It is not therapeutic; it implies that the nurse is not listening. It encourages the client to keep her feelings to herself. It allows the client time to think and reflect and lead the conversation. It allows the nurse to think about other tasks she needs to tackle to provide efficient care to all of…
The nurse is caring for a client who is having surgery the next morning. The client says, “I’m really scared about surgery. I’ve never been put to sleep before and I’m afraid I might not wake up.” Which response by the nurse is the most therapeutic?
“Why are you worried about such a minor procedure?” “We can call the doctor and cancel the surgery if you would prefer.” “It’s normal to be afraid of something new like surgery. Tell me how you feel.” “Don’t worry, you have a really good doctor and he will see to it that nothing goes wrong.”
The nurse is working in a mental health facility that uses group therapy with the clients. The nurse understands which to be correct regarding group therapy?
The termination stage begins with the initial group meeting. Members’ feelings about their accomplishments are explored in the working stage. During the working stage, members may be unclear about the purpose of the group. Group roles and responsibilities are established in the working stage of group therapy.
The nurse has assessed the assigned group of clients. Which client would the nurse identify as being at the greatest risk for alterations in sensory perception?
a client in a halo vest following an automobile accident a child with severe autism who is having a tonsillectomy a teenager who broke her leg during cheerleader practice a schoolteacher who was hospitalized for shortness of breath
The nurse is talking in the lounge with other nurses about grief and loss. The nurse understands which to be true regarding grief and loss? Select all that apply.
The process of grief is detrimental to physical and emotional health. Age, gender, and culture are a few factors that influence the grieving process. The nurse must explore his own feelings about death before he may effectively help others. The nurse should discourage expression of grief and loss because it may upset other clients nearby….
The nurse is caring for a client with end-stage kidney disease and multiple organ failure. Which action by the nurse indicates an understanding of end-of-life care? Select all that apply.
The nurse explains signs and symptoms that indicate death is near. The nurse explains to the client and family what to expect during the final phase of the illness. Cultural beliefs are acknowledged, but priority is placed on life-lengthening treatment options. The nurse avoids talking to the client about impending death to avoid upsetting him…
The nurse identifies a client’s learning preference as visual. Which of the following would be appropriate when teaching the client about insulin injection?
an audiotape an orange, an insulin syringe, an alcohol wipe, and a bottle of sterile saline classroom discussion an instructional pamphlet
The nurse is preparing a community educational presentation. The topic is the leading causes of death for people ages 12 – 19. The nurse knows that which of the following should be presented?
unintentional injuries cancer homicide suicide
The nurse is teaching a smoking cessation program. He will state that which of the following benefits of quitting appear within one year?
risk of coronary heart disease is the same as that of a nonsmoker carbon monoxide level in blood drops to normal risk of dying from lung cancer is about half that of a smoker’s risk of having a stroke is reduced to that of a nonsmoker’s
A 9-month-old child is registered to attend a local childcare clinic. Upon initial intake, the nurse discovers the child has received the first and second dose of the hepatitis B vaccine. What is the best course of action for the nurse to recommend to the parents?
no action; a third dose of the vaccine is not recommended immediately inoculate the child given the high risk of not having a third vaccine wait until the child is 12 months to give the vaccine schedule the child for the third vaccine at the earliest convenience