When a nurse tries to administer medication, the client refuses it, saying, "I don't have to take those pills if I don't want to." What intervention by the nurse would have the highest priority?
a) Explaining the consequences of not taking the medication, such as a negative outcome
b) Insisting that the client take the medication because it is specifically ordered for the client
c) Exploring how the client's feelings affect his/her decision to refuse medication
d) Reporting the client's comments to the physician and the treatment team
Answer: c) Exploring how the client's feelings affect his/her decision to refuse medication
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The major block to active listening with an angry resident is the
a. Amount of anger being expressed b. Lack of time to listen c. Unwillingness of the angry person to nego-tiate solutions d. Tendency to prepare a defense
The nurse is caring for a patient who has painful memories of a previous sexual assault. How will the nurse best display the therapeutic use of self when caring for this patient?
1. Providing the patient personal information. 2. Engaging in a caring conversation with the patient. 3. Providing the patient information on therapy choices. 4. Encouraging the patient to confront his or her feelings.
A patient is prescribed an extended-release drug for overactive bladder. Which precaution is most important for you to teach the patient?
a. "Avoid taking this drug at bedtime." b. "Drink at least 3 L of fluid daily." c. "Swallow the tablet or capsule whole." d. "Perform a home pregnancy test monthly."
Emergency medical technicians bring a 17-year-old boy to the emergency department after a diving accident. The patient is alert and coherent. He tells the nurse, "I think I hit a rock and now I can't feel my arms or my legs
" A rapid physical assessment shows no other apparent injuries. What is essential in this patient's care? A) Send for a CT scan immediately B) Draw a basic metabolic panel to check for infection C) Immobilize the spine until it is cleared of injury D) Log roll the patient to remove backboard reducing pressure on spine