A client's spouse suggests they go for a walk after dinner. This occurs 3 times a week for months. Thereafter, walking after dinner occurs several times a week without requiring suggestion. This is an example of:
a. conditioning
b. reward
c. punishment
d. reinforcement
Answer: a. conditioning
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The nurse is performing a respiratory assessment of a patient who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
A) An appropriate perfusion–diffusion ratio B) An adequate ventilation–perfusion ratio C) Adequate diffusion of gas in shunted blood D) Appropriate blood nitrogen concentration
A postmenopausal client says that she is experiencing difficulty with vaginal dryness during intercourse and wonders what might be causing this. Which is the nurse's best response?
a. "The less frequently you have intercourse, the drier the vaginal tissues become." b. "Estrogen deficiency causes the vaginal tissues to become drier and thinner." c. "Drinking at least 3 liters of water each day will make all your tissues less dry." d. "Try using a water-soluble lubricant during intercourse."
A female client in a psychiatric unit with borderline personality disorder is angry that the night-shift staff will not let her get a cup of coffee at 3 A.M
She brings this up in a community meeting and develops a following of clients who demand access to the cafeteria at all hours. Which nursing action prevents the nursing staff from being "split"? A) Allow the patients to decide how they want the milieu to operate. B) Communicate thoroughly and effectively throughout the various shifts and maintain consistent rules. C) Eliminate coffee from the unit. D) Allow clients to have free access to the cafeteria at all times.
A nurse is ordered to perform digital removal of stool on a patient with stool impaction. Which of the following is an appropriate step in this procedure?
A) Position the patient in supine position as dictated by patient comfort and condition. B) Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. C) Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. D) Instruct the patient not to bear down while extracting feces to prevent vagal response.