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Author Question: A nurse is observing the prescribed therapeutic activity for a middle-aged client who underwent a ... (Read 57 times)

Tirant22

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on: Jul 22, 2018
A nurse is observing the prescribed therapeutic activity for a middle-aged client who underwent a mastectomy to treat breast cancer. Which of the following active exercises or therapeutic activities should the client perform?
 
  A) Perform light exercise with the arm on the surgical side.
  B) Have the nurse perform passive ROM on the arm on the affected side.
  C) Perform weight-training with the arm on surgical side.
  D) Learn to perform activities of daily living with arm opposite the surgical side.

Question 2

A client who is an intravenous drug user visits a health care facility for treatment. During counseling, he discloses that he initially took drugs because it helped him deal with stressful situations.
 
  The nurse recognizes that he is not using an effective coping strategy to overcome his stress-related problems. What kind of strategy has the client used in this case? A) Nontherapeutic coping strategy
  B) Therapeutic coping strategy
  C) Stress-reduction strategy
  D) Antidepressant strategy


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sierramartinez

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Reply #1 on: Jul 22, 2018
Answer to Question 1

A
Feedback:
Clients who have undergone a mastectomy learn to exercise the arm on the surgical side by combing their hair, squeezing a soft ball, finger-climbing the vertical surface of a wall, and swinging a rope attached to a doorknob. Passive ROM would not significantly aid the client's recovery of normal function. Weight-training would pose a risk of injury and the client should aim to perform ADLs with the affected side rather than neglecting it.

Answer to Question 2

A
Feedback:
The client has used nontherapeutic coping strategies such as mind- and mood-altering substances to cope with stress. Negative coping strategies may provide immediate temporary relief from a stressor, but they eventually cause problems. Therapeutic coping strategies usually help the person to acquire insight, gain confidence to confront reality, and develop emotional maturity. Also, the client has not used an antidepressant strategy.


Tirant22

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Reply #2 on: Jul 22, 2018
TY


sierramartinez

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Reply #3 on: Jul 22, 2018
You're welcome


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