The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a "general lead"?
1. "Do you know why you are here?"
2. "Are you feeling depressed or anxious?"
3. "Yes, I see. Go on."
4. "Can you order the specific events that led to your admission?"
3
Rationale: The nurse's statement, "Yes, I see. Go on," is an example of a general lead. Offering general leads encourages the client to continue sharing information.
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The nurse is preparing a client for surgery. Appropriate leg exercises to include in preoperative teaching include:(Select all that apply) Standard Text: Select all that apply
1. Alternating dorsiflexion and plantar flexion 2. Raise and lower the legs alternately from the surface of the bed 3. Rotate the ankles to right and to left 4. Diaphragmatic exercises 5. Incision splinting
The nurse who is preparing for the return of the patient to the medical-surgical floor after thoracic surgery recognizes that the patient will likely return with a chest drainage system due to:
A) The loss of negative pressure in the chest cavity related to opening the chest B) The loss of positive pressure in the chest cavity related to opening the chest C) The introduction of bacteria into the chest cavity related to opening the chest D) A fluid and electrolyte imbalance related to opening the chest
After the nurse teaches a client about measures to help reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching?
A) "I will make sure to take my estrogen supplements a week before my period." B) "I've signed up to join an aerobic exercise class three times a week." C) "I'll cut down on the number of cups of coffee and colas that I drink everyday." D) "I've just quit smoking about a month ago, so that should help."
A woman is scheduled to have an external version for a breech presentation
The nurse carefully reviews the patient's chart for contraindications to this procedure, such as: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Station –2. 2. 38 weeks' gestation. 3. Abnormal fetal heart rate and tracing. 4. Previous cesarean section. 5. Rupture of membranes.