A client states that his mother controls everything in his life, even the things he says, the things he thinks, the things he eats, and how much he sleeps. The nurse notices that the client is talking faster and is beginning to tremble
What responses should the nurse make? Select all that apply. A) "That must be frightening for you. I want you to take a deep breath and try to relax right now.".
B) "Let's talk about that later. Let's walk down the hall and I'll show you the day room.".
C) "If these thoughts keep troubling you, it's okay to come and tell someone.".
D) "Do you think it's possible for other people to put thoughts in your head?"
E) "Can you tell me more about your relationship with your mother?"
A, B, C
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The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated approximately 1 to 3 mm. What other signs would the nurse expect to find in this patient?
a. Pink, papular rash on the face and neck b. Pruritic vesicles over her trunk and neck c. Hyperpigmentation on the chest, abdomen, and back of the arms d. Red-purple, maculopapular, blotchy rash behind the ears and on the face
The nurse observes a client make menu selections that include all major food groups for each meal. Which aspect of a healthy diet is this client demonstrating?
a. Balance b. Preference c. Moderation d. Concentrated
A patient who has a history of involvement with drugs and weapons comes up to you in the hallway and asks you a question regarding directions in treatment. When you respond, he moves closer in to you and puts both hands up on either side of your neck
No one else is in the hallway. Your best response at this point is to: a. Yell at him to stop. b. Calmly ask the patient to remove his hands. c. Hit the patient in the midsection. d. Use pepper spray.
A group of nurses is in a discussion about the homeless population in their community as a means for developing appropriate programs for this group
Which statement by one of the members indicates a need for the group to address the nurse's stereotypical thinking? A) "Homeless individuals must be creative in figuring out ways to survive." B) "People who are homeless come from all walks of life." C) "If the person lives on the street, he will not accept services." D) "Most people are homeless for a relatively short period of time."