The nurse is caring for a client who is anxious about a new diagnosis of cancer. When discussing chemotherapy with the client, the nurse understands that
a. the client will need to be given instructions only once.
b. the client may only hear part of the instructions.
c. emotions obey the rules of logic.
d. a cognitive lack of understanding may occur.
ANS: B
The nurse should avoid sensory overload, and repeat instructions if the client appears anxious.
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A nurse is collecting a health history from a client and feels the client is not reliable. One recommended way to verify some of the client data is to
a. ask the client the same questions but in a different manner. b. confront the client with your suspicions. c. find and question a secondary source. d. have another nurse try to get data from the client
A patient who has recently loss his spouse states, "I just can't cry." What should the nurse realize this patient is at risk for developing?
1. psychological issues 2. depression 3. overemotionality 4. somatic symptoms
When should the nurse first start planning for termination of the nurse-client relationship?
a. From the initial encounter b. After goals have been achieved c. When the client requests it d. During the working phase of the relationship
Your client is a 32-year-old male with lower extremity paraplegia resulting from a trauma 20 years ago. What do you expect to see upon examination of his lower extremities?
1. contractures 2. flaccid musculature 3. spastic musculature 4. muscle fatigue