Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention?
A.
Sit with the patient and gently offer your availability to help.
B.
Keep encouraging the patient to go to exercise class.
C.
Offer the class once and then let the patient decide.
D.
Sit with the patient and ask her to list reasons for her depression.
ANS: A
This approach is the best one to establish trust without making too many demands on someone who has little energy to deal with demands. It is also important not to leave the patient alone too much, as that will send a message of not caring for her.
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A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD). Two hours later the child is pale, tachycardic, and hypotensive. Which action by the nurse takes priority?
A. Administer a beta blocker to slow the heart rate down. B. Document findings then notify the health-care provider. C. Increase the rate of the IV fluid administration. D. Prepare the child to return to interventional radiology.
A patient with diagnosis of CAD with chest pain is admitted into the critical care unit. The patient is suddenly awakened with severe chest pain. Three nitroglycerin sublingual tablets are administered 5 minutes apart without relief
A 12-lead ECG reveals nonspecific ST segment elevation. This patient probably has a. silent ischemia. c. unstable angina. b. stable angina. d. Prinzmetal angina.
The nurse is taking a class to become more culturally competent when providing care. In this class the nurse learns that the American work ethic is considered to be one that is hardworking and individualistic. The nurse should categorize the work ethic
as being a part of: 1. Culture. 2. Ethnicity. 3. Nationality. 4. Acculturation.
Which instructions should be included as part of a teaching plan for a client with hypertroph-ic cardiomyopathy (HCM)?
A. "Take your digoxin at the same time every day." B. "You should begin an aerobic exercise program." C. "You should report episodes of dizziness or fainting." D. "You may have a maximum of two drinks containing alcohol daily."