The nursing intervention that would receive the highest priority before discharge of a client following mastectomy is
a. arrange for Reach for Recovery volunteer to visit.
b. describe the plan for follow-up treatment and surveillance.
c. discuss methods of improving self-image.
d. share information about mastectomy support groups.
B
The highest risk factor for breast cancer is a history of breast cancer. Half of the women who re-ceive treatment for local disease will develop metastatic disease. Therefore the nurse should in-struct clients that they require follow-up cancer surveillance for the rest of their lives. All the other options are valid discharge interventions, but do not have the same priority.
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The nurse is performing perineal care for the uncircumcised patient. Which of the following is true?
a. The foreskin should not be moved. b. The foreskin should be retracted, pulling it away from the body. c. The foreskin should be left retracted and allowed to return to position naturally after care. d. The foreskin should be retracted and returned to position by the nurse after cleaning, rinsing, and drying.
A patient tells you that he periodically takes a prescribed medication to relieve arthritis pain. It was prescribed by his health care provider 5 years ago. What is the nurse's most appropriate response?
a. "You should discard any unused portion of a medication by the stated expiration date because some medications lose their potency and others become toxic." b. "You need to ask your health care provider if you should continue taking this medication when you experience arthritic pain." c. "I'll contact your health care provider about your expired medication and ask for a new prescription if she thinks it is appropriate." d. "Have you tried any herbal products for relief of your pain?"
The manifestation of anxiety can BEST be described as:
a. culturally idiosyncratic b. distortions of reality c. happening mostly during adulthood d. occurring along a continuum
The intent of psychotherapy is to
A. Control one's behavior. B. Promote normal behaviors. C. Develop an understanding of one's problems. D. Promote medication compliance.