"Doctor shopping," which is common among patients with somatoform disorders, suggests to a nurse that a patient:
a. is denying the psychological component of the illness.
b. cannot be successfully treated on an outpatient basis.
c. uses rationalization to cope with anxiety aroused by the physical symptoms.
d. has chosen to display symptoms of a physical illness to avoid responsibilities.
A
"Doctor shopping" occurs when a patient makes an effort to find a physician who will find an organic basis for the symptoms he or she is exhibiting. The patient demonstrating this behavior rejects any suggestion that there may be a psychological component associated with the physical symptom. The remaining options are not generally true of patients diagnosed with somatoform disorders.
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A client is being discharged and the nurse-client relationship will be terminated. Termination of this relationship should begin:
a. during the orientation phase. b. during the working phase. c. during the termination phase. d. whenever the circumstances indicate.
A woman who had two previous cesarean births is in active labor, when she suddenly complains of pain between her scapulae. The nurse's priority action is to
a. Reposition the woman with her hips slightly elevated. b. Observe for abnormally high uterine resting tone. c. Decrease the rate of nonadditive intravenous fluid. d. Notify the physician promptly and prepare the woman for surgery.
Which statement is true regarding the shortage of nurses in the United States?
a. There are a larger proportion of younger nurses in the workforce as compared with older nurses. b. As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting. c. Increased needs for baccalaureate nurses are not being met by current enrollment. d. There are adequate classroom and clinical facilities for training RNs.
A client who has been diagnosed with a form of gastric carcinoma shows concern about the prospects of her adult children having the disease. Which of the following questions asked by the nurse shows an understanding of the disease?
1. "Have any of your children ever been treated for a stomach ulcer?" 2. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?" 3. "Have your children ever been tested for colon cancer?" 4. "Do any of your children smoke either cigarettes or cigars?" 5. "Are any of your children exhibiting signs of depression or obsessive compulsive disorder?"