A preadolescent patient is experiencing maturational stress. Which area will the nurse focus on when planning care?
a. Identity issues
b. Self-esteem issues
c. Physical appearance
d. Major changing life events
ANS: B
Preadolescents experience stress related to self-esteem issues, changing family structure as a result of divorce or death of a parent, or hospitalizations. Adolescent stressors include identity issues with peer groups and separation from their families. Children identify stressors related to physical appearance, families, friends, and school. Adult stressors centralize around major changes in life circumstances.
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A 36-year-old female who is 26 weeks pregnant is hospitalized due to preterm labor. The client has a history of uterine fibroids. The nurse should recognize that:
a. the fetus must be monitored carefully as the fibroids may increase fetal growth rate b. the fibroids elevate the levels of estrogen and progesterone, thus retarding fetal growth c. the hormones of pregnancy may increase the fibroid growth rate, crowding the uterus d. benign fibroids will not interfere with pregnancy
Acetylcholinesterase is an enzyme that:
A) decreases the heart rate. B) slows cardiac conduction. C) breaks down acetylcholine. D) promotes acetylcholine secretion.
Which statement, made by a staff nurse, reflects the most fundamental reason that nursing research findings are not implemented in nursing practice?
1. I'm not sure that these findings are valid and safe to implement. 2. We don't have any protocols to implement research in practice. 3. I don't have the authority to change my practice. 4. I don't think too highly of researchers and research.
A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP whether he has an increased risk of prostate cancer. The NP should tell him:
a. his overall cancer risk is increased. b. he has an increased risk of a certain type of cancer. c. his cancer risk is the same as any other man his age. d. doxazosin will increase his cancer risk, but only slightly.