A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, he tells the nurse, "I am so ashamed." Which of the following would be the best response by the nurse?
A) "I really thought you would make it."
B) "Tell me what has happened since your last admission."
C) "You have nothing to be ashamed of."
D) "Why did you start drinking again?"
B
Feedback: The therapeutic communication technique described in Answer B is designed to help the client talk about himself and his current situation.
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The nurse is completing a history on a patient with dyspnea. What characteristic of dyspnea is most indicative of pulmonary disease?
A) Most severe when patient is supine B) Awakens patient from sleep at night C) Accompanied by anginal chest pain D) Most severe with exertion
An adult patient has tested positive for tuberculosis (TB). While providing patient teaching, what information should the nurse prioritize?
A) The importance of adhering closely to the prescribed medication regimen B) The fact that the disease is a lifelong, chronic condition that will affect ADLs C) The fact that TB is self-limiting, but can take up to 2 years to resolve D) The need to work closely with the occupational and physical therapists
A patient diagnosed with depression tells the nurse that, on the advice of her friends, she discontinued her medication as soon as she discovered she was pregnant. What is the most appropriate way for the nurse to respond?
1. "That is a good idea. Those drugs can be dangerous." 2. "It is never a good idea to stop taking antidepressant medication." 3. "If you don't continue to take the medication, you are seriously endangering yourself." 4. "I think you should consult with your prescribing provider and get all the information you need to help you make the best decision."
A patient having a cesarean birth will have a low segment incision. What should the nurse explain to the patient as an advantage for this type of incision?
A) The uterine incision will be vertical. B) Vaginal deliveries can occur with future births. C) Because the cervix is cut, the operation proceeds rapidly. D) Because the fundus of the uterus is cut, the infant can be resuscitated rapidly.