When assessing a patient's social skills, which remark would serve the nurse best?
a. "It sounds as if you need to develop some assertiveness skills."
b. "Describe an example of a time when you felt uncomfortable in a social situation."
c. "It is not easy to be assertive. We can role-play some situations to give you practice."
d. "What do you plan to do the next time you find yourself in an uncomfortable social situation?"
B
The nurse is seeking clarification, a therapeutic technique that is a useful assessment tool. Mention of assertiveness skill development indicates that the assessment has been made. Asking for the patient's plan would occur during problem solving rather than assessment.
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The nurse assesses an older male adult who has Alzheimer's disease and his caregiver. Which information from the caregiver warrants further investigation by the nurse to as-sess the caregiver for strain?
a. The client wants to stay home. b. The client sleeps on two pillows. c. The client sits in the chair all day. d. The client does not like to be alone.
A nurse is teaching the parents of an infant with congenital adrenal hyperplasia about the signs and symptoms of adrenal crisis. The nurse determines that the teaching was successful when the parents identify which of the following?
A) Bradycardia B) Constipation C) Fluid overload D) Persistent vomiting
Which tumor markers would the nurse anticipate being tested in a 22-year-old man with a testicular mass?
A) Alpha-fetoprotein, human chorionic gonadotropin, lactate dehydrogenase B) BRCA1, BRCA2, alpha-fetoprotein C) CA-125, human chorionic gonadotropin, lactate dehydrogenase D) Carcinoembryonic antigen, immunoglobulins, alpha-fetoprotein
The spouse of an older client asks that the client be given pills and to tell the client that they are for pain. How should the nurse respond to the spouse's request?
1. "I have to tell the client what each pill is for." 2. "I will explain to the client that pain is normal with aging." 3. "Let's speak with the health care provider about this request." 4. "Administering a placebo pill is not ethical."