A nurse provides spiritual care for a patient awaiting a liver transplant. The nurse should anticipate that the patient's most likely response will be
a. consideration of issues related to own mortality.
b. devaluation of prayer and organized religion.
c. misinterpretation of medical information.
d. clinical depression.
A
Although each of the options is possible, the most likely response is thinking about what the illness means in terms of lifespan, quality of life, and other mortality issues. The other responses are pathologic and are not seen as frequently.
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A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects
Since her move, however, she reports "dizzy spells and weakness" and feels that the drug is no longer effective. The nurse suspects that the change in the effectiveness of the drug is related to A) the impact of the placebo effect on the patient's response. B) the accumulative effect of the drug if it has been taken for many years. C) the impact of the warmer climate on the patient's physical state. D) problems with patient compliance with the drug regimen due to the move.
In what probable way should a nurse expect an Asian American client to view mental illness?
1. Mental illness relates to uncontrolled behaviors that bring shame to the family. 2. Mental illness is a curse from God related to immoral behaviors. 3. Mental illness is cured by home remedies based on superstitions. 4. Mental illness is cured by "hot and cold" herbal remedies.
A patient with hypertension for 10 years has been told by his health care provider that he has developed nephrotic syndrome, causing generalized edema. Which of the following diuretics will work in the treatment of his condition?
1. Furosemide, a loop diuretic 2. Polythiazide, a thiazide diuretic 3. Metolazone, a sulfonamide diuretic 4. Spironolactone, a potassium-sparing diuretic
When the patient returns to the unit from having had an arthrogram, which intervention will the nurse perform first?
a. Ambulate the patient in the room. b. Apply ice packs to the knee. c. Perform passive range-of-motion exercis-es. d. Wrap the knee in an elastic bandage.