A nurse is performing an assessment interview of a 14-year-old boy who is being admitted to an adolescent substance abuse unit. His parents are concerned about their son's repeated problems at school that they associate with his drug use
The boy stalks into the office, abruptly sits down, crosses his arms, and says, "Okay, ask your stupid questions, but don't expect me to cooperate!" Which response by the nurse would be most appropriate?
A) "Your attitude is offensive; I can see why your parents brought you here."
B) "Why don't we wait until you've calmed down a bit to start the interview?"
C) "Why are you so angry?"
D) "You seem pretty upset. Tell me about what is upsetting you."
D
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The nurse documents crackles in the lung field when which of the following is heard?
1. A low-pitched snoring sound 2. A high-pitched musical sound 3. Air passing through narrowed air passages 4. Air passing through fluid or mucus
The pregnant nurse is assigned to care for a client who is infected with cytomegalovirus (CMV). What precautions or adjustment in assignment should be made for this nurse?
A. She should not be assigned to care for this client. B. She can enter the room but should not provide personal care. C. She should observe standard precautions when providing care to this client. D. She should wear gloves, mask, and a protective gown when providing care to this client.
While planning for a teaching-learning session with a patient, the nurse reviews the steps of the nursing process. This activity is beneficial because:
a. There is little similarity between the two. b. The teaching-learning process is less complex than the nursing process. c. The two are very similar. d. They exist independently of one another.
A patient is taking a beta-adrenergic antagonist medication for angina pectoris and asks the nurse how the drug works to relieve the discomfort associated with this condition
Which statement by the patient after the nurse's teaching indicates understanding of the drug's effects? a. "It causes bronchodilation, which increases oxygen flow." b. "It helps reduce the heart's oxygen needs." c. "It improves blood flow to the heart." d. "It increases cardiac output."