A nurse is working with a patient to improve self-concept by expanding self-awareness. Which intervention is best?
a. Encouraging the patient to examine feelings related to a stressor
b. Creating a climate of acceptance toward the patient
c. Discussing all possible alternatives and solutions
d. Challenging the patient's faulty beliefs
B
Encouraging the patient to expand self-awareness is part of nursing interventions at level 1 . Creating a climate of acceptance facilitates this process. The remaining options are directed toward self-exploration, realistic planning, and self-evaluation, not self-awareness.
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The nurse excitedly tells the patient about the myoelectrically controlled prosthesis, the movement of which is controlled by:
1. the patient's muscle movement and the prosthesis. 2. battery-operated muscles implanted in the prosthesis. 3. motion-sensing mechanism that swings the prosthesis forward. 4. internal computer chip in the prosthesis.
The nurse is caring for a patient with septic shock and MODS. A family member tearfully tells the nurse, "The doctor said my mother's organs are shutting down. How did that happen?" What is the nurse's best response?
1. "The infection attacks and destroys each organ, causing it to fail." 2. "Fever damages the brain, which controls all organs." 3. "Deprivation of oxygen during shock causes organs to fail to function properly." 4. "The stress of illness has overwhelmed your loved one."
A client tells a nurse that she hates her mother, who paid little attention to her when she was growing up. The nurse is documenting the client's use of the defense mechanism of reaction formation
Which client statement represents this defense mechanism? A) "I don't like to talk about my relationship with my mother." B) "It's my mother's fault that I feel this way." C) "I have a very wonderful mother whom I love very much." D) "My mom always loved my sister more than she loved me."
Hand hygiene is a critical component of aseptic practice. Which of the following demonstrates knowledge of hand hygiene in the intraoperative environment?
A. Rings and watches removed prior to the surgical hand scrub B. Presence of newly applied artificial nail tips C. Preforming hand hygiene at the beginning of your shift. D. presence of intact nail polish