The nurse working in an adult medical clinic wishes to learn more about a developmental theory that focuses on the adult years. The nurse investigates different possibilities and selects the theo-ry proposed by:
1. Gould
2. Piaget
3. Freud
4. Chess and Thomas
ANS: 1
Gould's theory of psychosocial development specifically focuses on the adult years. Piaget's theory focused on cognitive development throughout the life span. Freud's psychosexual theory focused on personality development throughout the life span. The theory of Chess and Thomas focused on development from childhood to early adulthood.
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The nurse is learning how to reduce the stigma associated with substance abuse. Which of the following statements by the nurse would reflect that learning has taken place?
1. "We're admitting a coked-out, manic client." 2. "A 34-year-old is being admitted for suicidal threats as a result of cocaine use." 3. "They've added another druggie to my caseload." 4. "We're admitting a cocaine addict who threatened to kill herself."
What is the most likely cause of his pain?
A 26-year-old sports store manager comes to your clinic, complaining of severe right-sided abdominal pain for 12 hours. He began having a stomachache yesterday, with a decreased appetite, but today the pain seems to be just on the lower right side. He has had some nausea and vomiting but no constipation or diarrhea. His last bowel movement was last night and was normal. He has had no fever or chills. He denies any recent illnesses or injuries. His past medical history is unremarkable. He is engaged. He denies any tobacco or drug use and drinks four to six beers per week. His mother has breast cancer and his father has coronary artery disease. On examination he appears ill and is lying on his right side. His temperature is 100.4 and his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary guarding, one third of the way between the anterior superior iliac spine and the umbilicus in the right lower quadrant. His rectal, inguinal, prostate, penile, and testicular examinations are normal. A) Acute appendicitis B) Acute mechanical intestinal obstruction C) Acute cholecystitis D) Mesenteric ischemia
A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?
a. Perception of functioning b. Socioeconomic factors c. Cultural background d. Family practices
The nurse is assessing a client for warning signs of suicide. Which of the following would be of greatest concern?
A) The client has stopped drinking alcohol while increasing marijuana use. B) The client has fixated on his work responsibilities. C) The client has forgiven those who have caused emotional pain. D) The client has engaged in risky behaviors without thinking.