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NEW QUESTION 26
An adult who had been abused as a child is discussing the group therapy program.
Which statement indicates that the client has gained insight?
- A. "I am now aware of how deep-seated my anger is. Before I did not realize I was angry."
- B. "I think I was a lonely child because I could not tell anyone about my abuse."
- C. "There are so many people just like me, who are just normal people that had bad things happen to them."
- D. "The program has given me the courage to tell my mother how I felt about her role in my hurt."
Answer: A
Explanation:
Section: Psychosocial Integrity
Explanation:
Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people.
As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories.
Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties).
NEW QUESTION 27
When a client who is having trouble conceiving says to the nurse, "I have started taking ginseng," the best response by the nurse is:
- A. "It's probably not going to hurt you, but it's also probably not going to help. Let's look at some other alternatives."
- B. "No studies show that ginseng is effective for infertility."
- C. "Some studies show that ginseng enhances in vitro sperm motility."
- D. "Why don't you try acupuncture instead. Many studies have shown it to be effective for infertility."
Answer: C
Explanation:
Some studies have shown that ginseng and astragalus have enhanced in vitro sperm motility. Ginseng has long been used in traditional Chinese medicine to enhance male fertility. So, Choice 2 is correct and directly addresses the client's comments. Many times couples struggling with infertility turn to alternative therapies in desperation. They can be very expensive, and some are harmful. Ginseng should not interfere with any of the traditional fertility treatments and might help the couple feel empowered that they are also doing something on their own. Choice 1 is not true. Choice 3 introduces another alternative therapy. It is true that acupuncture is a traditional Chinese medical therapy and has been shown in several clinical studies to be effective in treating infertility in both women and men. The best response by the nurse should address the therapy the client states she is using. Choice 4 dismisses the client's attempts to work through her issues and contribute to the solution. One concern is always that more traditional therapies might be ignored, and time might be lost to alternative therapies. But this response causes the client to perceive the nurse as unsupportive and inhibits further discussion and disclosure.Health Promotion and Maintenance
NEW QUESTION 28
Which of the following instructions should the nurse give a client who will be undergoing mammography?
- A. Do not eat or drink after midnight.
- B. Have a friend drive you home.
- C. Be sure to use underarm deodorant.
- D. Do not use underarm deodorant.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film.
There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home.
Reduction of Risk Potential
NEW QUESTION 29
A client is complaining of difficulty walking secondary to a mass in the foot.
The nurse should document this finding as __________.
- A. hammertoe
- B. plantar fasciitis
- C. Morton's neuroma
- D. hallux valgus
Answer: C
Explanation:
Section: Physiological Integrity
Explanation:
Morton's neuroma is a small mass or tumor in a digital nerve of the foot.
Hallux valgus is referred to in lay terms as abunion.
Hammertoe is where one toe is cocked up over another toe.
Plantar fasciitis is an inflammation of, or pain in, the arch of the foot.
NEW QUESTION 30
Which of these types of fluid output is not typically measured?
- A. chest tube drainage
- B. urine
- C. emesis
- D. evaporative water from the respiratory tract
Answer: D
Explanation:
Section: Physiological Integrity
NEW QUESTION 31
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