A client familiar to the nurse is grief-stricken and in tears after learning that his wife has decided to file for divorce and sue for full custody of their children
Which of the following actions by the nurse are appropriate? Standard Text: Select all that apply. 1. Wiping away the client's tears without permission
2. Asking the client if it is okay to give him a hug
3. Holding the client's hand with his permission
4. Patting the client on the shoulder and offering reassurance
2,3
Rationale: Holding the client's hand with his permission is appropriate and can foster a more productive therapeutic relationship.
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A mother brings a child to the pediatric office for a sick visit. The nurse should:
1. Focus exclusively on the reported illness. 2. Review health promotion and maintenance activities. 3. Ask the mother to leave the room after obtaining the history. 4. Obtain a comprehensive history, including sociodemographic data.
Growth failure in children treated with dialysis can be combated with three of the following suggestions. Which of the following items would be ill advised?
1. Serving the children alone so their restricted diets are less apparent 2. Using festive tableware and dishes 3. Dividing intake into small frequent meals 4. Varying textures and colors of foods
Your elderly client suffers from metastatic cancer. Your client understands the condition and expresses a readiness for death. What nursing diagnosis would be most appropriate?
1. Ineffective coping 2. Readiness for enhanced spiritual well-being 3. Risk for spiritual distress 4. Spiritual distress
A client diagnosed with an obsessive-compulsive disorder spends hours bathing and grooming. During a one-on-one interaction, the client discusses the rituals in detail but avoids any feelings that the rituals generate
Which defense mechanism should the nurse identify? A. Sublimation B. Dissociation C. Rationalization D. Intellectualization