A nurse interviews a patient who is having difficulty with self-expression and staying focused. Select the nurse's most helpful comment
a. "Go on."
b. "What would you like to discuss?"
c. "Tell me what is happening right now."
d. "It seems you are having trouble staying focused."
C
This patient needs more direction from the nurse to engage in a meaningful interaction. A general lead, making an observation, or giving a broad opening will not be helpful for this patient.
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A client is anxious about having a dressing change. Which statement indicates that the nurse is promoting appropriate complementary therapy?
a. "I'll call the doctor and ask for a larger dose of pain medication before the dress-ing change." b. "As we begin the next dressing change, I want you to think of a beautiful, calm place where you feel happy and peaceful." c. "I'll get another nurse to stay in the room with us during the dressing change so that you have a hand to hold during the pro-cedure." d. "Are you familiar with acupuncture? It's a very effective technique."
Which of the following is a nursing diagnosis associated with the effects of alteration in role relationships within the family and work environment?
a. Sleep pattern disturbance b. Ineffective role performance c. Altered thought processes d. Impaired communication
A client on the inpatient unit tells a student nurse, "My life has no purpose. I can't think about living another day, but please don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality
" Which is the most appropriate reply by the student nurse? A. "The treatment team is composed of many specialists who are working to improve your ability to function. Sharing this information with the team is critical to your care." B. "Let's discuss steps that will resolve negative lifestyle choices that may increase your suicidal risk." C. "You seem to be preoccupied with self. You should concentrate on hope for the future." D. "This information is secure with me because of client confidentiality."
A nurse is preparing care for a newly admitted patient with diabetes. Which information would be critical for the nurse to assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Medical history 2. Current lab results 3. Medication allergies 4. Use of dietary supplements 5. Number of previous hospitalizations