A patient tells his family, "I don't know why I was placed on this earth just to suffer from cancer all my life. I just want to die." The nurse realizes the patient
a. has lost control of the situation.
b. is expressing spiritual despair.
c. is becoming anxious with the situation.
d. will become withdrawn from his or her care.
B
Some individuals in spiritual despair may question their existence, verbalize their wish to die, or display anger toward religious traditions. Patients who have a pervasive sense that they can do nothing to change or control their circumstances are at risk for feeling powerless. Anxiety is a normal and common subjective human response to a perceived or actual threat, which can range from a vague, generalized feeling of discomfort to a state of panic and loss of control.
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A 52-year-old patient presents to the emergency department with reports of substernal chest pain. A history is taken; serum creatine kinase (CK) and lactate dehydrogenase (LDH) isoenzymes and serum lipid studies are ordered, as is a 12-lead ECG
Which of the following results is most significant in diagnosing an MI during the first 12 hours of chest pain? a. ECG—inverted T waves c. Serum enzymes—elevated CK-MB b. Serum enzymes—elevated LDH4 d. Patient history—substernal chest pain
__________ is an acute or chronic bacterial infection of the kidney and the lining of the collecting system
Fill in the blank(s) with correct word
A client tells the nurse that they do not need any information about skin cancer screening because they obtained the information on the internet. Which should the nurse do to ensure the client receives accurate information?
A. Encourage the patient to avoid seeking healthcare information on the internet. B. Instruct the client to discuss the information with the healthcare provider. C. Evaluate the accuracy of the information. D. Provide additional education to the client.
Which statement, made by a research student, provides evidence that the student understands the mission of the Academic Center for Evidenced-Based Nursing (ACE)?
1. ACE distributes evidence to clinicians, educators, administrators, and policy makers. 2. ACE promotes the efforts of evidence-based nursing practice through education, research, and development. 3. ACE takes evidence-based practice and turns it into improved health care and client outcomes. 4. ACE is a source of funding for the novice researcher of evidence-based nursing practice.