A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. The nurse should:

a. suppress the angry feelings.
b. express the anger openly and directly with the patient.
c. tell the nurse manager to assign the patient to another nurse.
d. discuss the anger with a clinician during a supervisory session.


ANS: D
The nurse is accountable for the relationship. Objectivity is threatened by strong positive or negative feelings toward a patient. Supervision is necessary to work through countertransference feelings.

Nursing

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A nurse caring for a male neonate born to observant Orthodox Jewish parents anticipates the neonate will be circumcised by:

a. a bishop. b. a mohel. c. his father. d. his physician.

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When studying for a pharmacology exam, a student asks her peers which agents affect both alpha- and beta-receptor sites. What would be an appropriate response to this student? (Select all that apply.)

A) Dobutamine (Dobutrex) B) Epinephrine (Adrenalin, Sus-Phrine) C) Dopamine (Intropin) D) Clonidine (Catapres) E) Albuterol (Proventil)

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A patient who has type 2 diabetes has a glycated hemoglobin (HbA1c) result of 10%. A nurse should make which of these changes to the nursing care plan?

A) Refer to a diabetic educator, there is poor glycemic control. B) Glycemic control is adequate, no changes are needed. C) Hypoglycemia is a risk, teach the patient the symptoms. D) Instruct the patient to limit activity and weekly exercise.

Nursing

Which issue is of concern to nursing?

1. The grand theories of nursing often do not take environment into consideration. 2. The level of theory that drives much research in nursing is generally from other disciplines. 3. The majority of nursing research is guided by grand theories. 4. There are no middle-range nursing theories.

Nursing