A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?
"I would like to see what this looks like today."
"I'm going to close my eyes until you are done dressing my incision."
"I would just like to spend my day staring at the TV."
"I'm planning to stay at home until my breast reconstructive surgery."
The Correct Answer is A
A. "I would like to see what this looks like today": This indicates effective coping as the client is engaging with their condition and facing the changes directly, which is an important step in emotional adjustment and recovery.
B. "I'm going to close my eyes until you are done dressing my incision": This suggests avoidance of the situation, which may indicate difficulty in coping with the reality of their condition.
C. "I would just like to spend my day staring at the TV": This may indicate withdrawal or avoidance, which is not an effective coping strategy.
D. "I'm planning to stay at home until my breast reconstructive surgery": While this may be part of the client's plan, it does not directly indicate effective coping with the current situation.
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Related Questions
Correct Answer is D
Explanation
A. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke": This is incorrect as glucocorticoids are not typically used to reduce stroke risk; they are more commonly used to manage inflammation and other conditions.
B. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke": This is incorrect because having a total cholesterol level below 200 mg/dL is generally considered desirable and lowers the risk of stroke.
C. "My risk for a stroke increases if my HbA1c level is 6 percent or less": This is incorrect because an HbA1c level of 6 percent or less is generally considered well-managed for diabetes and does not increase stroke risk; higher levels are more concerning.
D. "I can decrease my risk for a stroke by losing excess weight": This is correct as losing excess weight can reduce the risk of stroke by improving overall cardiovascular health and managing diabetes.
Correct Answer is B
Explanation
A. Orthopneic: This position is used for clients with respiratory distress and is not suitable for sigmoidoscopy.
B. Knee-chest: This is correct as the knee-chest position is commonly used for sigmoidoscopy to provide optimal access to the rectum and sigmoid colon.
C. Trendelenburg: This position, with the head lower than the feet, is typically used for shock or hypotension, not for sigmoidoscopy.
D. Prone: The prone position is not appropriate for sigmoidoscopy as it does not allow adequate access to the rectum and sigmoid colon.
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