The patient states, "I can't believe I am going to die. Why me?" What is the nurse's best response?
A) "I know how you are feeling."
B) "You have lived a long life."
C) "This must be very difficult for you."
D) "Life can be so unfair."
Ans: C
Feedback: The most important intervention the nurse can provide is listening empathetically. To communicate effectively, the nurse should ask open-ended questions and acknowledge the patient's fears.
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The nurse is performing a mental status examination when caring for a patient with a neurocognitive disorder (NCD). The patient's spouse asks why a mental status examination is necessary. How will the nurse respond?
1. "The mental status exam is the only way to assess the cognitive decline of a patient with early stage Alzheimer disease." 2. "The mental status exam is used to assess depression in a patient with early stage Alzheimer disease." 3. "The mental status exam will reveal slow and progressive cognitive decline of a patient with early stage Alzheimer disease." 4. "The status exam will reveal rapid and dramatic changes in cognition of a patient with early stage Alzheimer disease."
As part of performance appraisal, the nurse manager designs strategies to acknowledge staff members. What practices by the nurse manager best acknowledge staff accountability and con-tribution?
a. Providing new and varied learning expe-riences for staff members b. Fostering group cohesiveness through standardization of unit activities c. Allowing professionals greater influence over their practices d. Giving recognition for success and support for failure to staff members
Why is it important for a nurse to advise a client who has undergone a stapedectomy to refrain from blowing the nose?
A) It may cause sudden headaches. C) It may dislodge the prosthesis. B) It may cause vertigo. D) It may cause excessive drainage.
A client who has Guillain-Barré syndrome is scheduled for plasmapheresis. Before the procedure, which clinical manifestation does the nurse use to determine patency of the client's arteriovenous shunt?
a. Palpable distal pulses b. A pink, warm extremity c. The presence of a bruit d. Shunt pressure higher than 25 mm Hg