The nurse observes a client muttering to himself and pounding his fist in his other hand while pacing in the hallway. Which of the following principles should guide the nurse's action?
a. Only one nurse should approach an upset client to avoid threatening the client.
b. Clients who can verbalize angry feelings are less likely to become physically aggressive.
c. Talking to a client with delusions is not helpful, because the client has no ability to reason.
d. Verbally aggressive clients often calm down on their own if staff members don't bother them.
Answer: b. Clients who can verbalize angry feelings are less likely to become physically aggressive.
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The nurse is assessing a woman in the immediate postpartum period. The patient's respiratory rate is 22 breaths/minute. The most important aspects of nursing care would be to do which of the following? (Select all that apply.)
A. Assess and provide pain management. B. Assess the patient's blood pressure and pulse. C. Increase the patient's fluid intake. D. Notify the provider for continued tachypnea. E. Provide ongoing physical assessment.
After a comprehensive eye examination, it is determined that the client requires corrective lenses for myopia. Which explanation by the nurse to the client is the most appropriate?
1. "Your glasses will help you to see objects in the distance." 2. "Your glasses will help you to see objects that are very close to you." 3. "Your glasses will help you to improve your eyes' ability to focus and reduce your blurred vision." 4. "Your age has made it more difficult to read items that are at close range. Your new glasses will help."
The patients below present in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient:
a. feeling anxiety and a sad mood after separation from a spouse of 10 years. b. who self-inflicted a superficial cut on the forearm after a family argument. c. experiencing dry mouth and tremor related to haloperidol (Haldol). d. who is a parent and hears voices saying, "Smother your baby."
A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to change the way he lives
What is one means of helping him change behaviors? A) Ethical change strategy B) Values neutrality choices C) Values transmission D) Values clarification