A nurse introduces the matter of a contract during the first session with a new patient because contracts:
a. specify what the nurse will do for the patient.
b. spell out the participation and responsibilities of each party.
c. indicate the feeling tone established between the participants.
d. are binding and prevent either party from prematurely ending the relationship.
ANS: B
A contract emphasizes that the nurse works with the patient rather than doing something for the patient. "Working with" is a process that suggests each party is expected to participate and share responsibility for outcomes. Contracts do not, however, stipulate roles or feeling tone, and premature termination is forbidden.
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The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the most appropriate response by the nurse?
a. "Abstaining is best since most fetal development occurs before you realize you are pregnant." b. "Small amounts of alcohol are safe at any time during pregnancy." c. "Things will be okay if you quit drinking alcohol once you know you are pregnant." d. "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
A nursing instructor teaches a class of students that a problem-oriented medical record includes which of the following sections? Select all that apply
1. Database 2. Problem list 3. Plan of care 4. Progress notes 5. Incident reports
One of the side effects of terbutaline as a tocolytic is
A. Fetal bradycardia B. Increased oxygen consumption C. Marked variability
Sometimes patients communicate by crying, moaning, or laughing. What should this behavior be considered?
a. Verbal communication b. Nonverbal communication c. Acting out and seeking attention d. Seeking holistic support