The most therapeutic approach for the nurse to take when working with a client entering treatment
for alcohol abuse is
a. strongly confrontive.
b. empathetic, supportive.
c. cool and somewhat distant.
d. skeptical and wary.
B
Support and empathy assist the client to feel safe enough to start looking at problems. Counseling
during the early stage of treatment needs to be direct, open, and honest. The other approaches will
increase client anxiety and cause the client to cling to defenses.
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A client who has experienced an initial transient ischemic attack (TIA) states: "I'm glad it wasn't anything serious." Which is the best nursing response to this statement?
A) "I sense that you are happy it was not a stroke." B) "People who experience a TIA will develop a stroke." C) "TIA symptoms are short lived and resolve within 24 hours." D) "TIA is a warning sign. Let's talk about lowering your risks."
An intervention by the United States federal government to protect the health of its citizens was the establishment of the Marine Hospital Service, presently known as the Public Health Service. Its purpose was to:
1. Set policy on quarantine legislation for immigrants 2. Establish hospital-based programs to care for the sick at home 3. Establish and promote environmental interventions such as adequate housing and sanitation for urban cities 4. Provide health care for merchant seamen to protect seacoast ports and cities from epidemics
The nurse performing a physical assessment of a client diagnosed with dementia documents "emotional liability" on the client chart. Which of the following describes this condition?
A) Suspicion of others B) Depressed state C) Fearful and having false beliefs D) Unexpected mood swings
The nurse is preparing to assess a client suspected of experiencing tardive dyskinesia. Which findings should the nurse anticipate that support the diagnosis?
A. Tremor, muscle rigidity, and a shuffling gait B. Severe muscle spasms of the back, neck, and tongue C. An inability to rest or relax, and restlessness D. Unusual facial movements and lip smacking