A patient with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:
a. encourage the patient to express anger.
b. provide care in a matter-of-fact manner.
c. be very kind, sympathetic, and concerned.
d. offer to listen to the patient's feelings about cutting.
ANS: B
A matter-of-fact approach does not provide the patient with positive reinforcement for self-mutilation. The goal of providing emotional consistency is supported by this approach. All other options provide positive reinforcement of the behavior.
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The Paramedics have brought an intubated patient to the emergency department following a head injury due to acceleration-deceleration motor vehicle accident. Increased intracranial pressure (ICP) is suspected
An appropriate nursing intervention would include what? A) Keep the HOB flat at all times. B) Teach the patient to perform the Valsalva maneuver. C) Administer antipyretics on a prn basis. D) Perform endotracheal suctioning every hour.
The nurse is teaching parents about potential causes of colic in infancy. Which should the nurse include in the teaching session? (Select all that apply.)
a. Overeating b. Understimulation c. Frequent burping d. Parental smoking e. Swallowing excessive air
A psychiatric home care nurse's greatest patient care challenge is:
a. effectively assessing the home care needs of the patient. b. documenting care to reflect the skilled service given. c. providing all the attention each patient wants. d. evaluating family situations accurately.
A patient is fearful of upcoming surgery and a possible cancer diagnosis. The patient discusses love for the Bible with the nurse, who recommends a favorite Bible verse. Another nurse disagrees with this recommendation. Which would be an appropriate response to the nurse who states that there is no place in nursing for spiritual caring?
"Spiritual care should be left to a professional." "You are correct; religion is a personal decision." "Nurses should not force their religious beliefs on patients." "Spiritual, mind, and body connections can affect health."