The husband of a client diagnosed with complex somatic symptom disorder asks the nurse, "What causes this condition?" Which response by the nurse would be most accurate?
A) "There is definitely an underlying genetic link for this disorder."
B) "Your wife is experiencing chronic stress that causes hypoarousal."
C) "The symptoms reflect an emotion that your wife cannot verbalize."
D) "The symptoms reflect an internal preoccupation with events."
C
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A nurse who provides care in a long-term care facility has observed a sharp decline in an 88-year-old man's level of consciousness and activity over the past 36 hours. The nurse recognizes the high incidence of pneumonia among older adults
How does pneumonia present differently among the elderly than among younger patients? A) Older adults often lack a fever when they develop pneumonia. B) Oxygen saturation levels remain stable among older adults despite increased sputum production. C) Pneumonia is usually intensely painful for older adults but lacks an increase in white blood cells (WBCs). D) Older adults who have pneumonia are usually asymptomatic.
The nurse is assessing coping behaviors of a family with a child with a chronic illness. What indicates approach coping behaviors? (Select all that apply.)
a. Plans realistically for the future b. Verbalizes possible loss of the child c. Uses magical thinking and fantasy d. Realistically perceives the child's condition e. Does not share the burden of the disorder with others
The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility
While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program. Which behavior by the staff development coordinator is most appropriate in this situation? a. Disregard staff concerns and continue with development of the program. b. Inform the nurses that this program is a requirement for JCAHO accreditation. c. Schedule a meeting with the chief nurse executive to apprise her of the situation. d. Facilitate a meeting so nurses can articulate their values and concerns about a competency program.
Which information must be included when documenting a patient's seizure? (Select all that apply.)
a. Time of seizure onset b. Total duration of the seizure c. Patient's ability to swallow during seizure d. Incontinence during seizure e. Patient orientation after seizure