A patient says, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which comment would be appropriate if the nurse seeks clarification?
a. "It sounds as though you were uncomfortable with the content of your dream."
b. "I understand what you're saying. Bad dreams leave me feeling tired, too."
c. "So, all in all, you feel as though you had a rather poor night's sleep?"
d. "Can you give me an example of what you mean by stoned?"
D
The technique of clarification is therapeutic and helps the nurse examine meaning. The distracters focus on patient feelings but fail to clarify the meaning of the patient's comment.
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A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease:
a. Makes it hard to examine the breasts. b. Frequently turns into cancer in a woman's later years. c. Is easily reduced with hormone replacement therapy. d. Is usually diagnosed before a woman reaches childbearing age.
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
a. Standards of care b. Regulation of practice c. American Nurses' Association Code d. Nurse practice act
Using the infant feeding guidelines, you would advise a mother of a 4-month-old infant to
a. provide 20 to 24 oz of milk each day. b. introduce rice cereal first, because it is the least allergenic of the cereals. c. offer one new food each day and observe for signs of allergic reactions. d. add sugar to the baby's orange juice.
A patient has recently been diagnosed with adrenal hormone insufficiency. The nurse is providing patient education about the use of glucocorticoids. Which statement made by the patient demonstrates a need for further teaching?
a. "I should wear a medical ID bracelet at all times." b. "I should increase my dose when I am stressed." c. "I should lower my dose when I am stressed." d. "I should carry an adequate supply of medication with me at all times."