Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?
A. If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.
This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B. No matter how hard I work in physical therapy I can’t seem to make any progress.
This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. I have not always made good choices in life I deserve to lose my leg.
This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. When I look in the mirror all I see is a person without a leg.
This statement directly addresses the client's perception of their body image following the amputation.
This question is an excerpt from Nurse Dive's nursing test bank - Dumund ATI comprehensive med surg proctored exam. Take the full exam now
Full Explanation
A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.
Similar Questions
A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?
A. Distraction
This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback
This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. Guided imagery
This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. Meditation
This statement directly addresses the client's perception of their body image following the amputation.
Full Explanation
A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.
A nurse in a community center is assisting with an educational session for caregivers of older adult clients who have dementia. Which of the following topics should the nurse include in the teaching session? (Select all that apply.)
A. Social support systems
Social support systems are important for caregivers to be aware of available support networks.
B. Actions to reduce stress
Strategies for managing caregiver stress are crucial.
C. Available community resources
Knowledge of local resources can aid caregivers in providing optimal care.
D. Legal services
While legal considerations may be relevant, they may not be a primary focus in this context.
E. Maladaptive responses to grief
Full Explanation
A. Social support systems are important for caregivers to be aware of available support networks.
B. Strategies for managing caregiver stress are crucial.
C. Knowledge of local resources can aid caregivers in providing optimal care.
D. While legal considerations may be relevant, they may not be a primary focus in this context.
E. While understanding grief is important, it may not be the primary focus of caregiver education for dementia.
A nurse is working with community members to prepare for an external disaster. The nurse is assisting the community members to compile a list of basic supplies needed in the case of a disaster. Which of the following supplies should the nurse instruct the community members to include? (Select all that apply.)
A. Family possessions
While sentimental, family possessions may not be practical in the context of immediate disaster preparedness.
B. Matches
Matches are useful for creating fire, providing warmth, and cooking in emergency situations.
C. Clean clothing
Clean clothing is important for maintaining hygiene and protection from the elements.
D. Personal identification
Personal identification is crucial for identification, especially in situations where individuals may need to be evacuated or receive medical assistance.
E. Three quarts of water per person
Three quarts of water per person is essential for hydration and may be crucial in the absence of a clean water source during a disaster.
Full Explanation
A. While sentimental, family possessions may not be practical in the context of immediate disaster preparedness.
B. Matches are useful for creating fire, providing warmth, and cooking in emergency situations.
C. Clean clothing is important for maintaining hygiene and protection from the elements.
D. Personal identification is crucial for identification, especially in situations where individuals may need to be evacuated or receive medical assistance.
E. Three quarts of water per person is essential for hydration and may be crucial in the absence of a clean water source during a disaster.