A nurse assessing a patient is interested in the patient's appraisal of a recent divorce as a stressor. To obtain this information, it is important for the nurse to gather data about which of the patient's responses. (Select all that apply.)
a. Affective
b. Behavioral
c. Physiological
d. Cognitive
e. Ethical
A, B, C, D
Appraisal of a stressor is the processing and comprehension of the stressful situation that takes place on many levels, including cognitive, affective, physiological, behavioral, and social. Ethical responses have little impact on this situation.
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The nurse is caring for a newly admitted client with a diagnosis of pneumonia. The client is in need of a bed bath and a linen change. The nurse's priority action is which of the following?
1. Assess the client's ability to assist with the bath and with movement in bed. 2. Gather all supplies needed for the procedure. 3. Obtain a Hoyer lift to move the client up in bed. 4. Explain all procedures to the client.
A patient who has been taking lamivudine (Epivir) for 6 months reports reduced sensation in the fingers and toes. What is your best action?
a. Document the report as the only action. b. Hold the dose and notify the prescriber. c. Remind the patient to continue the drug as usual and take a multiple vitamin daily. d. Reassure the patient that this is an expected drug side effect and to use injury precautions.
When reviewing a pediatric client's medical record, which are considered environmental factors that influence growth and development?
A. Culture. B. Heredity. C. Nutrition. D. Religion. E. Climate.
A communicable disease cannot be spread to others.
Answer the following statement true (T) or false (F)