On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore
The nurse bases subsequent nursing interventions on what diagnosis?
a.
Disturbed body image related to removal of her breast
b.
Deficient knowledge related to inadequate education
c.
Impaired social interaction related to depression
d.
Fear related to the cancer diagnosis and surgical intervention
ANS: A
After losing a breast, many patients experience grief over the loss of a body part. The process of grieving is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping mechanisms.
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A 28-year-old female client is brought to the mental health unit accompanied by her
mother. The mother reports that the client exhibits irritability and marked impulsivity. The healthcare provider suspects the client has borderline personality disorder and instructs the nurse to observe the client's behavior. What symptom should the nurse look for in the client? A) Suicide gestures and self-injurious behavior B) Excessive emotion and attention-seeking behavior C) Need for admiration and lack of empathy D) Inability to stay with other people
A patient is diagnosed with new-onset infective endocarditis. Which recent procedure is the patient most likely to report?
a. Teeth cleaning b. Urinary bladder catheterization c. Chest radiography d. ECG
A standard hypodermic needle is calibrated
A. in units. B. in ounces. C. in millimeters. D. in cubic centimeters.