A new mother becomes anxious and restless when her newborn is brought to her hospital room. The nurse would focus on which of the following as a priority concern with the client at this time?
1. change in self-identity
2. change in role performance
3. feelings of inadequacy
4. feelings of worthlessness
ANS: 2
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A patient infected with HIV comes into the clinic for a regular appointment and seems less depressed and more talkative. She has been on an antiretroviral drug for a few months. The patient tells the nurse she feels like she is cured
because she is taking the medication and feeling better. Which represents what the nurse will say to this patient? (Select all that apply.) a. "You started the medication early enough to be cured." b. "HIV is not currently curable, but medication slows the advance of the disease." c. "Over-the-counter medications such as aspirin will help the cure." d. "Taking the medication prevents more virus from being produced." e. "You are not cured of HIV; however, you will not be able to spread the virus."
A client's spouse reports the presence of a reddened area on the client's coccyx and wants to massage the area. Which response by the nurse is appropriate?
A) "I will need to obtain an order from the healthcare provider to perform a massage." B) "Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care." C) "I will record these findings in the medical record." D) "Massaging the area may actually cause more harm to a potentially compromised area of skin."
When providing holistic, spiritually competent care, the nurse should:
a. pray with the client. b. refer to clergy for spiritual guidance. c. listen actively. d. share similar experiences.
A client scheduled for surgery has a history of venous stasis problems. Which strategies should the nurse consider to reduce the risk of postoperative venous stasis?
1. Pneumatic compression device 2. Sequential compression device 3. Antiembolism stockings 4. Getting the client out of bed as soon as possible 5. Keeping the legs lower than the level of the heart