The patient had a colostomy placed 1 week ago. When approached by the nurse, the patient and his wife refuse to talk about it and refuse to be taught about how to care for it

The nurse realizes that the patient and his wife are in which stage of adjustment? a. Shock
b. Withdrawal
c. Acceptance
d. Rehabilitation


B
As the patient and family recognize the reality of a change, they become anxious and may withdraw, refusing to discuss it. This is an adaptive coping mechanism that assists the patient in making the adjustment. Initially, the patient may be shocked by the change. This is followed by withdrawal, acknowledgment when they accept the loss, and rehabilitation when the patient is ready to learn how to adapt.

Nursing

You might also like to view...

A child has been examined by a pediatric ophthalmologist, and findings indicate a dulled red reflex and cloudy lens. Which treatment plan does the nurse educate the parents on based on these findings?

A. Occlusion therapy to the affected eye for 6 months B. Periodic administration of IV mannitol (Osmotrol) C. Surgery to remove the cataract and placement of a lens D. Use of eyedrops for the rest of the child's life

Nursing

The nurse performing a musculoskeletal assessment on a patient with arthritis hears a grating and cracking sound in the joint during passive range-of-motion exercises. This assessment finding is correctly referred to as:

A) Fasciculations B) Clonus C) Effusion D) Crepitus

Nursing

The nurse is preparing to perform an eye assessment. What equipment will the nurse need to complete this assessment?

1. Penlight. 2. Snellen's chart. 3. Sterile gloves. 4. Gauze square. 5. Millimeter ruler.

Nursing

The nurse is caring for a postoperative client. The physician has written orders for a pain medication, and the order gives a dosage range for the amount the nurse may give depending on the severity of the client's pain

This type of functioning within the health care team is called: A) authoritative functioning. B) independent functioning. C) assistive functioning. D) dependent functioning. E) collaborative functioning.

Nursing