A patient experiencing depression over the loss of a loved one shares that, "I'm not a reli-gious person but I need something to help me cope with this."
The nurse shows an understanding to the need for an outlet for the expression of emo-tions when (select all that apply):
a. Asking, "Does dancing make you feel good?"
b. Encouraging the patient to talk about the feelings
c. Offering to arrange for a consult with the music therapist
d. Asking, "Can you think of ways to express your emotions in a healthy way?"
e. Suggesting the patient draw a picture of what it feels like to experience such a loss
ANS: A, C, E
Religious practices are often beneficial for patients, but for those who do not have a formal religion, other spiritual interventions are useful. Group therapies that encourage patients to extend themselves and to find meaning in life are helpful. In addition, several other creative forms of expression such as art, music, and dance therapy often address patients' spiritual needs. Although the other options are not inappropriate, they do not provide interventions but rather reflect assessment questions.
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The nurse is conducting a morning assessment of an 80-year-old female patient who has a longstanding diagnosis of heart failure (HF)
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If considering starting a patient on the nucleoside reverse transcriptase inhibitor abacavir, the following testing is recommended prior to prescribing:
1. Renal function 2. HLA B*5701 testing 3. Pancreatic enzyme levels 4. CYP 450 enzyme activity
On examining a patient who gave birth five hours ago, the nurse finds that the patient has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A) Begin an IV infusion of Ringer lactate solution B) Assess vital signs C) Call the health care provider D) Assess the fundus
In the implementation of effective client care, the nurse should
A) Evaluate the client's response to care B) Assess the family dynamics and community C) Determine the care previously received D) Ask the client to provide information on responses