The nurse on a busy medical-surgical floor contacts a social worker requesting a home care referral prior to a patient's discharge. This action is best illustrated by which of Swanson's Five Caring Processes?

a. Enabling
b. Knowing
c. Doing For
d. Being with
e. Maintaining Belief


ANS: A
Advocating for a patient's post-hospitalization care is an enabling process. Enabling also includes informing, anticipating, and preparing for the future. Swanson's Five Caring Processes also include maintaining belief, knowing, being with, and doing for.

Nursing

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The nurse is preparing to care for a patient who has scleroderma. The nurse refers to resources that describe CREST syndrome. Which of the following is a component of CREST syndrome?

A) Raynaud's phenomenon B) Thyroid dysfunction C) Esophageal varices D) Osteopenia

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A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern?

A) Orgasm during pregnancy is potentially harmful. B) Venous congestion in the pelvis makes orgasm painful. C) Most women do not experience orgasm during pregnancy. D) Some women experience orgasm intensely during pregnancy.

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The nurse is teaching the students in their obstetric rotation about fertilization. What processes must the sperm undergo before fertilization can occur?

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A client with suspected seasonal affective disorder asks the nurse, "I've been feeling down for 3 months. Will I ever feel like myself again?" The response that builds on an understanding of this disorder is:

1. "Usually clients with this disorder see improvement during the fall and winter." 2. "Spontaneous improvement usually comes in 6 months to a year." 3. "People who have seasonal mood changes often feel better when spring comes." 4. "Can you tell me what you mean when you say ‘feel like myself'?"

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