Why should a nurse introduce the matter of a contract during the first session with a new patient? Contracts:
a. specify what the nurse will do for the patient.
b. spell out participation and responsibilities of both parties.
c. are indicative of the feeling tone established between the participants.
d. are binding and prevent either party from prematurely ending the relationship.
B
A contract emphasizes that the nurse works with the patient rather than doing something for the patient. "Working with" is a process that suggests each party is expected to participate and share responsibility for outcomes.
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The client has new onset of benign prostatic hyperplasia (BPH) with related urinary symptoms. What factor most likely underlies the client's urinary symptoms?
A) Loss of bladder elasticity B) Compression of the urethra C) History of use of diuretics D) Excessive use of urinary antiseptics
A nurse is monitoring the vital signs of a client who has received epinephrine. The nurse would report which of the following assessment findings?
A) Systolic blood pressure below 100 mm Hg B) Temperatures reading of 97.6 °F C) Pulse rate of 60 beats/min D) A diastolic blood pressure of 75 mm Hg
During hemodialysis, a client with chronic renal failure develops headache, nausea and vomiting and restlessness. Which initial action by the nurse would be most appropriate?
A. Notify the physician immediately. B. Discontinue the hemodialysis immediately. C. Order a blood urea nitrogen level STAT. D. Administer an intravenous bolus of dextrose solution.
When should the nurse first start planning for termination of the nurse-client relationship?
a. From the initial encounter b. After goals have been achieved c. When the client requests it d. During the working phase of the relationship