When your patient says "I am depressed," what is the best response?
A. "We all feel that way now and then."
B. "Why do you feel that way?"
C. "Everything will be OK once you snap out of it."
D. "Tell me more about what is going on with you."
ANS: D
This response gives the patient an opening to share feelings without being pressured to come up with reasons for these feelings. Responses A and C are not helpful for someone with depression because they minimize what the patient is experiencing.
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A nurse in the ICU is planning the care of a patient who is being treated for shock. Which of the following statements best describes the pathophysiology of this patient's health problem?
A) Blood is shunted from vital organs to peripheral areas of the body. B) Cells lack an adequate blood supply and are deprived of oxygen and nutrients. C) Circulating blood volume is decreased with a resulting change in the osmotic pressure gradient. D) Hemorrhage occurs as a result of trauma, depriving vital organs of adequate perfusion.
A male patient has been prescribed thalidomide for the treatment of multiple myeloma. What intervention is most likely to reduce the patient's risk of experiencing adverse effects of this treatment?
A) Arrange for a pressure-reducing mattress B) Avoid placing the patient's extremities in a dependent position C) Perform vigilant skin care D) Apply antiembolism stockings
The parents of a 13-year-old girl are concerned that their daughter has a gender identity disorder. Which sign or symptom most indicates that their concern is correct?
a. Their daughter is playing sports typically considered boys' sports. b. Their daughter has more male friends than female friends. c. Their daughter does not like to change her clothes in front of anyone. d. Their daughter frequently wears clothes designed for males.
Edema and pulmonary congestion are treated with:
a. Unlimited activity, high protein diet, weights weekly b. Bed rest, normal diet, weights four times daily c. Increase in fluids, no activity restrictions d. Diuretics, restriction of sodium diet and fluid intake