A 50-year-old man comes to the crisis clinic after being terminated from his job of 15 years. He tells
the nurse "I do not know what to do.
How will I get another job? Who will pay the bills? How will I
get money to feed my three kids? I am not in the driver's seat anymore!" The nursing diagnosis that
should be considered is
a. hopelessness.
b. powerlessness.
c. chronic low self-esteem.
d. disturbed thought processes.
B
The client describes feelings of lack of control over events in his life. Options A and C: No direct
mention is made of hopelessness or chronic low self-esteem. Option D: The client's thought
processes are not shown to be altered at this point.
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A nurse is caring for a female patient from an unfamiliar culture. The nurse has planned extensive discharge teaching, but the patient seems uninterested, deferring all questions to an older adult male relative. The best action by the nurse is to
a. ask the male relative to assist with discharge teaching. b. include the male relative and revise the teaching plan. c. remind the patient that her condition is confidential. d. try to do the teaching when the male relative is absent.
A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?
a. Because all adults should be knowledgeable in basic child care b. Because the first year of life is the most hazardous until old age c. To help convince students not to engage in sexual intercourse d. To demonstrate the incredible responsibilities in parenthood
A nurse is providing a class on osteoporosis at the local seniors' center. Which of the following statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly. B) A nonmodifiable risk factor for osteoporosis is a person's level of activity. C) Secondary osteoporosis occurs in women after menopause. D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis.
A patient who has sustained a basal skull fracture is admitted to your unit. You know that the patient should be observed for what?
A) An area of bruising over the mastoid bone B) Bleeding from the ears C) An increase in pulse D) Difficulty sleeping