According to Jourard, spirituality can be measured on a "spirit titer." Which client does the nurse assess to have a high spirit titer?
A)
The client whose spirituality is not evident to others
B)
The client who expresses distress over a newly diagnosed terminal disease
C)
A client who works to be an inspiration to others despite hardships
D)
A client who has experienced multiple life losses who is depressed
C
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A factory abruptly closes during hard economic times. An office worker initially tries to take it in stride, begins the job search, and networks with peers. Six weeks later, he has not received a single call-back from a prospective employer
He cannot sleep, is irritable, does not want to interact with his family or peers, paces frequently, and spends several hours most days alone in a local bar. Bills are piling up. He has given up applying for jobs. Which short-term indicator would be most important at this time? a. Patient sleeps at least 6 hours per night. b. Patient no longer goes to bars each day. c. Patient no longer paces regularly. d. Patient considering jobs to apply for.
Which of the following devices is used to provide correct vertebral alignment and to increase the space between the vertebrae in a client with spinal cord injury?
A) Cervical collar C) Traction with weights and pulleys B) Cast D) Turning frame
The woman's family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do?
1. Observe interactions of family members with the newborn and one another. 2. Ask the woman to meet with her and the baby alone. 3. Do a brief assessment on all family members present. 4. Reschedule the visit for another time so that the mother and infant can be as-sessed privately.
Upon auscultation, the nurse hears a whooshing sound at the fifth intercostal space. The nurse recognizes that this sound is
a. The beginning of the systolic phase. b. The opening of the aortic valve. c. S3, the third heart sound. d. Regurgitation of the mitral valve.