Jay, a nurse on the medical-surgical unit, has been caring for a patient with chronic renal failure, congestive heart failure, and a history of myocardial infarctions. The client has been extremely irritable with the nursing staff
After working with the client for 4 days trying various strategies to help the client work through his anger, Jay asks to have another assignment when he comes back to work in 2 days. This depicts ____. a. Active coping strategies
b. Active cognitive appraisal
c. Inactive cognitive appraisal
d. Inactive coping strategies
D
Inactive coping strategies focus on avoiding the stress because the nurse in this scenario is choosing to avoid caring for the client when returning to work. Active coping strategies work toward the stress. Active cognitive appraisal and inactive cognitive appraisal are distracters. Cognitive appraisal is the individual's assessment of the stressor.
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A patient with a history of Graves disease is admitted to the unit with shortness of breath. The nurse notes the patient's vital signs: T 103 ° F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. What does the patient most likely have?
a. Pulmonary embolism b. Hypertensive crisis c. Thyroid storm d. Cushing crisis
During the late 1800s, Darwin's theory described mental illness as the result of
1. an inadequate childhood. 2. the influence of demons and spirits. 3. low placement on the evolutionary scale. 4. low placement on the social scale.
What are the foci of the nursing assessment with a patient who is immunocompromised? (Mark all that apply.)
A) Appropriateness B) Use of medicine C) Nutritional status D) General hygiene practices E) Stress level
A client gives permission to have the hospital bill her insurance company for surgery that she is undergoing today. A friend of hers works at this hospital and the client wonders if her friend would print off a report for her
Which of the following provides the best answer regarding ethical concerns relating to the misuse of client information? A) Electronic Medical Record (EMR) B) HIPAA violations C) Data security issues D) Documentation issues