The nurse is collecting data from a client regarding past alcohol use history. What question will provide the greatest amount of information?
1. Are you a heavy drinker?
2. How often do you use alcohol?
3. Drinking doesn't cause any problems for you, does it?
4. Is alcohol use a concern for you?
2. How often do you use alcohol?
Rationale:
Open-ended questions will elicit the greatest amount of information. Asking closed questions that can be answered with a "yes" or "no," such as those in the other options, will limit the information obtained.
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Which nursing action is inappropriate when providing the client with a hygienic and comfortable environment?
1. Speaking softly in the hall of the facility 2. Obtaining a bed extender for the client who is very tall 3. Placing a room deodorizer in the room of the client with asthma who complains of the odor in the room 4. Maintaining room temperature between 68 °F and 74 °F
A client is prescribed nitrate therapy as treatment for angina. On a follow-up visit to the clinic, the client tells the nurse that he gets dizzy and weak when he takes the medication. The nurse would identify which nursing diagnosis as most likely?
A) Risk for Injury B) Risk for Infection C) Deficient Fluid Volume D) Acute Pain
When integrating the principles of family-centered care, the nurse would NOT include which of the following?
A) Parents want to make decisions about their child's treatment. B) Families can make informed choices. C) People have taken less responsibility for their own health. D) Families require more information to make appropriate decisions.
While performing a self-breast exam, the client notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were not problematic in the past,
The left breast examination is unremarkable. The client calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse take next? a. Refer the client to an oncologist because the results sound suspicious. b. Ask the client to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation. c. Have the client wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass. d. Have the client repeat the self-breast exam in 2 weeks and call back with findings to provide a basis for comparison.