A patient tells the nurse that he does not want to attend his wife's family events because he is expected to drink alcohol and he prefers not to
The nurse realizes this patient is describing behaviors found within which theory of substance disorders? 1. Sociocultural
2. Psychological
3. Biological
4. Metaphysical
1
Rationale 1: In the sociocultural framework, the roles different family members play and the importance of family rituals contribute to the problem of substance abuse and its treatment.
Rationale 2: The psychological theory explains how the psychological underpinnings of experiences and behaviors come together to form motivation to use drugs in a destructive manner.
Rationale 3: The biological theory supports a genetic explanation for substance abuse.
Rationale 4: There is no metaphysical theory for substance abuse.
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A patient is admitted for evaluation of hypotension. Which assessment by the nurse would require immediate attention?
1. Pulmonary artery wedge pressure of 2 mmHg 2. Heart rate of 112 3. Urine output of 25 mL/hr 4. Presence of rales at both lung bases
The number of new cancer cases diagnosed has increased steadily since 1900 . The nurse explains to a client that one of the reasons for this increase is that
a. cancer is related to most birth defects. b. many false-positive cancer results are reported. c. people who live longer are less prone to cancer. d. statistical analysis and reporting are more accurate.
The spouse of an older adult with Alzheimer's disease tells you that she has been giving him Amphojel (aluminum hydroxide) for heartburn. What is your best action?
a. Ask the spouse how often the patient is taking the Amphojel. b. Suggest that the patient be given AlternaGEL instead. c. Teach the spouse that taking this drug can worsen the patient's condition. d. Remind the spouse that giving this drug often can interfere with bowel function.
A 56-year-old homosexual man presents with itching, anorectal pain, and tenesmus of 1 week's duration. Rectal examination reveals generalized tenderness without frank prostate abnormalities. Which of the following is most likely?
A) Acute prostatitis B) External hemorrhoid C) Proctitis D) Colon cancer