A patient diagnosed with major depression shows vegetative signs of depression. Which nursing actions should be implemented? Select all that apply
a. Offer laxatives if needed.
b. Monitor food and fluid intake.
c. Provide a quiet sleep environment.
d. Eliminate all daily caffeine intake.
e. Restrict intake of processed foods.
ANS: A, B, C
The correct options promote a normal elimination pattern. Although excessive intake of stimulants such as caffeine may make the patient feel jittery and anxious, small amounts may provide useful stimulation. No indication exists that processed foods should be restricted. See relationship to audience response question.
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The healthcare provider suggests that a patient with scoliosis participate in conservative treatment. What should the nurse instruct the patient about this treatment approach?
Select all that apply. 1. Reduce body weight. 2. Use braces for support. 3. Perform active and passive exercises. 4. Consume 2 to 3 liters of fluid each day. 5. Schedule routine injections with corticosteroids.
Which statement about defense mechanisms is correct?
a. They are conscious reactions. b. They are only used by those who have anxiety. c. They relieve anxiety. d. They reflect the highest level of anxiety.
A patient has a lactate level of 8 mmol/L. The nurse realizes that this finding indicates:
1. Carbon dioxide exchange 2. Underuse of oxygen 3. Glucose metabolism 4. Tissue hypoxia
A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role?
A) Greater emphasis on direct physical care B) Broader assessment to include the environment C) Increased dependency on physician D) Limited decision making and support