The client is the wife of a former workaholic who now has not worked in years, refusing to get a job or help with chores around the house. The man watches television and snacks all day. The client tells the nurse that her husband now weighs more than 300 lb and expects her to support him. The client states, "I keep saying everything will be fine. It will be if he keeps up these bad health habits, because they'll kill him, and then I would be free and wouldn't have to deal with his obnoxious behavior." Which negative stress response does the nurse recognize in the client's behavior?
A. Blaming
B. Daydreaming
C. Problem- solving
D. Wishful thinking
Ans: D. Wishful thinking
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A 68-year-old woman tells the nurse that her breasts are sagging, she no longer menstruates, and sexual intercourse is sometimes uncomfortable. What information should the nurse include in responding to this client?
a. The client should see a physician because these are not normal changes associated with aging. b. Suggest that the client try using a water-soluble lubricant before intercourse. c. Cessation of menses is normal, but the other changes are not. d. Sexual intercourse at this age is not necessary; avoid it if it is uncomfortable.
When turning the patient who is in Crutchfield tongs traction, the nurse will:
a. turn the patient as a unit by log rolling. b. release the weights to prevent injury while turning. c. turn quickly to avoid muscle spasms. d. advise the patient to hold his breath and bear down during turning.
The nurse is conducting a physical assessment for a homeless person. Which action by the nurse is appropriate?
1) Asking the patient to perform personal hygiene before beginning the assessment 2) Donning full PPE when entering the patient's room 3) Documenting that a full assessment is not possible because of patient circumstances 4) Allowing the patient to retain possession of clothing
The nurse is observing the way a patient walks. Which aspect is the nurse assessing?
a. Activity tolerance b. Body alignment c. Range of motion d. Gait