with focusing thoughts
c. Muscular tension
d. Bradycardia
e. Insomnia
ANS: A, B, C, E
The symptoms described are consistent with anxiety with the exception of bradycardia; typi-cally tachycardia is seen in such patients.
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Which of the following is a potential deficiency in the care of the dying in hospital settings?
A) Patients often receive unwanted care at the end of life. B) Patients are oversedated to achieve pain control. C) Patients make poor dietary choices. D) Care is poorly planned.
A 68-year-old woman with a new onset of vascular dementia has recently begun retaining urine. Which of the following physiological phenomena would her care providers most realistically expect to currently occur as a result of her urinary retention?
A) Hypertrophy of the bladder muscle and increased bladder wall thickness B) Decreased urine production and nitrogenous waste excretion by the kidneys C) Decompensation, bladder stretching, and high residual urine volume D) Overflow incontinence and loss of contraction power
A 93-year-old woman is seen by the nurse practitioner for a routine appointment. She is accompanied by the 74-year-old daughter. The two women live together in a house. The older woman uses a walker and wheelchair to supplement her walking as needed
The older woman needs minor assistance with her hygiene needs. The daughter is in good health and is attentive to her mother's and her own needs. Family members visit the women on a daily basis. An appropriate nursing diagnosis is A) risk for caregiver role strain. B) social isolation. C) coping, ineffective. D) self-esteem deficits.
Which intervention is an example of countercoping for a client who has recently received a terminal diagnosis of cancer? Select all that apply
a. Answering the client's questions regarding the trajectory of their illness b. Offering to pray with the client and family c. Scheduling a meeting with the client and family to identify alternative end of life plans d. Assessing the client frequently for depression and risk of self harm e. Being available to just listen to the client talk about dying