The client has been admitted to the medical unit for unexplained weight loss and fatigue. He does not speak except to answer questions, and he refuses to interact with other people except when necessary
Which coping mechanism is he using to deal with his hospitalization? a. Anger
b. Shock
c. Anxiety
d. Withdrawal
D
Many hospitalized clients withdraw into themselves and interact only when necessary. Clients do this to focus their attention inward and replace the energies that have been drained by illness, crisis, and hospitalization.
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A health care facility is implementing a new evidence-based nursing protocol. Which action is necessary to ensure successful implementation?
a. Develop evaluation processes to validate the protocol. b. Ask for recommendations from senior nursing administration. c. Assess cost-effectiveness of the evidence-based protocol. d. Attain support from nurses who are implementing the protocol.
The physician has ordered a urinalysis and a serum osmolality (concentration) determination. The nurse assesses that the kidneys are functioning appropriately if:
1. the serum osmolality is high and the urine osmolality is low. 2. the serum osmolality is low and the urine osmolality is high. 3. findings are incidental and unremarkable. 4. the osmolality of both the urine and the serum are high, or both are low.
An older adult client tells the nurse, "I tire easily." Which activities best assist the client to conserve energy? (Select all that apply.)
a. Perform all tasks in the morning. b. Take frequent rest periods. c. Gather all supplies needed for a chore. d. Use a cart, bag, or tray to carry items. e. Push objects rather than lifting them. f. Break large activities into smaller parts. g. Hire someone to assist with chores.
The nurse is teaching a new nurse about protocols. Which information from the new nurse indicates a correct understanding of the teaching?
a. Protocols are guidelines to follow that replace the nursing care plan. b. Protocols assist the clinician in making decisions and choosing interventions for specific health care problems or conditions. c. Protocols are policies designating each nurse's duty according to standards of care and a code of ethics. d. Protocols are prescriptive order forms that help individualize the plan of care.