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Conflicts, according to Lewin, include which types of conflict? Select all that apply.
- A. Conceptualization conflicts
- B. Avoidance - Avoidance conflicts
- C. Approach - Approach conflicts
- D. Resolvable conflicts
- E. Unresolvable conflicts
- F. Double Approach - Avoidance conflicts
- G. Approach-Avoidance conflicts
Correct Answer: B,C,F,G
Rationale: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.
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A client with acute stress disorder is telling the nurse about the tornado that leveled his house and killed his wife and baby while he was out of town on business. He states, 'If only I'd been at home, I could have saved them.' Which of the following responses would be most appropriate?
- A. Don't blame yourself; you'll only feel worse.'
- B. It's not your fault; so stop feeling so guilty.'
- C. You might not have been at home.'
- D. You couldn't have prevented the tornado; it just happened.'
Correct Answer: D
Rationale: Acknowledging the uncontrollable nature of the tornado helps the client process guilt rationally, supporting coping with acute stress disorder.
Select the arterial blood gas that you would report to the client's physician because it is not within normal parameters and it is also a significant change for the client.
- A. PaO2: 65 mm Hg
- B. PaCO2: 40 mm Hg
- C. Arterial blood pH: 7.39
- D. SaO2: 96%
Correct Answer: A
Rationale: PaO2 of 65 mm Hg is below the normal range (75-100 mm Hg), indicating hypoxemia, which requires reporting.
A female client with infertility related to anovulatory cycles is prescribed menotropins (Pergonal). Which of the following, if stated by the client as a possible adverse effect of this medication, indicates successful teaching?
- A. Pulmonary edema.
- B. Ovarian enlargement.
- C. Visual disturbances.
- D. Breast tenderness.
Correct Answer: B
Rationale: Menotropins stimulate ovarian follicle growth, which can lead to ovarian enlargement as a common adverse effect. Pulmonary edema, visual disturbances, and breast tenderness are not typically associated with this medication.
A client with a history of chronic kidney disease is prescribed sevelamer (Renagel). The nurse should instruct the client to:
- A. Take the medication with meals.
- B. Take the medication on an empty stomach.
- C. Avoid taking the medication with calcium supplements.
- D. Stop the medication if constipation occurs.
Correct Answer: A
Rationale: Sevelamer should be taken with meals to bind phosphate in the gut.
A 70-year-old, previously well client asks the nurse, 'I notice I have tremors. Is this just normal for my age?' The best response for the nurse to make is which of the following?
- A. I wouldn't be worried because this is common with aging
- B. You should report this to the physician because it may indicate a problem
- C. You should drink orange juice when this occurs
- D. You should have your blood pressure checked when this occurs
Correct Answer: B
Rationale: Tremors in a 70-year-old are not necessarily normal and may indicate conditions like Parkinson's or medication side effects, requiring physician evaluation. Orange juice or blood pressure checks are not directly relevant.