A client who was widowed 18 months ago is seen in the internal medicine office. She mentions that she started crying when she came across a picture of her late husband. An appropriate response for the nurse would be:
1. "It seems to be a long time for you to still be crying. Have you considered counseling?"
2. "It is very normal for anniversaries, pictures, and holidays to trigger feelings of loss."
3. "Do you have a pet? Pets often can help people move on from a loss."
4. "Are you keeping busy? You need to develop new interests to keep from crying."
2
Rationale: This response does not acknowledge the client's feelings.
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The nurse manager is planning unit orientation for new employees. Which must be considered? Select all that apply. Employee:
1. Cultural diversity 2. Generational differences 3. Socioeconomic status 4. Shifts assigned 5. Retirements on unit
You are working as a nurse practitioner in the Fast Track of the emergency room. A 76-year-old male presents with left upper quadrant abdominal pain. There can be many conditions that present as left upper quadrant pain, but which of the following is least likely to cause pain in the left upper quadrant?
A. Splenic abscess B. Left pyelonephritis C. Splenic rupture D. Acute pancreatitis
If a new nurse manager comes to a unit experiencing low morale and high turnover, which is the priority nursing action?
1. The nurse manager should ask members of the staff privately to discuss issues on the unit. 2. The staff should be made aware that bad attitudes and poor nursing care will not be tolerated. 3. The nurse manager should begin making small changes intended to improve morale and reduce turnover. 4. Charge nurses on the unit should be encouraged to meet with the manager to determine the problems with the staff.
The nurse is discussing the effects of pain with an older adult client diagnosed with osteoarthri-tis. The most therapeutic response to the client's comment of, "I wonder whether it would hurt if I took a nap in the afternoon?" would be:
1. "As long as it did not interfere with your getting a good night's sleep." 2. "I'd suggest taking your nap right after you take your pain medication." 3. "If it helps you cope better with the pain, I don't see any harm in taking a nap." 4. "I think a nap is a good idea because we seem to feel pain more when we are tired."