During an interaction with a patient, a nurse encourages the patient to express feelings, identify stressors, and review coping strategies. These nursing interventions relate most to the use of
a. risk assessment.
b. behavior modification.
c. therapeutic communication.
d. environmental manipulation.
C
A nurse uses therapeutic communication techniques as part of the therapeutic nurse–patient relationship. Being therapeutic does not imply that the nurse is providing therapy, a formal, structured process. Risk assessment has a different purpose related to provision of an appropriate level of care. Environmental manipulation is more related to milieu management than to therapeutic use of self.
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When assessing gait, what features does the nurse inspect? (Select all that apply.)
a. Balance b. Ease of stride c. Goniometer readings d. Length of stride e. Steadiness
While working on an orthopedic unit of an acute care facility, the nurse's level of suspicion regarding substance dependency would be heightened if a peer made which of the following comments?
1. "Why don't you go to lunch and I'll give your client something for pain." 2. "I went out with my friends last night and got so drunk on two drinks." 3. "I think Mr. Mathews in room 212 is a drug abuser, because he's always asking for something for pain." 4. "I have a urinary tract infection, and I've had to go to the bathroom every 20 minutes."
A nurse in the medical-surgical unit has a newly admitted patient who is oliguric; the acute care nurse practitioner orders a fluid challenge of 100 to 200 mL of normal saline solution over 15 minutes. The nurse is aware this intervention will help:
A) Distinguish hyponatremia from hypernatremia B) Evaluate pituitary gland function C) Distinguish reduced renal blood flow from decreased renal function D) Provide an effective treatment for hypertension-induced oliguria
One hundred women received notification that their screening tests suggested that they might have a serious health problem. Which of the following actions should the nurse take to ensure that they will complete follow-up testing?
a. Compliment them on their willingness to be tested and suggest an immediate appointment before they have too much time to think about the issue. b. Imply that the test could be wrong; the testing materials may not be effective, but the only way to be sure is to be tested further. c. Point out that screening is only suggestive and that not all positive screenings mean they actually have the health problem. d. Reassurance is not therapeutic; reality must be faced. Emphasize the need for immediate treatment.