The new mother is holding her two-hour-old son. The delivery occurred on the due date. Apgar scores were 9 at both one and five minutes. The mother asks the nurse why her son was so wide awake right after birth, and now is sleeping so soundly
Which statement is best for the nurse to make? A. "Don't worry at all; babies go through a lot of these little phases."
B. "Your son is in the second alert phase. He'll wake up soon."
C. "Your son is exhausted from being born, and will sleep six more hours."
D. "Your breastfeeding efforts have caused excessive fatigue in your son."
B
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Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship?
1. "I'm going to miss our sessions together, but I think you're ready to handle difficult situations on your own." 2. "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively." 3. "I'm skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful." 4. "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."
The nurse is caring for a 14-year-old boy with cancer. Which of the following communication techniques would be least effective for him?
A) Letting him choose juice or soda to take his pills B) Seeking his input on all decisions C) Discussing the benefits of chemotherapy with him D) Avoiding undue criticism of noncompliance
The nurse caring for a client who is depressed and suicidal would recognize that the nurse's primary responsibility is to:
a. encourage the client to interact with others on the unit b. support the client while maintaining a safe environment c. involve family members in the treatment plan immediately d. administer antidepressant medications
During a course of 12 electroconvulsive therapy (ECT) procedures, an anxious client diagnosed with major depression refuses to bathe or attend group therapy. He reports some memory problems and says he has trouble figuring out what time of day it is
At this time, which of the following nursing diagnoses should be assigned to this client? Select all that apply. A. Anxiety R/T post-ECT confusion and memory loss B. Risk for injury R/T post-ECT confusion and memory loss C. Risk for activity intolerance R/T post-ECT confusion and memory loss D. Altered sensory perception R/T post-ECT confusion and memory loss E. Social isolation R/T post-ECT confusion and memory loss