During a session with a client who seems bewildered by his predicament, the nurse is conflicted
about whether to provide advice. The rule of thumb that should be followed is that giving advice to a
client
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the client develop feelings of personal adequacy.
ANS: A
Giving advice fosters dependence on the nurse and interferes with the client's right to make personal
decisions. It robs clients of the opportunity to weigh alternatives and develop problem-solving skills.
Furthermore, it contributes to client feelings of personal inadequacy. It also keeps the nurse in
control and feeling powerful.
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A pregnant patient in labor tells the nurse that she is afraid she may have harmed her fetus by consuming alcohol. What is an appropriate response by the nurse?
a. Ask the patient how much alcohol she consumed, and at which stage of her pregnancy. b. Reassure the patient that the risk is likely to be minimal. c. Tell the patient that no amount of alcohol is considered safe during pregnancy. d. Tell the patient that the full range of out-comes may not be evident for years.
Which of the following drugs promotes bronchodilation and vasoconstriction?
a. Solu-Medrol b. Gentamicin c. Atropine d. Epinephrine
A hospital is concerned that the number of medication errors has increased significantly in the past year
A project revealed four causes of medication errors. The above chart was used to help staff and administration know where to focus efforts to reduce errors. Which process improvement tool is used in this situation? a. Run chart b. Pareto chart c. Flowcharts d. Cause and effect diagrams
A patient has a serum potassium level of 2.7 mEq/L. The patient's provider has determined that the patient will need 200 mEq of potassium to replace serum losses. How will the nurse caring for this patient expect to administer the potassium?
a. As a single-dose 200 mEq oral tablet b. As an intravenous bolus over 15 to 20 minutes c. In an intravenous solution at a rate of 10 mEq/hour d. In an intravenous solution at a rate of 45 mEq/hour