The daughter of an older adult woman who had a colostomy as a result of colon cancer tells the nurse, "Mom seems to be so withdrawn; she has stopped going out with her friends and I'm re-ally concerned
" The most relevant nursing diagnosis for the patient's reaction is:
a. Ineffective individual coping.
b. Dysfunctional grieving.
c. Social isolation.
d. Hopelessness.
C
Voluntary social isolation may result when an older adult with cancer no longer feels comfortable in social settings because of his or her situation, including, for example, changes in body image, energy levels, or interests. Older persons with cancer may withdraw because they perceive that others are uncomfortable in their presence and because they believe, rightly or wrongly, that others are avoiding them because of the cancer diagnosis. Coping may be disturbed in this patient as well. The patient may be grieving loss of her former healthy self, and she may feel hopeless. But social isolation fits the daughter's data.
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The population health nurse is preparing material for a group of community members about health promotion. What should the nurse state that health promotion involves?
1. Education about healthy behavior, which leads to behavioral change. 2. Behavior manipulation through transfer of knowledge. 3. Informing the client about the nature and causes of illness. 4. Enabling clients and promoting community action.
The nurse is verbalizing her new knowledge of respiratory and metabolic acids and bases. Which statement indicates that the nurse needs more information?
1. "Body metabolism produces lactic acids, which are constantly eliminated in the lungs.". 2. "Carbon dioxide is a potential acid that is excreted through the lungs.". 3. "When hydrogen ions combine with carbon dioxide, carbonic acid is produced.". 4. "Sodium bicarbonate buffers the blood by removing hydrogen ions from the blood.".
A nurse is asking a more senior nurse for suggestions regarding consulting and collaborating with an attorney. Which combination of suggestions by the senior nurse for consulting and collaborating with attorneys would be correct?
a. Choose an attorney from the yellow pages and keep costs sensible. b. Be attentive and do not set your own course. c. Retain a specialist and do not notify your carrier of a possible liability until you are sure. d. Weed through the writing and set your own course.
A 1-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to use for this client to prevent removal of the IV line would be a(n):
1. Wrist restraint 2. Jacket restraint 3. Elbow restraint 4. Mummy restraint