The nurse has instructed a client with panic disorder about the technique of positive self-talk. The nurse determines that the client has understood the instructions when the client says she should tell herself during an impending panic attack:
A) "I am feeling very nervous right now."
B) "I can handle this anxiety; it will be over shortly."
C) "I am taking medication to eliminate these symptoms."
D) "Relax your muscles, relax your muscles."
A
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The nurse is providing care to a pediatric client who was admitted to the pediatric intensive care unit (PICU) with a partial-thickness thermal burn. When planning care for this client, which should the nurse consider regarding this type of burn?
A) Partial-thickness burns are deeper than superficial burns but still involve the epidermis only. B) A superficial partial-thickness burn extends from the skin's surface into the papillary layer of the dermis. C) A deep partial-thickness burn is often bright red and has a moist, glistening appearance with blister formation. D) A superficial partial-thickness burn is less painful than a deep partial-thickness burn.
While caring for a client with a chest tube, which nursing assessment would alert the nurse to a possible complication?
A) Skin around tube is pink. B) Bloody drainage is seemed in the collection chamber. C) Absence of bloody drainage in the anterior/upper tube D) Crackling is heard when skin around tube is touched.
Which of the following interventions should be the first priority when treating a client experiencing chest pain while walking?
A) Sit the client down B) Get the client back to bed C) Obtain an ECG D) Administer sublingual nitroglycerin
At the end of a 12-hour shift, Debbie overhears that Sam, a client she has cared for previously, is being readmitted to the mental health facility
She says to the charge nurse, "I better stay around for a couple of hours; I am the only one Sam will talk to." This is a warning sign that the nurse is experiencing which of the following obstacles to establishing a therapeutic relationship? A) False reassurance B) Lack of self-awareness C) Excessive probing D) Partnership