A 22-year-old man is recovering from injuries obtained in an automobile accident in which he was the driver and his 20-year-old girlfriend was killed
His parents have requested that informa-tion about the girl's death be withheld from the client, including restricting visitors and phone calls. While bringing the client a PRN pain medication, the nurse notices that the local television lead news story is about the accident. Select the best action by the nurse in response to this situa-tion.
a. Talk loudly to the client so that he will not be able to hear the news.
b. Turn off the television, stating that the pain medication will work better with less environmental stimuli.
c. Leave the television on and then answer any questions the client has.
d. "Accidentally" change the channel while raising the head of the bed.
C
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When administering Lopressor to an older adult patient with hypertension, the nurse is careful to have the patient's care plan include
a. frequent assessment for dizziness or syn-cope. b. education of the signs and symptoms of thromboembolism. c. regular evaluation of the patient's muscle strength. d. regularly scheduled serum potassium le-vels.
What is a consequence of leakage of lysosomal enzymes during chemical injury?
a. Enzymatic digestion of the nucleus and nucleolus occurs, halting DNA synthesis. b. Influx of potassium ions into the mitochondria occurs, halting the ATP production. c. Edema of the Golgi body prevents the transport of proteins out of the cell. d. Shift of calcium out of the plasma membrane occurs, destroying the cytoskeleton.
A schizophrenic client attending a support group held by a clinic nurse says to the nurse and the group, "I've been laid off from my job at the factory, and so have 300 other people, so I'll have to get a new job. For now, there's unemployment." Which statement by the nurse would be most therapeutic at this time?
A. "It seems that the stock market is responsible for mass unemployment in our factory-based city." B. "I'm sorry to hear that you've lost your job. Why not make an appointment to come in and talk with me this week?" C. "How do people feel about this loss of employment? Does anyone in the group who experienced this have any advice?" D. "Have other people in the group been feeling the job crunch this week? When changes like this occur, it's best to increase the number of your appointments with me for a short time."
The nurse would assess for which of the following characteristics in a client with narcissistic personality disorder?
a. Entitlement b. Fear of abandonment c. Hypersensitivity d. Suspiciousness