A client says to the nurse, "I came in to see you because I've been off my medication for 4 years but I feel as though I may be getting depressed again. I've been despondent again and thinking I should have ended it. That's why I'm here to get help." Which response by the nurse would be therapeutic?
A. "Well, you really have had a good long drug-free time, but it sounds as if the health care provider needs to reorder your medication at once."
B. "If you've been able to be drug free all this time, you probably don't need to restart the medicine. You probably just need some therapy to help you manage stress."
C. "Well, it's been more than 4 years, so you've done really well. Sounds like you're right about getting depressed again, though. Can you tell me what's been happening with you lately?"
D. "Well, it's similar to when a client is battered — things have to boil over before the police can act — so you need to be suicidal to get admitted to a hospital or hurt yourself before the health care provider can restart the medication."
Answer: C. "Well, it's been more than 4 years, so you've done really well. Sounds like you're right about getting depressed again, though. Can you tell me what's been happening with you lately?"
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A college student is a patient is on a medical unit for treatment of Guillain-Barré syndrome, a rare disorder that produces ascending paralysis and can be fatal if respiratory function is compromised
She is very anxious and frequently calls for staff. Staff direct her to try to calm down and explain that her sensation of being short of breath is due to her anxiety causing her to hyperventilate. Her family becomes increasingly concerned as the patient moves from being anxious to panic-stricken, saying she cannot breathe. Her resident doctor is called and reinforces the need for the patient to slow and deepen her breathing to control anxiety. Away from the patient, staff talk about how histrionic and whiny she is. Soon afterwards, the patient goes into respiratory arrest. She is left in a permanent vegetative state from hypoxia. The primary cause of this tragic outcome is: a. the paralysis had impaired respiration. b. her disorder was not adequately treated. c. staff stigmatized the patient as a whiner. d. her doctor was negligent in his response.
Select the results (in italics) that are normal in a urinalysis
A. pH 6 B. Specific gravity 1.015 C. Protein small D. Sugar negative E. Nitrate small F. Leukocyte esterase positiveG. Bilirubin negative
Which amount of study time per week is recommended for a 3-hour nursing course?
A) A minimum of 6 hours B) Between 8 and 9 hours C) A minimum of 4 hours D) Between12 and 14 hours
Which of the following is true of diltiazem?
A. It is a potent vasoconstrictor. B. It has no effect on heart rate. C. It increases the force of myocardial contraction. D. It has greater vasodilating actions than verapamil.