A nurse is overheard telling a patient, "No, you do not need to bathe yourself. It doesn't make any difference if that's what the other nurses have you do. I will do that for you
I enjoy doing things for others, and I know you'll appreciate my taking this time with you." The most accurate assessment of this nurse's behavior is that she's
a. weird.
b. a good nurse.
c. hoping for a raise.
d. co-dependent.
ANS: D
Co-dependent behaviors by the nurse interfere with patient autonomy. There are insufficient data to choose one of the other options.
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In demonstrating a respiratory assessment, the nursing instructor has a student repeat the letter E while the instructor assesses voice sounds
Upon auscultation, the instructor notes that the voice sounds are distorted and she hears the letter A instead of the letter E. The instructor asks the students to document this finding. How would this finding be documented? A) Bronchophony B) Egophony C) Whispered pectoriloquy D) Sonorous wheezes
Which statement by the nurse is likely to elicit more information about the client's feelings about an event?
a. Tell me more. b. Why do you feel that way? c. Are you upset? d. Don't be upset about that."
The nurse instructs a patient with vitiligo who is receiving phototherapy to:
1. expose himself to the sun for several hours before treatment to acclimate the skin surface. 2. wear protective clothing. 3. wear loose clothing such as sleeveless T shirts and shorts after the treatment. 4. leave sunglasses off after treatment so that the eyes can more quickly accommo-date.
A patient tells the nurse that even though at times he experiences a stomachache, after a few hours, the ache is gone and he feels fine. Which of the following might explain what the patient is describing to the nurse?
1. the duodenal pH of 4.0 killed the offending organism 2. the offending organism is killed by the acidic stomach environment 3. lack of mucous in the duodenum propelled the organism through the system 4. the offending organism is blocked by chyme