A patient is determined to be physically dependent on prescribed pain medication. How should the nurse interpret this patient's dependency?
a. The patient is addicted to pain medication.
b. Stopping the drug causes symptoms of withdrawal.
c. The patient requests pain medication more often than it is ordered.
d. It takes more medication than previously to relieve the patient's pain.
ANS: B
Patients who are physically dependent on a drug will have symptoms of withdrawal if the drug is taken away suddenly. A. Addiction includes a psychological component. C. Requesting pain medication more often than it is ordered describes a patient whose pain is not adequately treated. D. Tolerance is taking more medication that previously needed to relieve the patient.
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A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurse's best approach to communicating with him?
a. Use periods of silence to communicate respect for him. b. Be totally honest with him, even if the information is unpleasant. c. Tell him that everything that is discussed will be kept totally confidential. d. Use slang language when possible to help him open up.
A nurse is caring for a client diagnosed with borderline personality disorder. The nurse would expect which priority nursing diagnosis in the care plan?
A) Self-esteem disturbance, related to unmet dependency needs B) Risk for violence, self-directed, related to self-mutilating behaviors C) Impaired communication, related to social withdrawal D) Impaired social interaction, related to indifference toward others
A cognitively impaired patient reports to the nurse that, "I had the best time. My husband took me out to dinner and then to a concert. The music was wonderful."
Knowing that the patient is a widow, the nurse determines her remarks are an example of: a. tangential thinking. b. confabulation. c. hallucination. d. circumstantiality.
Write out 43 to illustrate how it would be calculated. Include the result
What will be an ideal response?