The nurse is assisting in developing a plan of care for a client with a psychotic disorder who is experiencing altered thought processes that include the belief that the food is being poisoned
The nurse develops strategies that will encourage the client to discuss feelings and plans to: 1. Use open-ended questions and silence.
2. Focus on the components of adequate nutrition.
3. Focus on the fact that the client's beliefs are untrue.
4. Instruct the client about the need for adequate nutrition.
1
Rationale: Open-ended questions and silence are strategies used to encourage clients to discuss their feelings. "Focus on the components of adequate nutrition" and "instruct the client about the need for adequate nutrition" are not helpful to the client because they do not encourage the client to express feelings. "Focus on the fact that the client's beliefs are untrue" will block the nurse-client relationship.
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A Filipino American client is discussing concerns related to osteoporosis with the nurse educator. Which concept related to cultural nutrition may pose problems for this client's plan of care and will need to be incorporated into the information provided?
1. Potential for lactose intolerance. 2. Pork is a primary source of protein. 3. Heavy use of salt and vinegar. 4. Chicken is a primary source of protein.
A medical nurse is careful to adhere to infection control protocols, including handwashing. Which statement about handwashing supports the nurse's practice?
A) Frequent handwashing reduces transmission of pathogens from one patient to another. B) Wearing gloves is known to be an adequate substitute for handwashing. C) Bar soap is preferable to liquid soap. D) Waterless products should be avoided in situations where running water is unavailable.
The nurse has just begun testing range of motion in a patient's right knee when the patient says, "That really hurts."
Which interventions should be implemented? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Continue to try to achieve normal ROM. 2. Stop the test on that joint. 3. Massage the knee for 20 minutes. 4. Call the health care provider. 5. Test ROM in the left knee and compare findings.
A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone (Celestone)
The nurse understands that the medication will do which of the following? 1. Prevent spontaneous delivery. 2. Stop the uterine contractions. 3. Promote maturation of the fetal lungs. 4. Accelerate the growth rate of the fetus.