Daniel is a 48-year-old patient who was involved in a motor vehicle accident. He was driving home from a wedding with his family when he was hit by a drunk driver. Daniel's 23-year-old daughter and his wife were killed in the accident
Daniel is in the trauma unit with internal injuries. He had to have his left leg amputated above the knee. How is the crisis that Daniel is facing best described? A. Situational
B. Developmental
C. Existential
D. Ecosystemic
A
A patient with stress so severe that the patient is unable to cope using previous stress reduction strategies often experiences a crisis. A crisis devastates a person and requires use of all resources available. Unlike stress, which ends when the stressor disappears, the effects of a crisis sometimes last for years. Developmental crises often arise during the normal flow of human growth, such as with the birth of a child, graduation from college, or a midlife career change. Situational crises emerge from the occurrence of extraordinary events such as terrorist attacks, car crashes, rapes, or job loss. Existential crises refer to inner conflicts and anxieties arising from concerns about life's purpose, responsibilities, independence, or commitment. Finally, ecosystemic crises occur following a natural or human-caused disaster, such as a hurricane.
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A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the client's breath has a "fruity" odor. Which action should the nurse take?
a. Encourage the client to use an incentive spirometer. b. Increase the client's intravenous fluid flow rate. c. Consult the provider to test for ketoacidosis. d. Perform meticulous pulmonary hygiene care.
The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?
a. "I am required to report any intent to hurt yourself or others." b. "Conversations between patient and nurse are confidential." c. "What we say can be secret. What I write in the chart is available to the health team." d. "I can't help you unless you trust me."
An important consideration for the population health nurse to address societal violence is to:
1. Assess for environmental factors that could lead to violence. 2. Ask all female members of the community if they have been abused. 3. Ensure that adolescent males in the community are aware of suicide risks. 4. Advocate for gun control in the community.
A researcher studies spending habits of teenagers in strip malls. From what kind of population has the researcher selected her sample?
a. The accessible population b. The entire population c. The target population d. The target sample