A grieving widow tells a psychiatric–mental health nurse, "I feel so tired and alone." The nurse who incorporates an understanding of symbolic interactionism in practice would not suggest which of the following to the client?
1. "You had a terrible loss. Feeling tired and alone must be very difficult for you."
2. "I would like to hear more about how you are feeling now."
3. "Try to get plenty of rest. Most people who suffer losses like yours need more sleep than usual to cope effectively."
4. "You seem sad. Can I sit with you for a while?"
3
Rationale: Giving advice and suggesting that the meaning of the widow's loss is typical invalidates the person's unique experience, a basic premise of symbolic interactionism—that people interpret the world in their own way. Other responses indicate an understanding that a client's actions and feelings are important and unique, and set the stage to help the person begin to exert control over feelings and life.
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A patient reports chest pain, nausea, and vomiting off and on for the last 4 days, which the patient interpreted as the flu. Which laboratory tests will provide information about acute cardiac damage for this patient?
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A client tells the nurse that she is disappointed that her employer is offering a health maintenance organization for a health care benefit
Which of the following can the nurse use as responses to the client as advantages of this type of health plan? (Select all that apply.) 1. "Since there is a nursing shortage, clients need to stay out of the hospital." 2. "This type of plan provides wellness care at a minimal cost to keep people healthy." 3. "This type of plan helps clients avoid illnesses with high costs." 4. "An HMO standardizes diagnostic and treatment decisions across the nation." 5. "This type of plan ensures coordinated services from wellness to death." 6. "This type of plan costs as much as the traditional plans, but the insurance companies get the extra money from premiums."
The client is prescribed ketorolac tromethamine (Toradol) for treatment of pain following a surgical procedure. The nurse should question which of the following drug orders?
a.) Toradol 10 mg p.o. b.i.d. b.) Toradol 20 mg p.o. b.i.d c.) Toradol 5 mg p.o. t.i.d. d.) Toradol 20 mg p.o q.i.d