The nurse who remains nonjudgmental:
A) Avoids being harshly critical of clients. B) Is in need of personal boundaries.
C) Refrains from making comments. D) Is incapable of being therapeutic.
A
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The nursing instructor observes several nursing students administer medications to their assigned patients. The instructor would stop what student from administering the medication until the error was corrected?
A) The student checks the label on the medication against the administration record three times. B) The student enters the patient's room and asks the patient "Are you Mr. Jones?" C) The student checks the drug's brand name and generic name before taking it to the patient. D) The student documents the medication upon exiting the patient's room.
The patient tells the nurse she was reading about interferons on the Internet but still does not exactly understand what they do. What actions would the nurse describe as being performed by interferons? (Select all that apply.)
A) Prevent viral replication B) Suppress malignant cell replication C) Suppress tumor growth D) Stimulate T and B cells to initiate an immune response E) Stimulate the body to produce more T cells
The nurse asks a client how she is feeling, and the client provides a detailed description of everything she is experiencing. This is an example of:
a. Echolalia b. Circumstantiality c. Neologism d. Perseveration
The client reports right lower quadrant (RLQ) pain that is worse with coughing. Based on the client's history, the nurse suspects appendicitis. What additional examination technique does the nurse perform to confirm this suspicion?
a. Placing the hand over the lower right thigh and asking the client to flex the knee while pushing down on the knee to resist it and noting if the client complains of pain b. Palpating deeply a point of the abdomen, located halfway between the umbilicus and the left anterior iliac crest c. Asking the client to flex the right hip and knee to 90 degrees, then abducting the leg and noting if the client complains of pain. d. Pressing down in an area away from the RLQ at a 90-degree angle to the abdomen, then releasing the fingers quickly and noting any complaint of pain