When explaining the role theory, the nurse gives the example of an ascribed role as the patient's:
a. sex.
b. occupation.
c. manner of dealing with stress.
d. attitude toward homosexuality.
A
Ascribed roles are those that a person takes on, but had no personal choice in the matter. Ethnicity, sex, and nationality are examples of ascribed roles.
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A nurse is assessing a healthy, older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs:
P = 72, RR = 16, BP = 132/70 . After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, "I have to stop. I can't do this anymore." The nurse measures his vital signs again: P = 152, RR = 40, BP = 172/98 . She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following? a. Anxiety b. Orthostatic hypotension c. Limited activity tolerance d. Respiratory distress
A client tells the nurse that he is planning to hire a private detective to follow his wife, who he
believes is having an extramarital affair. The nurse assesses him to be suspicious; the client looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The behaviors manifested by the client can be assessed as being most consistent with the clinical picture of a. antisocial personality disorder. b. schizoid personality disorder. c. paranoid personality disorder. d. obsessive-compulsive personality disorder.
Which patient should take the varicella vaccine?
1. A child who stepped on a rusty nail 2. An adult who has never been immunized 3. A health care worker 4. Any child under 1 year of age
A 69-year-old patient in the geriatric clinic has an annual physical examination and a complete blood count and serum electrolytes are drawn. While the physical examination was uneventful the laboratory results show an elevated blood urea nitrogen (BUN)
a. Ask that the test be rerun since the client showed no physical signs of renal failure. b. Review the client's medication list since BUN can be affected by many spe-cific medications. c. Instruct the client on collecting a 24-hour urine specimen for a more detailed analysis. d. Assure the client that an elevated BUN is normal in older adults.