The nurse is working with a newly admitted suspicious client with schizophrenia. Which of the following would the nurse do first?
a. Take a complete physical and social history.
b. Set limits, and spell out the rules before anything else.
c. Have the client prepare for a shower and body search.
d. Introduce oneself, and work on building trust.
D
When working with a newly admitted suspicious client with schizophrenia, the nurse should first introduce herself and begin building trust. This first encounter will establish who the nurse is and form the foundation for the nurse-client relationship. It is through this relationship that trust is developed.
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A pediatric nurse is explaining child abuse and neglect to a class of nursing students. Which information does this nurse provide the students during the presentation? (Select all that apply.)
A. Children with disabilities are at higher risk. B. Diagnosing physical child abuse is easy and quick. C. Each week, about 5 children die from abuse. D. Neglect is most common, but is difficult to identify. E. Unexplained, recurrent conditions may be caused by abuse.
The nursing instructor is talking with her clinical group about cardiac conduction surgery. What would be the criteria for a patient to have this surgery?
A) Sinus bradycardia not responsive to other treatments B) Functional rhythms not responsive to other treatments C) Atrial and ventricular tachycardias not responsive to other treatments D) Ventricular fibrillation not responsive to other treatments
The nurse prepares teaching material regarding nutrient needs in adolescence. For which reason should the nurse emphasize that adolescent males need more protein that adolescent females?
a. A preoccupation with appearance b. An increase in lean body tissue and muscle mass c. Differences in daily activities and attitudes towards health d. The development of needed fat stores in their buttocks and hips
A client has a strong family history of nonpolyposis colorectal cancer. What is the best advice the nurse can give to the client?
1. Have a genetic test to detect the presence of the genetic disorder, even though the client may never develop cancer. 2. Teach the client the symptoms indicating colon cancer and suggest a high-fiber diet to prevent cancer. 3. Have regular colonoscopies. If the colonoscopy is abnormal, then genetic testing is indicated. 4. Have a genetic test to detect the presence of colorectal cancer so that treatment can be initiated as early as possible.