A patient comes to the mental health center after being held hostage during a bank robbery 2 days ago. The patient relates a number of symptoms, including intrusive thoughts, nightmares, and feelings of helplessness
The nurse should consider the possibility that the patient is experiencing a _____ crisis. a. situational
b. maturational
c. developmental
d. pseudopsychological
A
A situational crisis occurs when an accidental, uncommon, or unexpected event upsets psychological equilibrium.
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After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?
a. Making sure that the patient's endotracheal tube does not become kinked b. Ensuring that the patient's head is positioned to prevent cervical nerve injury c. Carefully taping the patient's eyes shut to avoid corneal abrasions d. Padding the operating table carefully and keeping linens free of wrinkles
The nurse is caring for an older adult client diagnosed with chronic kidney disease. The client reports no bowel movement in the past 2 days
Based on this data, which condition is the client at an increased risk for developing? A) Metabolic acidosis B) Hypercalcemia C) Increased serum creatinine levels D) Hyperkalemia
A client has been exposed to an infectious organism but has no clinical manifestations of disease. The nurse cautions the client that this period of time is the
a. cell gap. b. immune response. c. infection curve. d. latent period.
During a scheduled well-child visit the mother of a 3-year-old states, "My child masturbates in the bathtub, and it is very upsetting to me." Which response by the nurse is most appropriate?
1) "Tell your child not to do that. It is dirty." 2) "Masturbation is normal. Just tell your child that it is a private thing to do." 3) "Encourage your child's self-expression." 4) "Children don't usually do that until they are teenagers."