A nurse understands the importance of establishing an effective nurse–client relationship when initiating care. Which are characteristics of a therapeutic nurse–client relationship? Select all that apply
A) Meeting the psychological needs of the nurse and the client
B) Ensuring therapeutic termination
C) Promoting client insight into problematic behavior
D) Collaborating on a set of goals
B, C, D
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A nurse assesses an infant using the Premature Infant Pain Profile and gives the baby a score of 19. What action by the nurse is most appropriate?
A. Administer morphine (Astramorph). B. Give an oral sucrose solution. C. Provide nonnutritive sucking. D. Swaddle and cuddle the infant.
During a large merger of two community hospitals, the nurse-manager was challenged with merging the two very different medical-surgical units into one unit. During the process, meetings were held assuring the nurses that staffing would be a top priority, that education about all changes would occur, and that the manager had faith in the nurses' abilities to implement the change
This nurse-manager was utilizing what tactic to "unfreeze" the system? 1.Producing discomfort 2. Providing psychological safety 3. Critical thinking 4. Inducing guilt and anxiety
A client has a deficiency of aldosterone. Which assessment finding does the nurse correlate with this condition?
a. Increased urine output b. Vasoconstriction c. Blood glucose, 98 mg/dL d. Serum sodium, 144 mEq/L
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
A) "I never felt nurtured or loved when I was growing up." B) "The only time I felt loved and appreciated was when I made the honor roll at school." C) "The only time I ever felt loved was when I was sick enough to miss school." D) "I felt loved and accepted when my father apologized for spanking me so hard."