An older adult nurse has been seeing a rheumatologist for the management of Rheumatoid Arthritis (RA). The patient also uses herbal remedies and seeks acupuncture for pain relief and reads the latest research regarding RA
This coping style is best described as a(n) ______ loci of control. a. external
b. interior
c. internal
d. exterior
C
Patients with internal loci of control perceive themselves as having personal control over their environments and the outcome of events. They ask questions, desire information, and like having choices for treatment. Patients with external loci of control perceive other factors in their environments such as nurses as being responsible for the outcome of events. These patients tend to be less demanding, follow directions, and are more passive in managing their pain. They want specific instructions but become anxious if you give them too much information. Interior and exterior loci are not a copying style.
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An elderly woman in the ICU has chronic obstructive pulmonary disease (COPD), with FEV1 of 20%, and is worried about developing a serious illness that would cause complications with her COPD
Which of the following should the nurse recommend to the patient that could reduce her risk for serious illness or death by about 50%? A) Influenza vaccine B) Lung transplantation C) Heparin D) Lung volume reduction surgery
A group of student nurses were discussing how to promote resilience in their patients and realized that it is a concept they also want to promote in themselves. How might student nurses foster their own resilience?
1. By avoiding challenges 2. By using reflection 3. Through self-reliance 4. Through expecting the worst
A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial action that the nurse must take to enable informed consent to be obtained?
a. Ask a family member to translate what the nurse is saying. b. Request an official interpreter to explain the terms of consent. c. Notify the nursing manager that the patient doesn't speak English. d. Use hand gestures and medical equipment while explaining in English.
When teaching a PT with hypertension about controlling the condition, the nurse recognises that:
a) All pts with elevated BP require medication b) it is not necessary to limit salt in diet if taking diuretic c) obease people need to achieve normal weight in order to reduce BP d) lifestyle modifications are indicated for all Pt's with elevated BP