A client is hesitant to tell a nurse how she is currently feeling. Which of the following should the nurse do?
a. Document the client is noncompliant.
b. Document the client is being argumentative.
c. Tell the client that unless she answers the questions, she will be kept in the hospital longer.
d. Engage in therapeutic communication to encourage the client to express her feelings.
ANS: D
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The nurse is planning an education program on nutrition and weight management following the Healthy People 2020 guidelines. Which of the following would be an appropriate primary objective for the nurse to use in planning this program?
A) Increase the number of countries with nutrition standards for foods and beverages provided to preschool-age children in child care. B) Increase the proportion of schools that offer nutritious foods and beverages outside school meals. C) Increase the number of federal policies that incentivize food retail outlets to provide foods that are encouraged by the Dietary Guidelines for Americans. D) Increase the proportion of people globally who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans.
The patient tells the nurse that she has been taking phenytoin (Dilantin) for 2 years now and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse?
1. "Please do not stop the medication abruptly, as you will have withdrawal seizures." 2. "Side effects are a problem, but they are not as bad as the seizures you were having." 3. "This is the best medication for you; we can add another medication to decrease side effects." 4. "You have probably been on the medication long enough; I'll let your doctor know you are stopping it."
The nurse tells a peer that the nurse is being sexually harassed. Which of the following statements by the nurse best describes quid pro quo sexual harassment?
1. "The nurse manager touched me inappropriately while we were in the supply closet." 2. "I was told that I would be promoted if I had a sexual relationship with the nurse manager." 3. "Every time I walk in the room, the nurse manager tells a sexist joke." 4. "I hate that pin-up calendar with all of the nude pictures in the break room."
In order for the kidney tubules to continue to secrete hydrogen ions (H+) into the tubular filtrate, mechanisms must exist that allow the secreted hydrogen ions to be taken up (buffered) by components in the tubular filtrate
One such mechanism is: A. Secretion of ammonia (NH3) by tubular epithelial cells that combines with the hydrogen ions to form ammonium ions (NH4+) B. Secretion of bicarbonate ions (HCO3–) into the tubular filtrate by the tubular epithelial cells C. Secretion of phosphate ions into the tubular filtrate by the tubular epithelial cells D. Excretion of urea into the tubular filtrate