Which statement accurately explains the difference between an enabler and a co-dependent?
a. A codependent covers up the substance abuser's behavior.
b. A codependent rationalizes the substance abuser's behavior.
c. An enabler uses the substance abuser's behavior to build up his or her own self-esteem.
d. An enabler is also a substance abuser.
A
The codependent "fixes" things by overcompensating to prevent the abuser from facing reality. Enabling refers to "helping" a person so that the person's consequences from unhealthy behavior are less severe; thus enabling "helps" the unhealthy behavior to continue.
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The nurse is assessing a client with a suspected femur fracture. Which assessment finding supports this diagnosis?
1. External rotation of the lower leg and foot. 2. Internal rotation of the lower leg and foot. 3. Limited hip internal rotation. 4. Limited hip external rotation.
After an institutional project has been developed, the next step is to conduct a pilot study (a trial study). Based on the Iowa Model, which step would identify the success or failure of a pilot study?
A) Developing an evaluation plan B) Measuring client outcomes prior to implementation C) Training relevant staff in the use of the new guideline D) Evaluating the project in terms of both the process and the outcomes
An 81-year-old client has been admitted to the hospital during an exacerbation of chronic heart failure that has resulted in peripheral edema and hypervolemia. This client's fluid volume could be best reduced by which of the following methods?
A) Performing therapeutic phlebotomy (removal of a quantity of blood) B) Positioning the patient with her limbs in a dependent position C) Administering an IV solution that is rich in potassium D) Administering drugs that increase urine production
A patient presents to the ED complaining of severe substernal chest pressure radiating to his left shoulder and back that started about 12 hours ago. The patient delayed coming to the ED since he was hoping the pain would go away
The patient's 12-lead ECG shows ST-segment depression in the inferior leads. Troponin and CK-MB are both elevated. The hospital does not have the capability for percutaneous coronary intervention. Thrombolysis is one possible treatment. Based on these data, the nurse understands that? a. The patient is not a candidate for thrombolysis. b. The patient's history makes him a good candidate for thrombolysis. c. Thrombolysis is appropriate for a candidate having a non–Q wave MI. d. Thrombolysis should be started immediately.