Which of the following are included in the continuum of self-protective responses? (Select all that apply.)
a. Suicide
b. Self-injury
c. Depression
d. Goal setting
e. Self-enhancement
f. Growth promoting risk taking
g. Supportive communications
A, B, E, F
Suicide, self-injury, positive (growth promoting) risk taking, and self-enhancement are behaviors in the continuum of self-protective responses.
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A patient is transferred to the recovery room after a 4-hour surgery. Balanced anesthesia was used to produce loss of consciousness, analgesia, and muscle relaxation. In order to help prevent aspiration, the nurse will
A) assess the need for postoperative analgesia. B) monitor the patient's vital signs. C) instruct the patient to turn, cough, and deep breathe. D) position the patient in a side-lying position.
A backcountry skier has been airlifted to the ED after becoming lost and developing hypothermia and frostbite. How should the nurse best manage the patient's frostbite?
A) Immerse affected extremities in water slightly above normal body temperature. B) Immerse the patient's frostbitten extremities in the warmest water the patient can tolerate. C) Gently massage the patient's frozen extremities in between water baths. D) Perform passive range-of-motion exercises of the affected extremities to promote circulation.
A 9-year-old is hospitalized for a long-term illness. The best project to give her to help her achieve her developmental task would be
A) a scrapbook that will take 3 weeks to complete. B) a puppet show that will take 2 weeks to plan. C) watching her favorite program on television. D) sewing a purse that will take one afternoon.
The length of immobilization can adversely affect a patient. When assessing patients, nurses need to assess muscle mass for:
A. increased fat. B. increases in strength. C. decreases in strength. D. increases in lean muscle.