A desirable outcome for the initial stage of a nurse-client relationship is that the client will
demonstrate behaviors that indicate he or she has
a. developed a greater sense of independence.
b. developed rapport and trust with the nurse.
c. developed self-responsibility.
d. resolved transferences.
ANS: B
Development of rapport and trust is necessary before the relationship can progress to the working
phase. Options A, C and D would probably occur in the working phase.
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The patient is recovering from general anesthesia and has a pulse oximeter reading of 82%. The nurse implements the stir-up regimen. What does this regimen include?
A) Assess vital signs every 15 minutes. B) Administer a narcotic antagonist. C) Elevate the patient's legs 45 degrees. D) Encourage the patient to turn, cough, and deep breathe.
Using Maslow's hierarchy of needs, which patient should the nurse assess first?
a. Complains of pain of 6 on a scale of 1 to 10 b. Crying after receiving a terminal diagnosis c. Disoriented and agitated d. Waiting for discharge teaching
A young adult client is seen in the clinic complaining of a lump on the left wrist, but states it is not painful. The nurse notes a round mass on the back of the wrist. Based on this data, which condition does the nurse suspect?
1. Rheumatoid arthritis. 2. Osteoarthritis. 3. Ganglion. 4. Carpal tunnel syndrome.
The physician has ordered continuous pulse oximetry. The nurse explains to the patient that the procedure:
1. involves a single prick. 2. measures the amount of oxygen in the blood. 3. is applied to the wrist. 4. identifies damaged cells in the myocardium.