During the working phase of the relationship, the nurse assesses that the patient may be demonstrating resistance. The most appropriate way to deal with this would be to:
a. assist the patient in exploring his or her past for uncovered issues and conflicts.
b. clarify, share observations, and reflect content and feelings with the patient.
c. confront the patient with the behavior and state, "You will be expected to work harder.".
d. avoid mentioning the therapeutic barrier and wait until the patient again indicates readiness.
B
The relationship can become stalled if the nurse is not prepared to deal with the impasse. The nurse may use clarification by saying something such as, "I sense that you're struggling with yourself and wanting to explore your relationship with your parents, but that you don't yet want to experience the pain it may bring.".
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The nurse reviewing laboratory results for a patient in her care recalls that several substances are filtered from the blood by the glomerulus and excreted in the urine
The nurse identifies the presence of which substances in the urine as abnormal findings? A) Potassium and sodium B) Bicarbonate and urea C) Glucose and protein D) Creatinine and chloride
A large mental health facility has several specialized units. A patient admitted for alcohol withdrawal asks, "Will I be with patients who have schizophrenia or dementia while I'm here?" Select the nurse's best answer
a. "No. Patients with alcoholism often become violent and must be isolated from our general psychiatric population." b. "No. Patients with needs for alcohol detoxification are treated on our acute substance abuse unit." c. "Yes. Our patients often help each other, so they are all on the same unit." d. "Your question leads me to wonder if you're feeling frightened."
Select the immunizations that are appropriate at the 2-week-old well-baby checkup:
A) Hepatitis B (if not given at birth) B) Hepatitis B, DPT (diphtheria, pertussis, tetanus). C) Hepatitis B, OPL (oral polio). D) Oral polio.
A nurse is applying a vaginal cream to a patient with a vaginal infection. Which of the following is a recommended guideline for this application?
A) Position the patient in the prone position. B) Cleanse area at vaginal orifice with washcloth and warm water. C) Wipe from the sacrum to the vaginal orifice upward (back to front). D) Spread the labia with dominant hand and introduce the applicator with the nondominant hand gently, using pushing motion.