A client has blindness that was diagnosed as a conversion disorder. The best nursing intervention would be to:
1. Confront the client about malingering
2. Assist him to make an appointment with an ophthalmologist
3. Express concern about quality of life as a blind person
4. Provide nursing care in a matter-of-fact manner
ANS: 4
Option 1 is incorrect because the client is not feigning illness. An appointment with an eye doctor is not needed, so option 2 is incorrect. The person is not permanently blind, so option 3 is incor-rect. Interacting in a matter-of-fact way reduces any secondary reward.
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A young gay patient being treated for his third sexually transmitted disease does not see why he should use condoms, because "they don't work." The nurse's most appropriate response would be
a. "Condoms may not provide 100% protection, but when used correctly and consistently with every act of sexual intercourse they reduce your risk of getting infected with HIV or other sexually transmitted diseases." b. "You are correct. Condoms don't always work, so your best protection is to limit your number of partners." c. "Condoms do not provide 100% protection, so you should always discuss with your sexual partners their HIV status or ask if they have any STD." d. "Condoms do not provide 100% protection, but when used with a spermicide you can be assured of complete protection against HIV and other STDs."
A nurse is practicing in the community but also has the community as the target of practice. Which of the following best describes the activities of this nurse?
a. Providing care to an active caseload of 50 families in the neighborhood b. Inviting all the parents of asthmatic children in the school to meet together for mutual support c. Sharing assessment findings and health goals with every community group that will listen d. Writing articles for the local newspaper highlighting the various programs and services of the local health department
The student nurse is preparing a nursing care plan for a client who wears dentures. The student nurse has to remove the client's dentures because of a change in medical condition
Which steps have to be completed after removal of the client's dentures? 1 . Document that the dentures were removed 2 . Label the denture container carefully 3 . Store the client's dentures safely 4 . Send the dentures home when the client's family visits A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
Which of the following clients would the nurse monitor for stomatitis?
A) A client with diabetes B) A client with kidney failure C) A client undergoing a bone marrow transplant D) A client with emphysema