Author Question: A client visits a health care facility a few months after his wife's death. The client is quite ... (Read 73 times)

mpobi80 · **on:** Jul 22, 2018

A client visits a health care facility a few months after his wife's death. The client is quite depressed and feels very lonely.

The nurse tactfully asks him to confront the reality and helps him to brainstorm some useful ways of dealing with his loss. What type of strategy is the nurse following in this case? A) Nontherapeutic coping strategy
B) Therapeutic coping strategy
C) Negative coping strategy
D) Sensory manipulation strategy

Question 2

The home care nurse is admitting a patient with COPD. The primary healthcare provider has ordered O2 /nasal cannula at 3 L/min. To promote safety, the nurse would instruct the patient on which of the following safety measures? (Select all that apply.

) a. Place No smoking signs in all areas where oxygen will be used.
b. Instruct family and visitors who smoke that they must smoke a minimum of 10 feet from the patient.
c. Store tanks in a small closet, trunk of a car, or near the hot water heater.
d. Oxygen tanks should stay a minimum of 6 feet from space heaters, fireplaces, and appliances with an electric motor.
e. Know the exit routes and where the fire extinguisher are located in the home.

kmb352 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
Therapeutic coping strategies usually help the person to acquire insight, gain confidence to confront reality, and develop emotional maturity. People use nontherapeutic coping strategies such as mind- and mood-altering substances, hostility and aggression, excessive sleep, avoidance of conflict, and abandonment of social activities. Sensory manipulation involves altering moods, feelings, and physiologic responses by stimulating pleasure centers in the brain using sensory stimuli. Negative coping strategies may provide immediate temporary relief from a stressor, but they eventually cause problems.

Answer to Question 2

A, D, E
Promote safety by using the following measures:
Place No smoking signs on the patient's room door, over the bed, and in every room of the home where oxygen is used. Inform the patient, visitors, roommates, and all personnel that smoking is not permitted in areas where oxygen is in use.
Determine that all electrical equipment in a health facility room or patient's home is func-tioning correctly and is properly grounded.
Know the fire procedures and the location of the closest fire extinguisher.
Check the oxygen level of portable tanks before transporting to ensure that there is enough oxygen in the tank.
Store oxygen tanks in secure holders to prevent them from being knocked over.
Store oxygen tanks 6 feet away from toys with electric motors, electric space heaters, fire-places, electric blankets, hair dryers, or other appliances. Do not store in a trunk box or small closet.