A nurse is caring for a client whose partner has a terminal diagnosis. Which of the following statements made by the client indicates effective coping?

"I cook my partner's favorite foods."

"I make a list of all the things I need to do."

"I have lunch with my friends once a week."

"I am unable to fall asleep right away."

Answer and Explanation

The Correct Answer is C

A. "I cook my partner's favorite foods.": Preparing meals can be a way to show love and care, but it does not necessarily indicate effective coping. It may serve as a distraction, but it does not address emotional or social well-being.

B. "I make a list of all the things I need to do.": Creating lists can help with organization, but it does not directly reflect emotional coping. It may indicate a focus on tasks rather than emotional processing or seeking support.

C. "I have lunch with my friends once a week.": Maintaining social connections is a sign of effective coping, as it provides emotional support and an opportunity to share feelings. Engaging in enjoyable activities outside of caregiving responsibilities helps reduce stress.

D. "I am unable to fall asleep right away.": Difficulty sleeping is a common response to stress but suggests ongoing emotional distress rather than effective coping. Persistent sleep disturbances may require further assessment and support.

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Correct Answer is B

Explanation

A. Hypoactive bowel sounds: Hyperkalemia typically causes increased gastrointestinal motility, leading to hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.

B. Sinus rhythm with peaked T waves: Elevated potassium levels affect cardiac conduction, leading to ECG changes such as peaked T waves, prolonged PR intervals, and widened QRS complexes. These findings indicate early hyperkalemia and require immediate attention.

C. Irritability and anxiety: While hyperkalemia can cause neuromuscular symptoms, such as muscle weakness and paresthesia, irritability and anxiety are more commonly associated with hypoglycemia or hypoxia rather than hyperkalemia.

D. Shallow respirations: Severe hyperkalemia can lead to muscle weakness, including respiratory muscles, but this occurs in later stages. Shallow respirations are more commonly associated with conditions like respiratory depression or metabolic alkalosis.

A. "Contact your pharmacy to inquire about a different medication." B. "I can arrange for a social worker to talk with you before you leave." C. "You should ask your provider to prescribe a cheaper medication." D. "I can contact the occupational therapist to schedule a home visit."

Correct Answer is B

Explanation

A. Contact your pharmacy to inquire about a different medication: Pharmacies may offer generic alternatives, but they cannot change a prescription without provider authorization. A social worker can explore financial assistance programs, which is a more comprehensive solution.

B. I can arrange for a social worker to talk with you before you leave: Social workers assist clients in finding resources such as medication assistance programs, prescription discount plans, or community aid. This ensures the client can access their medication without financial strain.

C. You should ask your provider to prescribe a cheaper medication: While discussing cost-effective alternatives with the provider is an option, it does not directly address the client’s financial concerns. A social worker can provide broader support beyond just switching medications.

D. I can contact the occupational therapist to schedule a home visit: Occupational therapy focuses on improving daily function and independence. It does not address financial concerns related to medication affordability, making this option inappropriate for the situation.

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A nurse is caring for a client whose partner has a terminal diagnosis. Which of the following statements made by the client indicates effective coping?

Nursing Test Bank

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