Author Question: A client with a terminal illness is experiencing a phase of depression and decreased self esteem. ... (Read 31 times)

codyclark · **on:** Jul 16, 2018

A client with a terminal illness is experiencing a phase of depression and decreased self
esteem. How should the nurse help her to cope with this situation?

A) Suggest going for walks by herself
B) Suggest gradual participation in group activities
C) Recommend activities in the room that the client is comfortable performing
D) Suggest the client wait to talk with the physician about coping strategies

Question 2

The nurse is assisting with a caloric test to determine if an alteration exists in the vestibular origin of the acoustic nerve. Which of the following accurately describes a step in this procedure?

A) Place the client in a prone position to perform the examination.
B) Instill cold and/or warm water into the external ear canal.
C) Test the affected side after testing the normal side.
D) Replace water with hot air for a client with a punctured eardrum.

meltdown117 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B

Answer to Question 2

B
Feedback:
During this procedure, the client is either seated or supine, and water is instilled into the external ear canal. Sometimes, warm and cold water are alternated. The affected side is tested first because less of a reaction is expected to occur there. The normal response to this test is nystagmus (rapid, rhythmic eye movements), nausea, vomiting, vertigo (a feeling of spinning), and a feeling of falling. Decreased or absence of these responses within 3 minutes indicates an abnormality. Water cannot be used for this test if the client's eardrum is punctured. Cold air may be substituted.