Answer to Question 1
ANS: A, C, D, F
Information about the client's preinjury psychosocial status, usual methods of coping with illness, difficult situations, and disappointments should be obtained. Determine the client's level of independence or dependence and his or her comfort level in discussing feelings and emotions with family members or close friends. Clients who are emotionally secure and have a positive self-image, a supportive family, and financial and job security often adapt to their injury. Information about the client's spiritual and religious beliefs or cultural background also assists the nurse in developing the plan of care. The other options do not supply as much information about coping.
Answer to Question 2
ANS: B
Clients who have a mental health or behavioral health problem should not take ziconotide. The other questions do not identify a contraindication for this medication.
The nurse assists the patient in reflecting on his feelings
Client on IV patient-controlled analgesia (PCA).
A, A nurse is adding a medication to an IV line as a piggyback
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Nurse collaboration
Patient teaching: hair and scalp assessment