A client admitted with a diagnosis of antisocial personality disorder comes to the nurses' station at 11:00 p.m. requesting to phone a lawyer. The unit rule states: No phone calls after 10:00 p.m
The client insists on discussing the process for filing for a divorce immediately. Which of the following responses is therapeutic for this client? A) "You know better than to break the rules. I'm surprised at you.".
B) "It is after 10:00 p.m. You can call tomorrow.".
C) "You really don't want to file for a divorce, do you?"
D) "You may go ahead and use the phone. I know this is hard for you.".
B
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The operating room nurse is reading the anesthesiologist's consult of a 30-year-old female patient who will undergo surgical repair of a meniscus tear later that day. The nurse reads that total intravenous anesthesia (TIVA) is indicated
What is the most likely rationale for this intervention? A) The patient has a diagnosis of chronic obstructive pulmonary disease (COPD). B) The patient's insurer does not reimburse for inhaled anesthesia. C) The patient has previously experienced severe postoperative nausea and vomiting. D) The patient is in the first trimester of pregnancy.
A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical principle of nonmaleficence. Which of the following actions would be considered a contradiction of this principle?
A) Discussing a DNR order with a terminally ill patient B) Assisting a semi-independent patient with ADLs C) Refusing to administer pain medication as ordered D) Providing more care for one patient than for another
Which statement applies to the use of antithyroid drugs?
a. They are safe for use in nursing mothers. b. They are safe for use during pregnancy. c. They are unsafe for use during pregnancy and by nursing mothers. d. They must be used during pregnancy to prevent thyroid abnormalities in the fetus.
On assessment of a newborn, the nurse finds meconium in the urine. The nurse realizes that this is indicative of which of the following conditions?
a. a bladder that is wrapped around the intestine b. imperforate anus c. anal agenesis d. a fistula between the bowel and the urinary tract