A patient tells the nurse, "I am so ashamed of being bipolar. When I'm manic, my behavior embarrasses my family. Even if I take my medication, there's no guarantee I won't have a relapse. I am such a burden to my family."
These statements support which nursing diagnoses? Select all that apply.
a. Powerlessness
b. Defensive coping
c. Chronic low self-esteem
d. Impaired social interaction
e. Risk-prone health behavior
ANS: A, C
Chronic low self-esteem and powerlessness are interwoven in the patient's statements. No data support the other diagnoses.
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On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate. The patient has no symptoms and has a normal urinalysis. The patient's PSA is within normal limits for the patient's age
The clinician should: A. Refer the patient for transrectal ultrasound guided prostate biopsy B. Obtain an abdominal x-ray of kidneys, ureter, and bladder C. Recognize this as a normal finding that requires periodic follow-up D. Obtain urine culture and sensitivity for prostatitis
A 2-year-old girl is seen at a health maintenance setting for lead poisoning. She has been observed eating paint from a windowsill. What measure would you teach her parents?
A) Administering ipecac syrup the next time they see her eat a paint chip B) Teaching their daughter that paint is not an edible substance C) Covering the windowsills with paneling to prevent her reaching them D) Not allowing their daughter any milk products during daylight hours
An instructor is preparing a class discussion on the various theoretical models used in psychiatric–mental health nursing. When describing cognitive theories, which statement would the instructor include?
A) "The theories attempt to explain the mental processes development and effects on behavior." B) "The theories attempt to describe how people learn and act." C) "The theories attempt to link internal thought processes with behavior." D) "The theories attempt to explain normal human growth and development."
Which of the following is the primary focus of public health nursing?
a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Promotion of quality of life