Of the following recommended interviewing techniques, which one is the most basic? (That is, without that intervention, the others will all be less effective.)
1) Beginning with neutral topics
2) Individualizing your approach
3) Minimizing note taking
4) Using active listening
ANS: 4
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The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV. The best action for the nurse at this point would be to:
1. keep the infusion equipment out of sight as much as possible, talk slowly, and divert the patient. 2. inform the patient that the doctor has ordered the IV and calmly continue to pre-pare the site and start the IV. 3. give an analgesic as ordered, wait a few minutes, and then proceed. 4. restrain the patient's arm to a padded arm board and proceed as directed.
An immobile person has decreased movement of respiratory secretions. What condition is a greater risk as a result?
A) respiratory tract infection C) greater thoracic expansion B) increased gas exchange D) increased respiratory rate
An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
a. give a bolus of 50% dextrose. b. insert a large-bore IV catheter. c. initiate oxygen by nasal cannula. d. administer glargine (Lantus) insulin.
A multi-organization medical system is designing a community-based facility to support the health care needs of members who live in an urban area. What should the medical system keep in mind when designing the new facility?
1. Affordable 2. Easy to travel to the facility 3. A focus on the needs of mothers and children 4. Many services available to meet community members' needs 5. Communication of care needs to the community members' other health care providers