Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter the room, she appears to be very angry. She has a raised tone of voice and states that she has been waiting for the past hour and has to get back to work. She states that she is unimpressed by the reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't call in an

antibiotic for her. Which of the following techniques is not useful in helping to calm this patient?

A) Avoiding admission that you had a part in provoking her anger because you were late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed


A) Avoiding admission that you had a part in provoking her anger because you were late
In this scenario, the provider was 1 hour late in seeing the patient. The provider should acknowledge that he was late and apologize for this, no matter the reason for being late. It often helps to acknowledge that a patient's anger with you is understandable and that you might be angry in a similar situation.

Nursing

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Under ordinary circumstances, how can the question of whether a nurse acted with reasonable care be proved?

A) The expert testimony of nursing witnesses B) The defendant's explanation of what the nurse did C) The trial judge, after checking the outcome of prior similar court cases D) The testimony of expert medical witnesses

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Which of the following populations are at risk for substance abuse? Select all that apply

a. Adolescents b. Older adults c. Health care providers d. Individuals with acute pain e. Dual-diagnosis psychiatric patients f. Vietnam veterans g. Individuals with chronic pain h. Athletes

Nursing

The nurse is making a home visit to a family with a child born with a genetic abnormality. Which observation in the home indicates to the nurse that the parents are adjusting to the newborn's health problems?

A) The father walks by the bassinet. B) The father leaves during the visit. C) The mother holds the baby during the visit. D) The mother sits on the sofa while the baby cries.

Nursing

The patient asks why the physician ordered only red blood cells (packed RBCs) instead of the entire unit of whole blood. What rationale should the nurse provide?

1. RBCs are useful for patients who are experiencing a depletion of clotting factors. 2. It is the only blood that is left in the blood bank. 3. It is an optimal method of transfusing only the specific component needed by the patient. 4. RBCs are useful in preventing transfusion reactions.

Nursing