While the nurse bathes the patient, he says, "Why are you giving me a bath? I'm going to die no matter what." The nurse's most appropriate response would be:
1. "A bath will make you feel better."
2. "Would you like to talk about how you are feeling?"
3. "Don't you want your bath today?"
4. "I can give you some medicine to make you feel better."
2
Anger is a common and normal response to grief. Therapeutic communication should focus on the patient's feelings.
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A psychiatric nurse is actively involved in the planning of a new children's mental health clinic. The nurse understands the importance of including a play area at this site because of the population it will serve
Which is the reason for the use of play and toys to assess children with suspected mental health disorders? A) Pediatric clients express themselves through play. B) Only toys that are developmentally appropriate and specific to the child's biological age are used. C) Pediatric clients do not usually relate to adults. D) Play enables the nurse to assess the cognitive ability of the pediatric client.
A client is to be admitted to an intermediate care facility (ICF). What should the nurse
tell the client about the ICF? A) Employs unlicensed assistants to provide care B) Provides basic care with a nurse on call C) Provides rehabilitation services to clients D) Ensures assistance with social services
The nurse is assessing a patient before hanging an IV solution of 0.9% NaCl with KCl in it. Which assessment finding should cause the nurse to hold the IV solution and contact the physician?
a. Weight gain of 2 pounds since last week b. Dry mucous membranes and skin tenting c. Urine output 8 mL/hr d. Blood pressure 98/58
The nurse is caring for an individual with a head injury and notes unequal pupils. Which term should the nurse use to document this finding?
a. Aphasia b. Nystagmus c. Anisocoria d. Ophthalmoplegia