A patient who has been diagnosed with a terminal illness is crying when a nurse enters the room. The patient states, "I promised God that I would be a better person if He will just let me get over this disease
" What stage of grieving according to Kübler-Ross should the nurse recognize this as? a. Denial
b. Anger
c. Bargaining
d. Depression
C
In the bargaining stage, the person wishes for more time to avoid the loss. The patient may ex-press feelings that the loss is occurring as a punishment for past actions and may try to bargain with a higher power to gain time.
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A client has been diagnosed with major depressive episode. After treatment with fluoxetine (Prozac), the client exhibits pressured speech and flight of ideas. Based on this symptom change, which physician action would the nurse anticipate?
1. Increase the dosage of fluoxetine. 2. Discontinue the fluoxetine and rethink the client's diagnosis. 3. Order benztropine (Cogentin) to address extrapyramidal symptoms. 4. Order olanzapine (Zyprexa) to address altered thoughts.
A patient tells the nurse, "I still have suicidal thoughts, but don't tell anyone because I am supposed to be discharged today." Select the nurse's best course of action
a. Have the patient sign a "no suicide" contract. b. Respect the patient's request related to confidentiality. c. Inform the health care provider and other team members. d. Search the patient's belongings for potentially hazardous items.
For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following?
a. Hypocalcemia b. Hypercalcemia c. Hypokalemia d. Hyperkalemia
Which of the following foods would the nurse recommend in order to increase the patient's intake of vitamin A?
a. Poultry, fish, eggs b. Tomatoes, potatoes, fruit juice c. Sweet potatoes, broccoli, liver d. Oysters, fish, legumes