Which statement(s) by patients with serious, persistent mental illness best demonstrate that the case manager has established an effective long-term relationship? (Select all that apply.) "My case manager:
a. talks in language I can understand."
b. helps me keep track of my medication."
c. gives me little gifts from time to time."
d. looks at me as a whole person with lots of needs."
e. lets me do whatever I choose without interfering."
A, B, D
Each correct answer is an example of appropriate nursing foci: communicating at a level understandable to the patient, providing medication supervision, and using holistic principles to guide care. The distracters violate relationship boundaries or suggest a laissez faire attitude on the part of the nurse.
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A nurse cares for a client who has a family history of diabetes mellitus. The client states, "My father has type 1 diabetes mellitus. Will I develop this disease as well?" How should the nurse respond?
a. "Your risk of diabetes is higher than the general population, but it may not occur." b. "No genetic risk is associated with the development of type 1 diabetes mellitus." c. "The risk for becoming a diabetic is 50% because of how it is inherited." d. "Female children do not inherit diabetes mellitus, but male children will."
_____ is an influence tactic where another person is given praise or sympathy in an effort to make the other person feel important
a. Assertiveness b. Ingratiation c. Rationality d. Upward appeal
The nurse, reviewing the lifestyle characteristics of a client with a sleep disturbance, would instruct the client on which of the following to encourage sleep?
a. Smoke a cigarette just before falling asleep. b. Eating a large meal before bedtime. c. If hungry at bedtime, have a small snack. d. Turn on the television or radio to have a diversion while waiting to fall asleep.
A patient with skin cancer is recovering from a surgical procedure in which the layers of the lesion were shaved off. The nurse realizes that this patient most likely had which procedure?
1. Mohs surgery 2. complete surgical excision of the lesion 3. curettage 4. electrodesiccation