The nurse is caring for a client with depression. Which nursing intervention best demonstrates the nurse's availability to the client?
1. Let the client know that time heals all sorrow.
2. Provide privacy when interviewing the client.
3. Be honest with the client about medication effects.
4. Assist the client with the activities of daily living.
4
Rationale: Assisting the client with activities of daily living demonstrates that the nurse is available to the client to help with basic human needs. Providing privacy is important, but shows respect for the client, not availability. Telling the client that time heals invalidates the client's experience. Being honest with the client about medications demonstrates respect for the client, not availability.
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The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones. Based on this observation, the nurse should:
a. Document this evidence of normal early maternal-infant attachment behavior. b. Observe for other signs that the mother may not be accepting of the infant. c. Request a social service consult for psychosocial support. d. Determine whether the mother is too fatigued to interact normally with her infant.
In which refractive disorder is the refractive system weak or the eyeball flattened, causing vision beyond 20 feet to be normal but poor at close range?
a. astigmatism c. myopia b. hyperopia d. strabismus
When asking the patient "What aspects of your spirituality or spiritual practices do you find most helpful to you?" what is the nurse assessing?
A) Personal spirituality/practices B) Organized religious practices C) Sources of hope, meaning, comfort, strength, peace, love, and connection D) Education
The nurse is caring for a preschool-age child who has been hospitalized with asthma. In working with this child, what is the best way to encourage the child to use the nebulizer and to decrease the child's fear? The nurse should:
A) allow the child to touch and play with the nebulizer for a few minutes before the treatment. B) show the child how to use the nebulizer and tell him how much easier it is to breathe afterward. C) explain that he will feel better after the treatment and allow him to ask questions. D) use a poster or brochure to illustrate to the child how the machine works.