As a patient with mental illness is discharged from a facility, the nurse invites the patient to the annual staff holiday party. Select the best analysis of this scenario
a. The invitation facilitates dependency on the nurse.
b. The nurse's action blurs the boundaries of the therapeutic relationship.
c. The invitation is therapeutic for the patient's diversional activity deficit.
d. The nurse's action assists the patient's integration into community living.
B
The invitation creates a social rather than therapeutic relationship. It may or may not increase dependency on the nurse.
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The nurse is completing the health histories for twin toddlers. Which statement should the nurse make to the mother that focuses on the 2020 National Health Goals?
A) Discuss adequate dental care. B) Explain the need for the toddlers to have socialization with other children. C) Remind the mother that the toddlers need regularly scheduled vaccinations. D) Stress the importance of home safety and prevention of accidental poisoning.
A client diagnosed with appendicitis asks the nurse why this illness occurred. The nurse should respond that the most common cause of appendicitis is:
1. ulcerative colitis. 2. obstruction of the appendix. 3. low-fat diet. 4. infection.
A woman is in active labor at 7 centimeters. Which of the following nursing assessments would warrant immediate intervention?
A) Maternal oxygen saturation of 85% B) Below normal alpha-fetoprotein levels C) Three fetal heart decelerations that mirror contractions D) Fetal scalp sampling pH of 7.30
A nurse encourages a client to prevent venous stasis by:
A. Crossing the legs when sitting in a chair B. Wearing thigh-length nylon stockings or garters C. Elevating the legs on pillows while in bed D. Increasing early ambulation