A client who is addicted to opioids says, "I don't know how I got myself hooked on drugs. I just can't seem to resist them. Could I have inherited this from my mother? She was a junkie." How should the nurse respond?
1. "Opioid addictions are not inherited."
2. "Not much research has been done regarding opioid drug addiction and inheritance."
3. "Despite the research, the medical community is still not certain about drug addiction and inheritance."
4. "Because you are unable to resist the temptation of opioids, it is likely that you have a genetic tendency toward abuse."
3
Rationale 1: A tendency to addiction for many substances, including opioids, is thought to have a genetic basis.
Rationale 2: The relationship between drug addiction and genetics has been studied for many years.
Rationale 3: Despite a multitude of genetics studies, the underlying mechanism of opioid dependency remains unclear.
Rationale 4: The fact that the client feels "unable to resist" the drug is a part of dependency and may or may not be genetically determined.
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The nurse expects an initial weight loss for the average postpartum client to be:
1. 5–8 pounds. 2. 10–12 pounds. 3. 12–15 pounds. 4. 15–20 pounds.
A recent nursing graduate is aware that the nursing scope of practice goes far beyond what is characterized as "bedside care." Which of the following is a nurse's primary responsibility?
A) To promote activities that enhance community cohesion B) To encourage individuals' self-awareness C) To promote activities that foster well-being D) To influence individuals' social interactions
A woman expecting to pick her husband up at the airport has instead just been told that he has been killed in an airplane crash. Crisis counselors are present to help loved ones cope with the sad and sudden news
Which response by the counselor would be most appropriate to make next? a. State, "I will stay with you," and allow for a period of silence so she can process the news of her loss. b. Ask, "What would help you in this difficult time? Would you like to speak with a chaplain?" c. Ask, "Is there is someone who's supportive, who can take you home and spend time with you over the next few days?" d. State, "We realize this is very sudden and unexpected and very upsetting. The airline is committed to helping you in this difficult time.".
The nurse is providing care to a child who is intubated and the child's condition is deteriorating. Which of the following would the nurse do first?
A) Check if the tracheal tube is obstructed B) Assess for displacement of the tracheal tube C) Look for signs of a possible pneumothorax D) Check the equipment for malfunction