Assessment findings that indicate a potential self-concept dysfunction include which of the following? Select all that apply

A) Depersonalization
B) Feelings of inadequacy
C) Preoccupation with affected body part
D) Inability to make decisions
E) Refusal to make eye contact


Ans: A, B, D, E

Nursing

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The nurse is caring for an adolescent who experienced trauma to the spleen that requires its removal

When discussing the proposed surgery with the patient's parents, the nurse would provide which information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The spleen is located in the left upper abdominal quadrant. 2. The spleen is involved in the return of bile to the liver. 3. The spleen has a minimal vascular system. 4. The spleen acts as a blood filtration system. 5. The spleen destroys aged red blood cells.

Nursing

The nurse is instructing the student nurse regarding discharge teaching and medications. Which response by the student would indicate that learning has occurred?

a. "I need to be precise when teaching a patient about Zyprexa (olanzapine) and Zyrtec (cetirizine)." b. "The medications can be picked up at the pharmacy on the way out of the hospital." c. "I need to be sure to give the patient leftover medications from the medication drawer." d. "I need to remember to teach the patient to take all medications at the same time of the day."

Nursing

A nurse is ordered to perform digital removal of stool on a client with stool impaction. Which of the following is an appropriate step in this procedure?

A) Position the client in supine position as dictated by client comfort and condition. B) Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. C) Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. D) Instruct the client not to bear down while extracting feces to prevent vagal response.

Nursing

The process of developing an internal attitude toward a profession and assuming a new identity is

a. entrepreneurship. c. role socialization. b. role conflict. d. role transition.

Nursing