A patient tells the nurse that she never had "bowel problems" until she started a new job that is highly demanding. What is the nurse's best response to this patient?

1. "You might have had the bowel problems all along but didn't realize it until recently."
2. "There is no connection between the new bowel problems and your new job."
3. "The new job might be a trigger for a stress reaction in your body, causing the new bowel problems."
4. "Because of your new job you may be eating in different places. That can upset your stomach.".


3
Rationale 1: The nurse does not have enough information on which to base this suggestion.
Rationale 2: Without more information, the nurse cannot be certain this statement is accurate.
Rationale 3: Stress can be a trigger for gastrointestinal problems. The stress circuit influences the stomach and intestines and can lead to problems such as diarrhea, constipation, cramping, and bloating. Excessive stomach acid can lead to gastric burning.
Rationale 4: Eating in different places than before might be implicated in gastrointestinal upset, but another cause is more likely.

Nursing

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The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?

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The nurse is asking the patient reflective, clarifying questions to help the patient make a list of what is important and not important in life and the time commitment for each. Which standardized (NIC) nursing intervention does this action implement?

1) Spiritual support 2) Self-Esteem Enhancement 3) Values Clarification 4) Hope Inspiration

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Using a Snellen chart, the nurse would credit a client with reading the line of print if the client has correctly read more than

a. 50% of the characters. b. 60% of the characters. c. 80% of the characters. d. 90% of the characters.

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Which theorist describes three stages of mourning as shock and disbelief, developing awareness, and restitution and resolution?

a. Lindemann c. Worden b. Engle d. Bowlby

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