Author Question: A client has a mass in the left upper lobe of his lung. He is scheduled to undergo a biopsy. When ... (Read 55 times)

cabate · **on:** Jul 19, 2018

A client has a mass in the left upper lobe of his lung. He is scheduled to undergo a biopsy.

When the
nurse explains the procedure to him, he seems to have difficulty grasping what she is saying and
asks questions such as What do you mean I'm going to have surgery? What are they going to do?
His voice is tremulous. His respirations are noticeably rapid at 28 breaths/min, and his pulse is 110
beats/min. The nursing diagnosis formulated for the client is anxiety related to impending biopsy, as
evidenced by repeated questions and by voice tremors and elevated pulse and respirations. Outcomes
the nurse should consider include (more than one answer may be correct)
A. compliance behavior.
B. anxiety self-control.
C. information processing.
D. aggression self-control.
E. social interaction skills.
F. adaptation to physical disability.

Question 2

Basic premises the nurse should include in health teaching for adults with ADHD and significant
others are (more than one premise may be correct)

A. ADHD is a genetically transmitted biological condition.
B. clients with ADHD respond best to negative reinforcement to modify behavior.
C. psychostimulants effective for children with ADHD are rarely helpful for adults.
D. cognitive therapy is useful to challenge internalized negative beliefs about self.

Swizqar · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS:
B, C
Rationale: When the client is able to control anxiety, he will be able to demonstrate comprehension
and use of the information he is given. None of the other outcomes is directly related to the
behaviors that support the nursing diagnosis.

Answer to Question 2

A, D
Rationale: Evidence suggests that ADHD has a biological basis. This fact can help adults with the
disorder cope with lowered self-esteem that is often the result of negative treatment and lack of
acceptance in childhood. Cognitive therapy is helpful in reframing negative beliefs about self. The
other options are untrue statements.