A patient who is currently in an abusive marriage shares, "Some days I think it's just not worth it. I'd be better off if we separated.". The nurse uses restating as a therapeutic communication technique when responding:
a. "Are you sure you are ready to be on your own?"
b. "Can I help you work on a safe, realistic plan to leave?"
c. "You think you would be better off without your spouse?"
d. "How much thought have you given to leaving the marriage?"
C
Clarification involves the nurse attempting to put into words the vague ideas or thoughts that are implicit or explicit in the patient's conversation.
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The registered nurse has delegated client care tasks to unlicensed assistive personnel. Who has accountability for the care of the client?
a. The physician b. The client c. The person to whom the tasks were delegated d. The nurse who delegated the care
A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal?
a. Nasal cannula remains in place. b. Patient completes morning care and eats breakfast. c. Patient verbalizes that he is breathing better after lunch. d. Patient maintains an oxygen saturation of 90% during the shift.
A nurse is planning care for a child with Adrenal Insufficiency (Addison's Disease). The priority nursing diagnosis is:
1. Risk for deficient fluid volume. 2. Risk for injury, secondary to hypertension. 3. Acute pain. 4. Imbalanced nutrition.
The patient, the nurse, and the physician have discussed treatment options and nursing care and have come to an agreement on the patient's plan of care. Which principle does this illustrate?
1. Education 2. Conflict resolution 3. Emotional intelligence 4. Collaboration