A 32-year-old man who is HIV positive and in the later stages of AIDS is hospitalized for treatment of Pneumoncystis carinii pneumonia
While the nurse is administering the IV medica-tion, the client begins to cry and states: "None of my friends and relatives visit or call me any-more because of this disease." Select the response by the nurse that best promotes a positive self-concept for this client.
a. "I'll talk with your physician and arrange a consultation with a psychologist so you can deal with these negative feelings."
b. "You seem very down today. Let's talk about what's going on."
c. "I'm sure they want to visit and call, but they may be afraid they'll say the wrong thing. I can call them for you."
d. "It sure seems that if they don't call or visit, they are not really friends to begin with. Just forget about them."
B
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Therapeutic communication differs from social conversation for which of the following reasons? (Select all that apply.)
a. It is centered on nursing care of the client. b. It focuses on building a trust relationship between nurse and client. c. It is goal directed. d. It is centered on the client's needs or problems. e. It is used only by therapists in a health care setting.
The patient is confined to bed rest, which contributes to immobility. Bed rest would then be considered:
a. contributing to the patient's recovery. b. a risk factor. c. difficult to maintain. d. a nursing responsibility.
A positive Murphy's sign is associated with:
A) Ascites. B) Appendicitis. C) Cholecystitis. D) Pelvic abscess.
The nurse is providing instructions to an adolescent who is taking phenytoin (Dilantin) for the control of seizures. Which of the following statements, if made by the adolescent, indicates a need for further teaching regarding the medication?
1. "The medication may cause oily skin." 2. "Drinking alcohol may affect the medication." 3. "If my gums become sore I need to stop the medication." 4. "Birth control pills may not be effective when I take this medication."