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A patient newly diagnosed with pancreatic cancer says, My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that. Select the highest priority nursing diagnosis.
- A. Anticipatory grieving
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for suicide
Correct Answer: D
Rationale: The patients statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease. The nurse will need to monitor the suicide risk vigilantly. The other diagnoses may apply but are lower priority.
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A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children attend a family session. Which initial assessment question should the nurse ask of family members?
- A. What changes are most important to you?
- B. How are feelings expressed in your family?
- C. What types of family education would benefit your family?
- D. Can you identify a long-term goal for improved functioning?
Correct Answer: B
Rationale: It is important to understand family characteristics, particularly in a family under stress. Expression of feelings is an important aspect of assessment of the familys function (or dysfunction). The distracters relate more to outcome identification and planning interventions, both of which should be delayed until the assessment is complete.
Mr. and Mrs. Jones have been married for 21 years. Mr. Jones is the family breadwinner, and Mrs. Jones has never worked outside the home. Mr. Jones has always made all the decisions for the family and Mrs. Jones has always been compliant. According to the strategic model of family therapy, this is an example of which of the following?
- A. Marital schism
- B. Pseudomutuality
- C. Marital skew
- D. Pseudohostility
Correct Answer: C
Rationale: The correct answer is C: Marital skew. In the strategic model of family therapy, marital skew refers to an imbalance of power and decision-making within a relationship where one partner dominates and the other complies. In this scenario, Mr. Jones making all decisions and Mrs. Jones being compliant indicates an unequal power dynamic, leading to marital skew.
A: Marital schism typically involves extreme emotional distance and lack of communication, which is not evident in the given scenario.
B: Pseudomutuality involves an appearance of harmony but lacks true emotional connection, which does not align with the power dynamics described.
D: Pseudohostility refers to a facade of conflict to avoid deeper issues, which is not reflective of the submissive-dominant dynamic presented.
A patient with generalized anxiety disorder (GAD) is prescribed BuSpar. What is important to inform the patient before discharge?
- A. This medication may take several weeks to take effect
- B. Alternative medications
- C. Severe headache
- D. Urinary retention
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness.
2. Patient education is crucial to manage expectations and ensure compliance.
3. Informing the patient about the delayed onset helps prevent premature discontinuation.
Summary:
B: Alternative medications - Not relevant to informing the patient before discharge.
C: Severe headache - Not a common side effect of BuSpar.
D: Urinary retention - Not a common side effect of BuSpar.
In Abraham Maslows hierarchy of needs, the level for survival is also known as the level of
- A. physiological needs
- B. safety and security
- C. love and belonging
- D. self-esteem
Correct Answer: A
Rationale: The physiological level of needs consists of what a person needs to survive: food, water, oxygen, clothing, ability to eliminate, and sexual activity for procreation.
Which of the following lifestyle changes is most likely to decrease a patient's risk of coronary heart disease?
- A. Switching from 2% milk to 1% low-fat milk
- B. Exercising on a daily basis
- C. Taking a multivitamin supplement
- D. Cutting back on work schedule
Correct Answer: B
Rationale: Daily exercise significantly reduces coronary heart disease risk.