A patient tells the nurse that he is recently unemployed and has fears that he will never find another job. The nurse recognizes this patient's internal stressor as being:
1. All-or-nothing thinking.
2. Denial.
3. A catastrophic event.
4. A realistic expectation.
All-or-nothing thinking.
Rationale: Internal stressors originate within a person. They include lifestyle choices, overloaded schedules, negative self-talk, and all-or-nothing thinking. Because of being recently unemployed, the patient believes he will never find employment again. This is an example of all-or-nothing thinking. This patient is not exhibiting denial. A catastrophic event is a trauma, fire, motor vehicle accident, or some other external stressor. Thinking that he will never be employed again would not be an example of a realistic expectation.
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Mr. Jones is a healthy, retired 68-year-old man. He has not been seen by his primary care physician since he was 55 years old. His immunization history is unavailable. At this time, he should be considered for
a. D/T (diphtheria-tetanus) vaccine, flu shot, pneumonia vaccine b. Meningococcal vaccine, HepB (hepatitis B) series, flu shot c. Flu shot, gamma shot, HepB series d. MMR (measles-mumps-rubella) vaccine, flu shot, pneumonia shot
A student nurse visiting a nutrition center for the elderly tells the nursing instructor "It is so
depressing to see all these old people. They seem so weak and frail. I doubt if I will be able to do my assessment paper because they are probably all senile.". The student is expressing a. reality. b. ageism. c. vulnerability. d. empathy.
A hospice patient is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which statement, if made by the nurse to the patient's family member, is most appropriate?
a. "These symptoms will continue to increase until death finally occurs." b. "These symptoms are a normal response before these functions decrease." c. "These symptoms indicate a reflex response to the slowing of other body systems." d. "These symptoms may be associated with an improvement in the patient's condition."
Which of the following groups should be included in any planning group to ensure that weaknesses are addressed and counterarguments are known?
a. Administrators from the local hospital or hospitals b. Administrators of the health care agency c. Leaders in the community d. Those initially expected to resist the proposal