During a therapy session, a patient cries as the nurse explores the relationship of the patient and her now-deceased mother. The patient sobs, "I shouldn't be blubbering like this." A response by the nurse that will hinder communication is:
a. "The relationship with your mother is very painful for you."
b. "I can see that you feel sad about this situation."
c. "Why do you think you are so upset?"
d. "Crying is a way of expressing the hurt you're experiencing."
C
"Why" questions often imply criticism or seem intrusive or judgmental. They are difficult to answer; thus they are barriers to communication. The other options are therapeutic in nature.
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The patient shows the necessary defining characteristics, and the nurse has diagnosed Decisional Conflict related to unclear personal values and beliefs. What essential action should the nurse take to help ensure the accuracy of this diagnosis?
1) Ask a more experienced nurse to confirm it. 2) Have a social worker interview the patient. 3) Ask the patient to confirm the diagnosis. 4) Read about Decisional Conflict in the NANDA handbook.
During an assessment of an infant born to an intravenous drug abuser, the nurse should recognize which sign(s) and/or symptom(s) as indicative of drug withdrawal?
a. Plethora and a high-pitched, shrill cry b. Jaundice and sneezing 3 days after delivery c. Tremor and hyperactive reflexes d. Restlessness and seedy, yellow-brown stools
A nurse is frustrated with a coworker who has habitually failed to take her breaks on time. As a result, the nurse's own breaks are often delayed or cut short. Which of the following statements is most appropriately assertive?
A) "It's selfish to make me pay the price for your poor time management." B) "Have you given some thought to ways that you could reorganize the way you take your breaks?" C) "I would appreciate it if you made sure you took your breaks on time so that I can do the same." D) "I'm afraid I'm going to have to report this to our manager because it's inconsiderate."
A client is prescribed a medication that takes several doses to achieve a therapeutic level; however, the effects of the medication are needed immediately
Which of the following can the nurse anticipate to implement in order to achieve this desired effect? 1. Administer the medication intravenously. 2. Administer the medication at hour of sleep. 3. Administer the medication before breakfast. 4. Administer a loading dose of the medication.