The nurse is conducting an admission interview. Which response indicates that the nurse is attentively listening to the client's explanations?
1. "Can you explain what your symptoms are like?"
2. "When was the last time you saw a doctor for this?"
3. "Uh-huh," while nodding the head
4. "I'm sorry, say that again?"
Correct Answer: 3
Rationale 1: This is an example of clarifying.
Rationale 2: This is an example of clarifying.
Rationale 3: A nurse can convey attentiveness in listening to clients in various ways. Common responses are nodding the head, uttering "uh-huh" or "mmm," repeating the words the client has used, or saying "I see what you mean."
Rationale 4: This is an example of clarifying.
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As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:
a. Transference b. Secondary gain c. Countertransference d. Insecurity
Which of the following disasters would most likely cause the most long-lasting mental health concerns for its victims?
a. For the fourth year in a row a flood hit an area, demolishing several houses, but families heard the warning siren and evacuated in time. b. A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars. c. A tsunami hit the beach with unbelievable force, water sweeping over the entire harbor, although most boats had been moved to deep water. d. A volcano erupted and lava destroyed the main road to the village where several houses burned, but no one died in the eruption.
A patient was seen in the emergency department following an auto accident. He is being discharged on a muscle relaxant and antiinflammatory medications. Which discharge instruction is the most important for the nurse to give this patient?
a. Take medications on time. b. Keep medications in dark bottles. c. Get plenty of rest and sleep. d. Avoid driving and using machinery.
The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?
A) Ask the client to tell the nurse what is known about caring for the colostomy. B) Make sure the client's spouse is present before the teaching session begins. C) Start from the beginning and proceed through all steps required to perform colostomy care. D) Break the information into small sessions to enhance learning.