Which of the following is useful advice for the nurse communicating with a client who speaks a different language?
1. Address the client by first name only (to minimize confusion)
2. Do not assume a client is angry if he or she speaks loudly
3. Try to use an ethnic dialect so that the client feels accepted
4. Inform the client of friends you might know of the same ethnic background
ANS: 2
The customary volume of spoken conversation varies from culture to culture. The only way to know whether a client's loud voice signals anger is to validate the assumption with the client. Options 1 and 3 show lack of respect. Option 4 is inappropriate and irrelevant.
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The nurse is caring for a client who presents with chronic epigastric pain, heartburn, and anorexia. The client asks the nurse how the doctor can best determine whether the symptoms are caused by gastritis. Which is the nurse's best response?
a. "You will be asked to drink a barium solution while x-rays are taken of your stomach." b. "The doctor will take a look inside your stomach using a tube with a light on the end of it." c. "A CT scan of your abdomen will show whether inflammation is present in your stomach." d. "A blood sample will be sent to the laboratory to determine whether you have a stomach infection or bleeding."
In Smith's Unitary Theory of Caring, nurses approach knowing their patients through using ________ and _________abilities to grasp _______
A. Problem-solving, nursing diagnosis, outcome B. Sensory, extrasensory, wholeness C. Sensory, extrasensory, patterning D. Creative emergence, appreciating pattern, concept synthesis
The nurse notes that the tube-fed client has shallow breathing and dusky color. The feeding is running at the prescribed rate. What should the nurse do first?
1. Place the client in high Fowler's position. 2. Turn off the tube feeding. 3. Assess the client's lung sounds. 4. Assess the client's bowel sounds.
Ordered: Magnesium sulfate 4 g in 250 mL D5W to be infused at 1 g/h. The infusion pump should be set at ________.
Fill in the blank(s) with the appropriate word(s).