The nurse is communicating with an older client. Which actions demonstrate that the nurse understands the best approaches to communicate with this client?
1. Asking, "What can I do to make you feel safe?"
2. Observed intently listening to the client describe how being alone makes her feel
3. Offering to take the client "out for a walk"
4. Consistently arranging for the client to have her hair done
5. Managing to get a copy of the client's favorite magazine
Correct Answer: 1, 2, 5
Rationale 1: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.
Rationale 2: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.
Rationale 3: This would be effective only if the nurse knew that going for a walk was important to the client.
Rationale 4: This would be effective only if the nurse knew that getting her hair done was important to the client.
Rationale 5: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.
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A nurse is approached by a resident in a long-term care facility who walks with a cane, has notable facial droop, and takes a long time to express what he wants to say. The best response by the nurse is to
1. Face the individual and directly ask, "What can I do for you?" 2. Loudly ask, "What do you need?" 3. Use hand motions to determine whether the patient is hungry, thirsty, or in pain. 4. Make eye contact, and say, "I'll have the aide come to the room in a minute."
The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment. When assessing the respiratory system, the nurse should
a. Assess the patient at least every 4 hours. b. Inspect chest wall movements during the expiratory cycle only. c. Auscultate the entire lung region to assess lung sounds. d. Focus auscultation on the upper lung fields.
Which statement indicates the psychiatric–mental health nurse understands the basic principles of symbolic interactionism in working with clients?
1. "Clients with mental disorders are unlikely to understand the personal meaning of their experiences." 2. "I try to avoid interventions that ignore the personal meaning of experiences to my clients." 3. "Clients with altered brain chemistry need frequent reassurance that they should not worry about their condition." 4. "After my first year of working in mental health, I was able to develop standardized interventions for clients with the same diagnoses."