Which of the following statements by clients may suggest that the individual is experiencing a spiritually based barrier to care?
A) "I've been through this all before, and ultimately nothing's changed for me."
B) "If you people knew me, and knew what you were doing, you'd know that this is all a waste of time."
C) "If you had any idea what I've been through, you wouldn't be so sure that you've got all the answers."
D) "I know what's wrong with me, but what you don't understand is that I'm being punished."
Ans: D
Attributing an illness to punishment or discipline by a higher power suggests a spiritually based barrier to treatment.
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A patient who has recently been through a job change and a divorce has been admitted to the CCU after an accidental trauma. He has had massive blood loss and exposure to extreme cold. Considering the stress response, what does the nurse understand?
A) Healing from the trauma will progress more rapidly. B) As stressors are additive, adverse effects are more likely. C) Only the physiologic stress is significant for this patient. D) Alleviation of psychological stress is the lowest priority.
Which statement indicates that the patient understands teaching about diagnostic examinations for cancer?
a. "I will have less scarring if my surgeon uses an incision to biopsy my breast." b. "My CEA level will be low if my pancreatic cancer returns." c. "The doctor will monitor my ovarian cancer remission with the CA-125 test." d. "My colonoscopy results were great, so I won't need another one for 5 years."
The most important nursing consideration for clients receiving alkylating agents is
1. monitoring nausea and vomiting. 2. monitoring nutritional intake. 3. monitoring skin integrity. 4. monitoring CBC with differential.
Dr. Jones asks you to give a medication to one of the patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor."
What is the best assertive response? a. Agree to give the medication and hope no one finds out. b. Say, "I won't give the medication, and I don't care who you talk to about it.". c. Walk away and ignore Dr. Jones. d. Say, "Perhaps you and I could talk this over with my supervisor together.".