A nurse is working with a client who has recently been under a great deal of stress. Which nursing recommendations would be most helpful when assisting the client in coping with stress? Select all that apply
A. "Enjoy a pet."
B. "Spend time with a loved one."
C. "Listen to music."
D. "Focus on the stressors."
E. "Journal your feelings."
ANS: A, B, C, E
Focusing on the stressors is more likely to increase stress in the client's life. However, pets, music, journaling feelings, and healthy relationships have all been shown to decrease amounts of stress.
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The nursing instructor is speaking to a group of nursing students about standards of care. Which comment made by the nursing student indicates the need for further education about the standards of care?
A) "Standards of care are based on models of high-quality performance." B) "Process standards focus on the steps used to lead to a particular outcome." C) "Process standards focus on human resources, and general organizational structure." D) "Outcome standards focus on the performance of a process."
The nurse is preparing a client for a bone biopsy and aspiration. The client asks, "Will this be painful?" How does the nurse respond?
a. "The procedure is always done under general anesthesia." b. "The biopsy lasts for only 2 minutes." c. "There is a chance that you may have pain." d. "You can relieve pain with guided im-agery."
A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The nurse monitors for which findings that would indicate DVT is occurring?
1. Positive Homans' sign 2. Decreased urine output 3. Confusion 4. Tachypnea
The nurse is reviewing with a group of student nurses that the normal adult body temperature has an average normal range in different body areas. What is the range of normal temperatures by the rectal route?
A) 35.5°C–37.5°C (95.9°F–99.5°F) B) 36.6°C–38°C (97.9°F–100.4°F) C) 34.7°C–37.3°C (94.5°F–99.1°F) D) 35.8°C–38°C (96.4°F–100.4°F)