Which would help a client establish a trusting relationship with the nurse and to develop a rapport so that feelings and thoughts could be shared?
a. Ask the most sensitive questions first to get right to client's concerns.
b. Ask open-ended questions allowing time for the client to answer.
c. Ask closed questions to facilitate the completion of nursing assessment.
d. Meet with a client for a very short time.
B
Establishing a trusting relationship and rapport are important tools in helping the client to share thoughts and feelings. Ensuring a quiet, private setting that is physically comfortable is essential. Using open-ended questions and allowing the client time to talk yields valuable information. Ask direct questions about such symptoms as sad mood, guilt, tearfulness, lack of energy, sexual interest, and suicidal thoughts. When the nurse is able to demonstrate comfort in openly addressing such issues, it helps the client feel cared for and understood.
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The patient has been prescribed ampicillin as part of his treatment regimen. Which drug-induced skin eruption should he immediately report to his health care provider because of its life-threatening nature?
a. Lupus erythematosus b. Exfoliative dermatitis c. Purpura d. Stevens-Johnson syndrome
A macrosomic infant is born after a difficult, forceps-assisted delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most appropriate action is to
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If an error is made in documentation, the nurse should:
a. rip out the page. b. draw a single line through the error. c. ‘white-out' the error. d. erase the error.
Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?
1. A child with end-stage leukemia. 2. A child with a broken arm after a motor vehicle accident. 3. A child with burn injuries to the legs. 4. A child with recurrent asthma.