A 69-year-old woman is saddened by her recent diagnosis of type 2 diabetes, which is a stressor that will make numerous demands on her life in the coming years. Which of the following actions demonstrates a problem-focused approach to this stressor?
A) Eliciting support and sympathy from her sister and neighbor
B) Obtaining diabetic cookbooks and learning to change her cooking habits
C) Seeking out a second opinion from another physician
D) Deciding to make no lifestyle changes despite her new diagnosis
Ans: B
Making tangible changes to address a problem, such as changing lifestyle to accommodate a new diagnosis, demonstrates a problem-focused approach to coping. Seeking support is emotion focused and seeking a second opinion is not necessarily a solution.
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The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?
1. "Are you concerned the child is not getting enough sleep?" 2. "What time does your child goes to bed at night?" 3. "Is the child experiencing any stress at home?" 4. "What do you know about children who sleepwalk?"
The nurse observes the patient bearing down with contractions and crying out, "The baby is coming!" What is the best nursing intervention?
a. Find the physician. b. Stay with the woman and use the call bell to get help. c. Send the woman's partner to locate a registered nurse. d. Assist with deep breathing to slow the labor process.
Access to healthcare in the United States is a national concern. You can most directly influence legislation by
A) reading about legislation related to various issues. B) explaining your views to your coworkers. C) joining a national organization. D) getting elected to a public office.
A patient has full-thickness burns to his face, chest, back, and bilateral upper arms. He was injured less than 24 hours ago
He sustained these injuries in a house fire and is presumed to have inhaled smoke and sustained an inhalation injury as well. He was nasally intubated in the emergency department and placed on mechanical ventilatory support. He is now showing signs of increasing agitation and is demonstrating high peak airway (ventilatory) pressures. What is the likely cause in this change in his condition? a. Uncontrolled pain c. Hypoxemia and confusion b. Hypovolemia d. Decreased pulmonary compliance