While discharge planning, the nurse asks the patient if there is anything in particular the patient will need once she returns home
The patient states that she has everything she needs, considering she is returning home in better shape than when she arrived at the hospital. The nurse, using the transactional theory of stress, realizes this patient is describing which type of appraisal? 1. Cognitive
2. Primary
3. Secondary
4. Emotional
Cognitive
Rationale: Cognitive reappraisal develops from the feedback of changes in the person−environment relationship and from reflection about the coping process. The patient reappraises her hospitalization and realizes her health has been improved from the hospitalization. Primary appraisal is the process of evaluating the significance of the transaction as it relates to the person's well-being. This type of appraisal will find a stressor as being good, bad, or irrelevant. The secondary appraisal is the process of evaluating the transaction as it relates to available coping resources and options. There is not an emotional appraisal within the transactional theory of stress.
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Which of the following interventions will increase the client's likelihood of complying with taking psychotropic medications?
1. Give family members information about the client's medication. 2. Encourage the client to take all medication at the same time. 3. Give the client a pamphlet explaining the positive effects of psychotropic medication. 4. Encourage the client to use measures to manage side effects.
A 16-year-old adolescent boy tells the school nurse that he is gay. The nurse's response should be based on what?
a. He is too young to have had enough sexual activity to determine this. b. The nurse should feel open to discussing his or her own beliefs about homosexuality. c. Homosexual adolescents do not have concerns that differ from those of heterosexual adolescents. d. It is important to provide a nonthreatening environment in which he can discuss this.
Which activity interferes with the action of histamine H2 blockers?
a. Going to bed late b. Smoking cigarettes c. Eating dairy products d. Taking oral contraceptives
Which statements regarding case management should a nurse recognize as accurate? Select all that apply
A) Case management is the method used to achieve managed care. B) Case management provides the coordination of services required to meet the needs of the client. C) One goal of case management is to improve client access and coordinate care within the fragmented health care delivery system. D) One responsibility of a case manager is to provide direct care to the client.