A client who has just been notified that the breast biopsy indicates a malignancy tells the nurse, "I just don't know how this could have happened to me." Which of these responses by the nurse will be most appropriate?

A. "Tell me what you mean when you say you don't know how this could have happened to you."
B. "Do you have a family history that might make you more likely to develop breast cancer?"
C. "Would you like me to help you find more information about how breast cancer develops?"
D. "Many risk factors for breast cancer have been identified, so it is difficult to determine what might have caused it."


Answer: A. "Tell me what you mean when you say you don't know how this could have happened to you."

Nursing

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A) Hyperkalemia B) Hypokalemia C) Hypermagnesemia D) Hypocalcemia

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If the nurse records the results to the Hirschberg test, the nurse has:

a. Tested the patellar reflex. b. Assessed for appendicitis. c. Tested the corneal light reflex. d. Assessed for thrombophlebitis.

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Which of the following outcomes is most important in the nursing care plan for a family engaging in physical abuse of the children?

a. The child will remain safe with no evidence of physical abuse or neglect. b. The parents will demonstrate at least one nurturing behavior. c. The parents will discuss normal growth and development for the age of the child. d. The child will report all instances of threatened or actual abuse and neglect.

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The nurse is reviewing the care plan for a patient experiencing difficulty coping with stress. The nurse recognizes that an example of initiating a cognitive restructuring intervention to enhance coping abilities is known as which of the following?

a. Identifying the cause of fear b. Accessing a community support group c. Identifying relaxation methods d. Reviewing an educational pamphlet

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