The parents of a newly admitted patient on the pediatric unit are angry and upset about their child's diagnosis. The child has been diagnosed with a serious chronic illness
One parent is weeping, asking, "Are they sure?" The other is pounding his fist into his hand, saying over and over, "It's not fair. I love him too much. It's not fair." Which of the following would be an appropriate response for the nurse in this situation?
A) Stay in the room but say nothing.
B) Leave them alone for a while until they calm down.
C) Tell them that most children do fine for years with the illness and explain that they will adjust to the child's special needs.
D) Acknowledge their sadness and their anger and let them know that the staff is available for their support.
D
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The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. The nurse is referring to what physiological process?
A. Diminished effectiveness of contractions B. Faster, more intense labor and delivery C. Increased release of maternal endorphins D. More tissue trauma due to hurrying the delivery
A nurse is assisting a client with a neurologic deficit to have a bowel movement. Which of the following nursing actions increases peristalsis and encourages defecation?
A) Help the client to the bathroom at a particular time each day. B) Administer a low-volume enema each day at the same time. C) Encourage liquids throughout the day. D) Encourage a high-fiber diet.
A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which client exhibits the highest motivation?
1. A client who has been struggling with following nursing directives regarding discharge goals 2. The client who has just moved in and is already eager for discharge 3. A client who is excited to learn about his new prosthesis 4. A client who has been there the longest and is a great "coach" for newcomers
If a patient with diabetes dislikes something on the tray, you may substitute
A. food from the same food group. B. low-fat or low-calorie foods. C. food from any exchange group. D. vegetables and canned fruit.