The client says to the nurse, "I feel really close to you. You are the only true friend I have." The most therapeutic response the nurse can make is:
A) "I am sure there are other people in your life who are your friends; besides, we just met."
B) "It makes me feel good that you trust me so much; it is important for the work we are doing together."
C) "Since ours is a professional relationship, let's explore other opportunities in your life for friendship."
D) "We are not friends. This is strictly professional."
C
Feedback: The nurse's response must let the client know in clear terms that the relationship is professional, while not demeaning or ridiculing the client. Answers A, B, and D are not appropriate replies in this situation.
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A patient who has diabetes mellitus is diagnosed with schizophrenia and the provider orders thioridazine. The patient asks the nurse why the provider hasn't ordered olanzapine [Zyprexa], which the patient has seen advertised on television
Which response by the nurse is the most im-portant reason that this patient is not receiving olanzapine? a. "Olanzapine is more expensive than thi-oridazine." b. "Olanzapine causes more metabolic side effects than thioridazine." c. "Thioridazine has fewer side effects than olanzapine." d. "Thioridazine has a faster onset of action than olanzapine."
The nurse is caring for an older adult who reports experiencing frequent asthma attacks and severe arthritic pain. What action by the nurse is most appropriate?
a. Review pulmonary function test results. b. Assess use of medication for arthritis. c. Assess frequency of bronchodilator use. d. Review arterial blood gas results.
A client who suffered burns in a house fire reports a headache and is not consistently oriented to time. Which intervention by the nurse is most appropriate?
a. Increase the client's oxygen and obtain blood gases. b. Draw blood for a carboxyhemoglobin lev-el. c. Increase the client's intravenous fluid rate. d. Perform a thorough Mini-Mental Status Examination.
A nursing student is writing a research paper on ways to improve psychiatric nursing outcomes for serious mental illness. Which type of research would be most useful?
1. Nursing 2. Psychosocial 3. Educational 4. Improved functioning