The client receives androgen therapy and is concerned about recent body changes as a result of the therapy. He tells the nurse he is not sure if the treatment is worth it. What is the best therapeutic response by the nurse?
1. "You sound concerned; I'll ask your doctor if anything can be done."
2. "You sound concerned; let's talk about your body changes."
3. "You sound concerned, but the effects on your body are only temporary."
4. "You sound concerned, but you really do not look any different to me."
2
Rationale 1: Telling the client the nurse will speak to the physician is inappropriate, as there may be nothing that can be done to correct the results of the therapy.
Rationale 2: For the conversation to be therapeutic, the nurse must first assess the client's perception of the problem.
Rationale 3: The effects last throughout the course of therapy and are not temporary.
Rationale 4: Telling the client he does not look any different does not acknowledge his concerns and is non-therapeutic.
Global Rationale: For the conversation to be therapeutic, the nurse must first assess the client's perception of the problem. Telling the client the nurse will speak to the physician is inappropriate, as there may be nothing that can be done to correct the results of the therapy. The effects last throughout the course of therapy and are not temporary. Telling the client he does not look any different does not acknowledge his concerns and is non-therapeutic.
You might also like to view...
Which of the following best describes why hate crimes involving violence are often considered worse than other crimes involving violence?
a. Because hate crimes cannot be avoided because one cannot change one's race or religious or sexual orientation b. Because hate crimes often are committed by groups rather than individuals c. Because more damage is typically done in a hate crime than in a typical assault and battery d. Because the crime is personal, attacking the victim's identity
A patient is suspected of having an air emboli from a central venous line inserted for total parenteral nutrition. What nursing interventions are indicated?
1. Place the patient on the left side. 2. Place the patient in Trendelenburg position. 3. Occlude the catheter nearest to the entry site of the skin. 4. Notify the physician and prepare to take the patient to surgery. 5. Prepare to assist with chest tube insertion.
A nurse is reviewing laboratory results for a patient just admitted to the intensive care unit. The patient is not known to have diabetes, but initial nonfasting blood sugar is 130 mg/dL. At which point would the nurse expect insulin therapy to begin?
1. When fasting blood sugar exceeds 110 mg/dL 2. When the patient shows assessment findings associated with hyperglycemia 3. If another random blood glucose is in the same range as this initial reading 4. When fasting blood glucose levels reach 180 mg/dL
The mother of a child having myringotomy tubes placed asks, "Will my son lose his hearing while the tubes are in place?" What is your best answer?
A) The tubes are inserted into a section of eardrum in which the hearing is not affected." B) "There is some risk of permanent deafness, but the benefit of decreasing the infection is worth it." C) "Your son's hearing will decrease while the tubes are in place." D) "Have you asked your son's physician about that?"