When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?
a. Conflict
b. Adaptation
c. Frustration
d. Anxiety
ANS: C
Frustration refers to anything that interferes with goal-directed activity.
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A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first?
a. Contact the provider and recommend discontinuing the metformin. b. Keep the client NPO for at least 6 hours prior to the examination. c. Check the client's capillary artery blood glucose and administer prescribed insulin. d. Administer intravenous fluids to dilute and increase the excretion of dye.
The nurse educator has recruited nursing preceptors to work with senior nursing students. The educator is teaching the preceptors about power and the education process. Which statement by a preceptor indicates learning has been effective?
1. "I am only showing the student how to take care of patients, so I have no need for power." 2. "I can use power to teach the student how to motivate, communicate, and achieve outcomes." 3. "I do not want to give the student the idea that nurses are all about who has the most power." 4. "I can use power to ensure that other disciplines know I am the one who really does the work."
A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?
A) "Oh, for gosh sakes…it doesn't look that bad!" B) "I understand, but you are going to have to look someday." C) "I respect your wish not to look at it right now." D) "You won't be able to go home until you look at it."
Instructions for the use of nicotine gum include:
1. Chew the gum quickly to get a peak effect. 2. The gum should be "parked" in the buccal space between chewing. 3. Acidic drinks such as coffee help with the absorption of the nicotine. 4. The highest abstinence rates occur if the patient chews the gum when he or she is having cravings.