An overweight female patient who had enjoyed active outdoor activities is stressed because she is ...

An overweight female patient who had enjoyed active outdoor activities is stressed because she is limited in what she can do because she has osteoarthritis in her hips. Which action by the nurse will best assist the patient to cope with this situation?
 
  a. Ask the patient what activities she misses the most.
  b. Have the patient practice frequent relaxation breathing.
  c. Teach the patient to use imagery to decrease pain and decrease stress.
  d. Encourage the patient to think about how weight loss might improve symptoms.

Question 2

An adult patient who is hospitalized following a motorcycle accident when a car ran a red light tells the nurse, I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage.
 
  Which nursing diagnosis is appropriate to include in the plan of care?
  a. Anxiety
  b. Defensive coping
  c. Ineffective denial
  d. Risk prone health behavior

Question 3

A patient is extremely anxious about having a biopsy on a femoral lymph node in the groin area. Which relaxation technique would be best for the nurse to use at this time?
 
  a. Meditation
  b. Yoga stretching
  c. Guided imagery
  d. Relaxation breathing

Question 4

An adult patient arrived in the emergency department (ED) with minor facial lacerations after a motor vehicle accident and has an initial blood pressure (BP) of 182/94. Which action by the nurse is most appropriate?
 
  a. Start an IV line to administer antihypertensive medications.
  b. Discuss the need for hospital admission to control blood pressure.
  c. Treat the abrasions and discuss the risks associated with hypertension.
  d. Recheck the blood pressure after the patient is stabilized and has received treatment.

Question 5

A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial cancer.
 
  She is usually well organized and calm but the nurse who is giving her preoperative instructions observes that she is irritable, has difficulty concentrating, and yells at her husband. Which action should the nurse take?
  a. Ask the health care provider for a psychiatric referral.
  b. Focus teaching on preventing postoperative complications.
  c. Try to calm patient and reinforce and repeat teaching about the surgery.
  d. Encourage the patient to have bladder repair at the same time as the hysterectomy.