The nurse identifies a patient in the critical care unit as having "resiliency." What characteristic has the nurse identified in the patient?
1. Motivation to reduce anxiety through positive self-talk
2. Ability to bounce back quickly after an insult
3. Physical strength to endure extreme physical stressors
4. Ability to return to a state of equilibrium
2
Rationale 1: This is not a definition of resiliency.
Rationale 2: The correct definition of "resiliency" is the ability to bounce back quickly after an insult. The degree of resiliency is placed along a continuum between being unable to mount a response to having strong reserves.
Rationale 3: This is not a definition of resiliency.
Rationale 4: This is not a definition of resiliency.
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A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a ventilator, and is in critical but stable condition. What collaborative problem takes priority at this time?
a. Inability to communicate b. Nutritional deficit c. Risk for acquiring an infection d. Risk for skin breakdown
Which of the following may prevent illness?
1. Adequate sleep 2. Early diagnosis 3. Stress management 4. Adequate nutrition
A client is instructed to drink 3 quarts of water each day. The glass that the client uses contains 12 ounces. How many glasses of water is the client expected to consume each day?
1. 6 2. 8 3. 10 4. 12
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome?
a. High-fiber diet c. Daily laxatives b. Tylenol with codeine d. All of the above