A client has flashbacks of sexual abuse by her uncle. She had not had these memories until recently, when she became sexually active with her boyfriend
A nurse should identify this experience as which part of Sullivan's concept of the self-system?1. The good me2. The bad me3. The not me4. The bad you
3
Rationale: The nurse should identify a client remembering sexual abuse when becoming sexually active with her boyfriend as experiencing the not me part of the personality. According to Sullivan, the not me part of the personality develops in response to situations that produced intense anxiety in childhood.
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The nurse working in a physician's office admits a client with a history of transient ischemic attacks (TIA) who was advised to lose weight, change diet to lower cholesterol, and maintain treatment of hypertension
The client has chosen not to take this advice, leading the nurse to conclude the client is at increased risk for: 1. Cerebrovascular accident. 2. Aneurysm. 3. Vasovagal syndrome. 4. Myasthenia gravis.
The nurse is caring for a client prescribed gentamicin 110 mg every 8 hours for 10 days. Which laboratory study is anticipated to monitor medication side effects?
A) Blood chemistry B) BUN and serum creatinine C) Creatinine clearance test D) Urine osmolality
Upon palpation of the patient's rib cage, the nurse notes a crackling sensation like crumpling cellophane. Which conclusion by the nurse is appropriate?
1) Fluid leaking into the surrounding tissue 2) Air leaking into the surrounding tissue 3) Infection of the lung 4) Cancer in the lung
Which of the following variables makes some families more vulnerable to dysfunction than others in facing a particular crisis?
a. A family member's moving away b. Addition of a new family member c. Additional stressful events d. Previous experience with stressful events