The statement by a nurse caring for a client with an eating disorder that signals a need for
supervision is
a. "I am working to encourage the client to be healthier.".
b. "I understand that the client is terrified of gaining weight.".
c. "The client's perfectionism and resistance often make me angry.".
d. "I have had to make sure I do not come across as a parent figure.".
C
Frustration is common when client personality traits of perfectionism, obsessive thinking, and the
need to control therapy are present. Anger and frustration signal a need for supervision. Options A
and D are appropriate. Option B is empathetic and important to reflect to the client.
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A nurse is interviewing a patient being admitted to the hospital for surgery. During the interview, the nurse introduces self and explains that will be gathering some information. The nurse is in which phase of the interview?
a. Orientation b. Working c. Assessment d. Termination
The nurse is caring for an older adult client with decreased energy who needs to get up to prevent the development of pressure ulcers. The client is unable to ambulate and wants to be alone. What should the nurse do?
A) Notify the healthcare provider of the client's noncompliance. B) Leave the client alone until ready to get out of bed. C) Gain knowledge about the client from family to gain compliance. D) Proceed to get help to get the client out of bed.
Sensorineural hearing loss is the result of nerve impairment
Indicate whether the statement is true or false
Guidelines for intermittent auscultation of fetal heart rate (FHR) during labor include:
a. Assessing the FHR each hour for 1 full minute b. Use of an ultrasound device or a fetoscope may be used c. Determining the FHR only during uterine contractions d. Assessing FHR every 30 minutes in the second stage of labor