The nurse realizes that self-concept:
a. stays the same throughout life.
b. is initially shaped by how others treat the individual.
c. is finalized once the individual passes adolescence.
d. is not impacted by illness
ANS: B
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Before the mid-1800s, early home care nursing was best recognized by which of the following?
A) Technical advances with the Industrial Revolution making major changes B) Care provided by family members, friends, and religious groups in the home C) Accomplishments stemming from the work of Florence Nightingale D) Formal organization of visiting nurses to provide care to the sick poor
A client is experiencing a multisystem fluid volume deficit. The nurse notes that symptoms present include tachycardia; pale, cool skin; and decreased urine output. These signs are most likely a direct result of which of the following?
1. The body's natural compensatory mechanisms 2. Pharmacological effects of a diuretic 3. Effects of rapidly infused intravenous fluids 4. Cardiac failure
The nurse provides instruction to the client about colostomy care at home. Which does the nurse include in client teaching about emptying the pouch?
1. Irrigate the colostomy at every pouch change. 2. Change the pouch every three to five days. 3. Empty pouch when it is at least two thirds full. 4. Expect small areas of reddened peristomal skin.
A client taking amitriptyline (Elavil) for two weeks tells the nurse that the medication "isn't working" because feelings of depression continue. Which response by the nurse is the most appropriate?
1. "This might not be the best medicine for you; I'll call your doctor." 2. "You might still feel depressed, but you are looking much better." 3. "It is working, but it can take several months to have an effect." 4. "It is working, but it can take several weeks to have an effect."