The nurse is caring for a patient who has been trying to quit smoking. The
patient has been smoke free for 2 weeks but had two cigarettes last night and at
least two this morning. What should the nurse anticipate?
Anticipating Withdrawal Symptoms: The nurse should anticipate that the patient
may experience withdrawal symptoms such as craving, irritability, and anxiety as
a result of the two cigarettes after being smoke-free for 2 weeks.
2. Question
: The nurse is working in a drug rehabilitation clinic and is in the process of
admitting a patient for “detox.” What should the nurse do next?
Initial Assessment and Planning: The nurse should perform an initial assessment
to gather information about the patient's medical history, substance abuse
history, and current physical and psychological condition. Based on this
information, the nurse should develop a plan for the patient's care during the
detox process.
3. Question :
A female patient has been overweight for most of her life. She has tried dieting in
the past and has lost weight, only to regain it when she stopped dieting. The
patient is visiting the weight loss clinic/health club because she has decided to do
it. She states that she will join right after the holidays, in 3 months. Which stage
is the patient displaying?
, Precontemplation Stage: The patient is in the precontemplation stage of the
transtheoretical model of change, meaning that they are aware of their
overweight but are not yet ready to take action
4. Question :
Upon completion of the assessment, the nurse finds that the patient has quit
drinking and has been alcohol free for the past 2 years. Which stage best
describes the nurse’s assessment finding?
Maintenance Stage: The patient is in the maintenance stage, which is
characterized by sustained behavioral change, where they have successfully quit
drinking and remained alcohol-free for 2 years
5. Question :
If a nurse decides to withold a medication because it might further lower the
patient’s blood pressure, the nurse will be practicing the principle of :
Nonmaleficence: The nurse will be practicing the principle of nonmaleficence,
which requires them to do no harm and prioritize the patient's safety and
well-being
6. Question :
A nurse is caring for a client who is from a different culture than himself. When
beginning the cultural assessment. which of the following acitons should the
nurse take first.
Respect Cultural Beliefs: The nurse should take the first action of respecting the
patient's cultural beliefs and values, and try to understand their background,
beliefs, and practices related to health and illness.
7. Question :
A nurse is assessing the family unit to determine the family’s ability to adapt to
the change of a member having surgery. Which area is the nurse monitoring?
Family Adaptability: The nurse is monitoring the family's ability to adapt to the
change, which includes their coping mechanisms, support systems, and
resilience in the face of stress
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