The term "pink puffer" refers to the female client with which of the following conditions?

Correct Answer: D

Rationale: The term "pink puffer" refers to a female client with emphysema. Emphysema is characterized by hyperinflation of the lungs leading to a pink or flushed complexion due to increased breathing efforts. This presentation contrasts with the "blue bloater" appearance seen in chronic obstructive bronchitis, which is characterized by cyanosis and edema. ARDS is a different condition marked by severe respiratory distress and not associated with the "pink puffer" presentation. Asthma typically presents with wheezing and bronchoconstriction, not the specific characteristics of a "pink puffer."

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. Teaching stress management techniques (Choice C) falls under this category by addressing stress before it leads to health problems. This approach targets the root cause and promotes overall well-being. Choice A (Helping the client resume self-care) focuses on rehabilitation and is considered secondary prevention. Choice B (Ensuring the safety of a suicidal client) relates to crisis intervention, which is tertiary prevention. Choice D (Case finding and surveillance) is more aligned with early detection and is also secondary prevention. In summary, teaching stress management techniques is the best example of primary prevention as it addresses the issue proactively before it escalates.

Correct Answer: C

Rationale: The correct answer is C because somatoform disorders involve expressing psychological conflicts through physical symptoms. This is supported by research showing that these disorders are often linked to unresolved emotional issues manifesting as physical complaints. Choice A is incorrect because somatoform disorders are not explained by organic causes but rather by psychological factors. Choice B is incorrect as it suggests a conscious decision to express conflicts, whereas somatoform disorders are typically unconscious. Choice D is incorrect because management of somatoform disorders typically involves psychological interventions rather than specific medical treatments.

Correct Answer: B

Rationale: The correct answer is B: Intolerance to change, disturbed relatedness, stereotypes. Children with autistic disorder often struggle with changes in routine, have difficulties in forming relationships, and exhibit repetitive behaviors or fixations. Intolerance to change is a common feature due to their need for predictability and structure. Disturbed relatedness refers to challenges in social interactions and communication. Stereotypical behaviors like hand-flapping or insistence on sameness are also typical. A: Argumentativeness, disobedience, angry outburst - While children with autism may exhibit behavioral challenges, these specific manifestations are more commonly associated with oppositional defiant disorder or conduct disorder, not necessarily autistic disorder. C: Distractibility, impulsiveness, and overactivity - These symptoms are characteristic of attention-deficit/hyperactivity disorder (ADHD) rather than autistic disorder. D: Aggression, truancy, stealing, lying - While some children with autism may display aggression or difficulties with honesty, truancy, and

Correct Answer: C

Rationale: The correct answer is C because it shows empathy and acknowledges the patient's feelings without dismissing them. By stating "This must be difficult for you and your mother," the nurse validates the patient's emotions and shows understanding. This response fosters a therapeutic relationship and encourages further exploration of the patient's feelings. Choice A is incorrect because it minimizes the patient's feelings and may come across as dismissive. Choice B shifts the focus away from the patient's emotions and onto problem-solving, which may not be what the patient needs at that moment. Choice D is inappropriate as it implies the patient is at fault and suggests a confrontational approach, which is not conducive to therapeutic communication.