Which of the following statements made by a client's family is the most reliable for use in the evaluation of a client's outcome?

1. "Mom has been eating 90% of all of her meals since she's been home."
2. "My daughter is in much less pain now that she is going to physical therapy."
3. "My husband has been less depressed since he's been on that antidepressant pill."
4. "Mom has been so much better since she's been able to get up and walk by her-self."


ANS: 1
Input from the family and other caregivers can be used to evaluate client outcomes but it is best to use their observations of measurable actions, such as the amount eaten, than to rely on their subjective opinions of a client's reaction, such as pain, anxiety, or mood.

Nursing

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The nurse is planning an educational presentation on hyperbilirubinemia for nursery nurses. Which statement is most important to include in the presentation?

1. Conjugated bilirubin is eliminated in the conjugated state. 2. Unconjugated bilirubin is neurotoxic, and cannot cross the placenta. 3. Total bilirubin is the sum of the direct and indirect levels. 4. Antibiotics decrease the incidence of hyperbilirubinemia.

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A patient has researched a medical condition on the Internet. The nurse's best response to the patient's questions and concerns is

a. "Have you verified this information with your doctor?" b. "Quality health information is not available on the web." c. "What websites did you visit to get this information?" d. "You can't really trust what you find on the Internet."

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a. intubating the patient and providing manual ventilation with 100% oxygen. b. hyperextending the patient's head and administering positive-pressure ventilations on 100% oxygen. c. administering 10 mg of succinylcholine. d. administering nebulized racemic epinephrine.

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When educating clients, which of the following parts of the communication process would be most important for the nurse to ensure?

A) Limit setting B) Feedback loop C) Goal direction D) Nonverbal expression

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