A student nurse is having difficulty establishing relationships with patients. What should this student be counseled to do?
1. Focus on the purpose of a therapeutic alliance.
2. Study cognitive theory.
3. Review the concepts of caring.
4. Develop self-awareness to focus on being helpful to patients.
4
Rationale 1: Simply focusing on why it is important to develop a therapeutic relationship is not the best method of developing that relationship.
Rationale 2: Cognitive theory does not assist with the development of a therapeutic nurse–patient relationship.
Rationale 3: Reviewing the concepts of caring might help the nurse understand why a therapeutic relationship is important but will not help with the nurse's personality development.
Rationale 4: One aspect of the nurse–patient relationship is the nurse's self-awareness. The nurse needs to expand insight into his or her own personality.
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A 3-year-old African American child is diagnosed with sickle cell anemia. The parents know that sickle cell anemia is hereditary but do not understand why their child has the disease because neither of them has it
What is the most accurate information to provide? a. At least one of the parents has to have the disease. b. Only one parent has to have the disease or the trait. c. Someone in previous generations had the disease. d. Both parents were carriers of the sickle cell trait.
Any significant change in the workplace can lead to discomfort and resistance. Which of the following statements can decrease staff resistance to the implementation of a new system?
1. "Give it time, you will like it." 2. "Perhaps you need more staff development programs." 3. "We know what we are doing. The committee has worked on this project for months." 4. "If you find that its functions are not user-friendly, the committee can make the appropriate changes."
An older client is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this client's risk of aspiration?
1. Administer formulas that contain fiber. 2. Keep the head of the bed elevated at a 30 to 45 degree angle. 3. The risk of aspiration no longer exists after a permanent feeding tube has been placed. 4. Flush the tube with water before and after each medication administered through the tube.
The nurse is caring for a child with Haemophilus influenzae type B. Which nursing intervention helps prevent complications seen with this disorder?
A) Monitor for seizure activity B) Elevate the head of the bed C) Administer antibiotics D) Monitor fluid intake