Using Jean Watson's Theory of Human Caring to establish client goals, the nurse's respect and caring for the client in the spirit of mutuality should result in which of the following?
a. a lifting of depressive symptoms
b. compliance with the treatment regimen
c. a sense of belonging and being liked
d. increased involvement in social activities
C
A caring approach could serve to provide the client with a sense of belonging as well as a sense that he is "likable." The nurse would strive to understand the world from the client's perspective and be willing to listen to the client's subjective experiences. Through a positive nurse-client relationship, the nurse could aid the client in experiencing a positive view of self and a positive sense of future hope.
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A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurse's most appropriate re-sponse would be:
a. "This is a highly effective method, but it has some side effects." b. "Your current medications will reduce the effectiveness of the pill." c. "The pill will reduce the effectiveness of your seizure medication." d. "This is a good choice for a woman of your age and personal history."
A laboring client's obstetrician has suggested amniotomy as a method for creating stronger contractions and facilitating birth. The client asks, "What are the advantages of doing this?" What should the nurse cite in response?
1. Contractions elicited are similar to those of spontaneous labor. 2. Amniotomy decreases the chances of a prolapsed cord. 3. Amniotomy reduces the pain of labor and makes it easier to manage. 4. The client will not need an episiotomy.
A client has terminal cancer. She is taking large doses of opiates to control pain. The nurse should:
a. inform the client to decrease drug dose to avoid drug addiction. b. instruct the client to increase drug dose. c. discontinue the client's opiates to avoid drug addiction. d. allow the prescribed opiate dose unless drug toxicity occurs.
Which vital sign will you monitor carefully while K.B. is on epoetin therapy? Explain your
answer. What will be an ideal response?