A client tells the nurse that he believes he is not just religious but also spiritual even though he participates in religious rituals. The client is describing which characteristic of spirituality?
a. Relationship with the self
b. Relationship with a higher power
c. Harmony with nature
d. Relationship with others
ANS: B
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A student nurse is caring for a patient who is on a clear liquid diet. The best example of nursing documentation related to this patient is:
1. "Average intake of clear liquid diet noted." 2. "Patient tolerates the clear liquid diet well." 3. "Patient swallowing clear liquids normally." 4. "No complaints of nausea while on clear liquid diet."
The client admitted to the surgical unit after surgery is known to drink 6 to 10 cans of beer each day. How does the history of current alcohol abuse affect the client's response to an analgesic regimen?
A. The client is more likely to have postoperative nausea and vomiting when mor-phine or morphine agonists are used for pain relief. B. The appropriate drug selection is an opioid agonist/antagonist combination. C. A higher dose of opioids will be needed to provide effective pain relief. D. A lower dose of opioids will be needed to provide effective pain relief.
A patient comes to the emergency department complaining of severe chest pain. The nurse asks the patient questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
A) assessing B) diagnosing C) planning D) implementing
What is the goal of individual- or family-focused health promotion and health protection interventions?
A) Design interventions to increase the individual's or family's knowledge, skills, and competence to make health decisions B) Involvement in activities that maximize health promotion and health protection behaviors C) Empowerment of the elderly and their families to make rational health decisions D) Activities and programs that are directed toward community elders