A client confides to you that he feels guilty because when he has intercourse with his girlfriend, he pretends that she is a certain female actress. What is your best response?
a. "This behavior is known as a voyeuristic disorder and is perfectly normal."
b. "Are there problems in your relationship with your girlfriend?"
c. "I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings."
d. "Fantasy before or during sexual intercourse can add excitement to a relationship."
ANS: D
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A patient diagnosed with hypertension is taking an angiotensin-converting enzyme (ACE) inhibitor. When planning care, which of the following outcomes would be appropriate for the patient?
a. BP will be lower than 135/85 on all occasions. b. BP will be normal after 2 to 3 weeks on medication. c. Patient will not experience dizziness on rising. d. Urine output will increase to at least 50 mL/hr.
As part of an admission assessment, the nurse is including questions that pertain to the patient's vision. Before conducting a physical assessment, the nurse is seeking to identify factors that have the potential to influence the patient's vision
Which of the following assessment questions most directly addresses these factors? A) "Are you a smoker?" B) "What medications do you take?" C) "Do you exercise regularly?" D) "What is your occupation?"
When performing a venipuncture for a specimen, the nurse should:
a. select an arm in which an IV is infusing. b. apply the tourniquet 3 to 4 inches above the elbow. c. not palpate a distal pulse following application of the tourniquet. d. select a vein that is not dilated.
A 4-year-old girl who has leukemia will now be receiving palliative care. The patient's parents also have a 6-year-old son who does not visit often
The parents are worried that their son will remember his sister as a "sad, thin, child in the hospital" rather than as his playful sister. It is important for the pediatric nurse to tell the parents that: A) "Your son needs to say goodbye to his sister prior to her death; you should bring him to visit immediately." B) "Your son will have these sad memories for the rest of his life; therefore, keeping him away is a good idea." C) "Your son can handle a visit to see his sister with your help because children are emotionally strong." D) "Your son will need preparation about the change in his sister's appearance but for his own grieving process, he needs to visit her before her death."