A psychiatric nurse is caring for an adult client. The client was placed in foster care when he was 4 years old and lived with several different families and was often neglected until he was finally adopted at age 7
The client tells the nurse, "I don't deserve to be loved. I've never been good enough!" According to Erikson's theory of personality development, which crisis has not been adequately resolved?
A) Trust versus mistrust
B) Initiative versus guilt
C) Intimacy versus isolation
D) Ego integrity versus despair
B
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A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad. How can you get cancer without smoking?" Which statement by the nurse represents empathy?
a. "Research is identifying many risk factors for cancer besides smoking." b. "I understand how you could feel angry about the diagnosis." c. "He is still a good husband." d. "Why do you think he got cancer?"
At the conclusion of a stress echocardiogram, it was determined that the patient has dyskinesis. The nurse realizes this finding means the patient's heart muscle
1. moves in the opposite direction. 2. moves too slowly. 3. does not move at all. 4. moves too quickly.
The client takes diphenoxylate with atropine (Lomotil) for diarrhea. The client asks the nurse why he does not experience pain relief since this drug is an opioid. What is the best response by the nurse?
1. "This drug is not an opioid; did your doctor tell you that?" 2. "You would really have to take a lot to experience pain relief." 3. "It does provide some relief from the pain associated with diarrhea." 4. "Because this opioid does not have analgesic properties."
The nurse designing a teaching plan for a family caring for an older adult who is experiencing pain would stress _____________________________. (Select all that apply.)
a. giving medication before the pain become severe. b. distracting the patient instead of medicating. c. that pain reported by the older adult may be exaggerated. d. delaying administration to reduce the risk of addiction. e. observing the effectiveness of the medication.