A female patient has just found a large lump in her breast. The health care provider needs to perform a breast biopsy. The nurse assists the patient into the proper position and offers support during the biopsy. What is the nurse doing?
a. Creating a healing environment
b. Fulfilling affiliation needs
c. Providing a sense of presence
d. Demonstrating an encouraging manner
C
A sense of presence is something a nurse offers to patients with the purpose of achieving some goal, such as support, comfort, or encouragement; to diminish the intensity of unwanted feelings; or for reassurance. Establishing presence when patients are experiencing stressful events or situations is very important. A nurse's presence calms anxiety and fear related to stressful situations. Giving reassurance and thorough explanations about a procedure, remaining at a patient's side, and coaching a patient through the experience all convey a presence that is invaluable to a patient's well-being. A healing environment, for example, is one in which nurses check patients frequently, respect patient privacy, reduce noise, and treat the body carefully. Affiliation need in nursing practice occurs with the inclusion of family members in a patient's care. It is a key element in discharge planning. Having an encouraging manner occurs when a nurse is poised and cheerful and points out the good in a difficult situation. Patients perceive these behaviors as caring.
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A client with a stroke has damage to Broca's area. What intervention to promote communication is best for this client?
a. Assess whether or not the client can write. b. Communicate using "yes-or-no" questions. c. Reinforce speech therapy exercises. d. Remind the client not to use neologisms.
The perinatal nurse describes the need for an assessment for deep vein thrombosis (DVT) in the postpartum patient. Which of the following is one test that can be used as a screening measure for DVT?
A. Chadwick's sign B. Homans' sign C. Grey Turner's sign D. McBurney's sign
Aristotle developed the concept of:
a. virtue ethics. c. deontology. b. utilitarianism. d. rationalism.
A client has been diagnosed with a complicated urinary tract infection (C-UTI). The nurse knows that C-UTIs are often treated differently than acute uncomplicated cystitis (AUC). What is a significant difference in the treatment of these infections?
1. Clients with AUC are rarely treated with antibacterials while those with C-UTIs almost always receive this therapy. 2. Clients with AUC receive a shorter course of antibacterials than do clients with C-UTIs. 3. Clients with AUC receive a longer course of antibacterials than do clients with C-UTIs. 4. Clients with AUC receive more toxic antibacterials than do clients with C-UTIs.