A patient with acute depression states, "God is punishing me for my past sins." What is the nurse's best response?

a. "Why do you think that?"
b. "You sound very upset about this."
c. "You believe God is punishing you for your sins?"
d. "If you feel this way, you should talk to a member of your clergy."


ANS: B
The nurse reflects on the patient's comment, a therapeutic technique to encourage sharing for perceptions and feelings. The incorrect responses reflect probing, closed-ended comments, and giving advice, all of which are nontherapeutic.

Nursing

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The nurse understands that in a third-degree AV block:

a. every P wave is conducted to the ventricles. b. some P waves are conducted to the ventricles. c. none of the P waves are conducted to the ventricles. d. the PR interval is prolonged.

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The client with suspected mitral valve prolapse asks the nurse about tests that will be done to confirm the diagnosis. Which is the best response by the nurse?

A) "A halter monitor will be used to confirm diagnosis." B) "An echocardiogram along with clinical symptoms will assist in diagnosis." C) "A chest x-ray will reveal a prolapse if present." D) "An ECG that presents a notched P wave will assist with diagnosis."

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When should the nurse first start planning for termination of the nurse-client relationship?

a. From the initial encounter b. After goals have been achieved c. When the client requests it d. During the working phase of the relationship

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Kwashiorkor is a type of malnutrition usually caused by

a. intake of incomplete protein sources. b. excessive intakes of protein and fluid. c. inadequate intakes of protein and energy. d. inadequate protein intake with adequate energy intake.

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