A patient with low self-esteem has begun making behavior changes. A nurse positively reinforces these changes during a therapy session. The patient and nurse are actively engaged in which level of intervention?
a. Commitment to action
b. Expanded self-awareness
c. Realistic planning
d. Self-evaluation
A
Commitment to action is the fifth level of nursing intervention. At this time the nurse helps the patient to commit to the goal and relates to the patient how the nurse sees the patient, correcting a poor self-image.
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The mother of a 6-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again
The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery, and that it is a coping mechanism that children use called: 1. Repression. 2. Rationalization. 3. Regression. 4. Fantasy.
The nurse is caring for a woman who had sextuplets six hours ago. When the nurse examines the client's lochia, she finds a slow, steady trickle of bright red blood with large clots. The nurse suspects possible:
1. Uterine atony. 2. Uterine prolapse. 3. Third-degree laceration of the perineum. 4. Vulvar hematoma.
The nurse is caring for an otherwise healthy victim of a motor vehicle crash who is experiencing considerable pain. What best describes the patient's pain as acute pain?
A) It is associated with an acute and severe injury. B) It is expected to resolve as the injury heals. C) It requires treatment with intravenous opioids. D) No chronic illnesses have been diagnosed.
The nurse is taking a detailed assessment of a male patient who states, "The doctor has already asked me all these questions. Why are you repeating them?" What is the nurse's best response?
A) "Taking this history allows us to determine what your needs may be for nursing care." B) "You are right; this may seem redundant." C) "I want to make sure your doctor has covered everything." D) "I am a member of your health care team."