The nurse is writing a process recording of an interaction with a client. The nurse records the exchange that follows. Client: "My brother is such a mean person

He never has anything nice to say about me, and is always complaining that I can't do anything right. He says I'm a loser." Nurse: "I know what you mean. My sister is always trying to tell me how to run my life, and it really gets me upset. Sometimes I could just scream." Analysis of the preceding exchange indicates that the nurse's part in the interaction is: a. an effective use of active listening skills to build the relationship
b. an offer of self as a positive role model for interactions
c. incorporating reflection as a therapeutic communication technique
d. an inappropriate use of self-disclosure


D
The nurse's discussion of her own sister is an inappropriate use of self-disclosure. The nurse has neglected to explore further the client's feelings regarding comments made to the client by her brother. The focus of the conversation should have remained on the client.

Nursing

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A nurse caring for a patient with a newly created ileostomy assesses the patient and notes that the patient has had not ostomy output for the past 12 hours. The patient also complains of worsening nausea. What is the nurse's priority action?

A) Facilitate a referral to the wound-ostomy-continence (WOC) nurse. B) Report signs and symptoms of obstruction to the physician. C) Encourage the patient to mobilize in order to enhance motility. D) Contact the physician and obtain a swab of the stoma for culture.

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A pregnant patient in labor is being encouraged to push with contractions. In which position should the nurse assist to help the patient at this time?

A) Squatting while holding the breath B) Lying on side, arms grasped on abdomen C) Lying supine with legs in lithotomy stirrups D) Semi-Fowler's position with legs bent against the abdomen

Nursing

A patient of the Jewish faith died on a Friday evening. The nurse realizes this patient most likely will be buried:

1. On Sunday. 2. On Saturday. 3. After 2 or 3 days. 4. Only after the completion of the autopsy.

Nursing

The microwave is useful because it heats waterless bathing products evenly

Indicate whether the statement is true or false

Nursing