The nurse is seeking to motivate a frustrated patient who is learning to walk again after a stroke. Which intervention would be most effective?
a. Show short movies on ambulation tech-niques.
b. Observe the patient while in physical therapy.
c. Arrange a visit with another stroke victim who has learned to ambulate.
d. Encourage a 1-week break from therapy, which will help the resident come back refreshed.
C
Talking with someone who can truly understand the frustration is helpful. Showing a short movie on ambulation techniques may be an effective teaching tool, but it is not a motivational tool. Observing the resident is necessary but does not provide motivation. A 1-week break will inter-rupt progress that has been made, thus decreasing motivation.
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The nurse conducts a physical assessment for a client. Which client statement during the assessment indicates the client is at risk for developing a major illness?
1. "Look at that person's pants! Don't they realize how ugly they are?" 2. "That sounds like a good idea! I think I will try that at home." 3. "I just love spending time outside. It energizes me!" 4. "I set aside a period of time each day for myself."
To maintain normal elimination patterns in a hospitalized patient, why should the nurse encourage the patient to take time to defecate 1 hour after meals?
a. The presence of food stimulates peristalsis. b. Mass colonic peristalsis occurs at this time. c. Irregularity helps to develop a habitual pattern. d. Neglecting the urge to defecate can cause diarrhea.
A client who is disabled due to stroke is discharged from a health care unit and an LPN is assigned to provide nursing care to the client at home. This is an example of which kind of care?
A) Extended care B) Secondary care C) Tertiary care D) Primary care
Which of the following would the nurse use to determine that a client is exhibiting signs and symptoms of chronic osteomyelitis?
A) High fever B) Persistent draining sinus C) Rapid pulse D) Tenderness over the affected area