A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, "You don't smoke, drink, or take drugs, do you?" This question is an example of:
a. Talking too much.
b. Using confrontation.
c. Using biased or leading questions.
d. Using blunt language to deal with distasteful topics.
ANS: C
This question is an example of using leading or biased questions. Asking, "You don't smoke, do you?" implies that one answer is better than another. If the person wants to please someone, then he or she is either forced to answer in a way that corresponds to his or her implied values or is made to feel guilty when admitting the other answer.
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You are the evening charge nurse responsible for initiating overtime approval on employees' timecards. One of the nurses comes to you and says, "I did not receive overtime pay when I went in the ambulance to transport Mr
Jones last week, and it is my understanding that our union contract states we get overtime even though the overtime just involved the travel back to the hospital after delivering the patient. Will you please follow up and see that I get the overtime on my next check?" What is this an example of? A) Collective bargaining activity appropriate for a first-level manager B) A problem employee griping C) A formal grievance D) A problem that needs to be reported to the director of nurses immediately
The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?
a. Predictable stages of puberty that are based on chronologic age b. Staging of puberty based on the initiation of menarche and nocturnal emissions c. Predictable stages of puberty that are based on primary and secondary sexual characteristics d. Staging of puberty based on the initiation of primary sexual characteristics
A grandmother visits the pediatric clinic with her daughter and 18-month-old granddaughter. The grandmother states, "I told my daughter she needs to get that baby potty trained. She is too old to be messing in her pants."
What is the best response the nurse can make? A) "To help with potty training, the child should be placed on the toilet in the morning." B) "The child should have fluids limited after 7:00 PM to help decrease the chance of nighttime accidents." C) "A child her age should have control of the bladder by now, but her bowels won't be trained until next year." D) "You should start potty training at age 2 to 3 years. At 18 months, she will not be ready to be potty trained."
Which of the following should the nurse incorporate into the care plan of a client demonstrating symptoms of withdrawal delirium?
1. Encourage group participation. 2. Confront denial of substance abuse. 3. Use restraints on all extremities. 4. Create quiet, nonstimulating environment.