The nurse attempts to explain to the family of a mentally ill client how the nurse-client relationship
differs from other interpersonal relationships. The best explanation is that
a. the focus is on the client; problems are discussed by the nurse and client; and
solutions are implemented by the client.
b. the focus shifts from nurse to client; advice is given by both parties; and solutions
are implemented by each.
c. the focus is socialization; mutual needs are met; and feelings are shared.
d. the focus is creation of a partnership in which each member is concerned with
growth and satisfaction of the other.
ANS: A
Options B, C, and D describe events that occur in social or intimate relationships. Only option 1
describes the elements of a therapeutic relationship.
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The client is diagnosed with dyslipidemia. This diagnosis is supported when the client's lipid panel indicates a: Select all that apply
a. triglyceride level of triglyceride levels (>2000 mg/dL). b. Low Density Lipids (LDL) level of 120 mg/dL. c. Total Cholesterol level of 260 mg/dL. d. High Density Lipids (HDL) level of 70 mg/dL. e. Glucose level of 230 mg/dL.
The perinatal nurse talks to the prenatal class attendees about guidelines for exercise in pregnancy. Recommended guidelines include:
Select all answers that apply: A) Stopping if the woman is tired B) Bouncing and slowly arching the back C) Increasing fluid intake throughout the physical activity D) Maintaining the ability to walk and talk during exercise
Choose the nursing intervention that is most appropriate in providing care to a 28-year-old mother of two children who is in the terminal stages of ovarian cancer but is still able to commu-nicate
a. Instruct her in the benefits and risks of new experimental cancer treatments. b. Give her as much opportunity as possible for control over her care. c. Allow her to verbalize her regrets and shortcomings of her life. d. Limit the number of visits by her children to two per day.
A nurse is caring for a client who has to be prevented from scratching an open wound. The physician has ordered wrist restraints for the client. What should the nurse do when restraining the client's hands using soft wrist protective devices?
A) Bring both ends of the tie together and attach them to the side rails. B) Apply the padded portion of the device around the wrist. C) Attach both straps on the same side of the chair. D) Attach the restraint only to the wrist closest to the wound.