When a nurse is practicing the attending stage of listening he is focused on (select all that apply)
A. His upcoming meal break
B. The speaker's verbal message
C. The kink in the IV tubing
D. The speaker's nonverbal language
ANS: B, D
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A 16-year-old mother and her newborn come into the clinic for a routine checkup. The mother is concerned that her baby could be deaf because her uncle lost his hearing at a young age. The nurse hits a buzzer and the baby turns toward the sound
The nurse assures the mother that the baby can hear because the baby: a. was discharged from the hospital without any known problems. b. is producing ear wax. c. responds to loud noises. d. is too long young to determine any type of hearing loss.
A client with an esophagogastric tube suddenly experiences acute respiratory distress. What should be the nurse's immediate action?
A. Call the physician. B. Cut the balloon ports and remove the tube. C. Place the client in an upright position and apply oxygen. D. Reduce the balloon pressure slightly using the sphygmomanometer.
Which finding would confirm a diagnosis of cystic fibrosis?
a. A chest radiograph shows alveolar hyperinflation. b. Stool analysis indicates significant amounts of fecal fat. c. Sweat chloride is greater than 60 mEq/L. d. Liver function levels are abnormal.
"Hallucinations" are false sensory perceptions, which occur:
A) As a result of conflict B) Without external stimulus C) In schizophrenia only D) Due to ineffective parenting