A nursing student expresses a belief that it is hopeless to keep providing substance abuse treatment when the rate of relapse is so high. The staff nurse should respond with which of the following statements?
1. "Sometimes a client doesn't show much effort."
2. "You are right. I don't know why we bother."
3. "It is important to maintain hope that a client can make positive change."
4. "We are legally obligated to provide care."
3
Rationale: It is important to maintain hope and therapeutic optimism despite slow progress and setbacks that are part of the recovery process. Even if a client is not currently making much effort toward managing disorders, the development of a trusting relationship with the nurse is helping to set the stage for movement toward recovery in the future.
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During a high school health class, a student asks the school nurse where fertilization most often takes place. What would be the nurse's most correct answer?
A) Ovary B) Fimbriae C) Ampulla D) Fallopian tube
The client has just returned from a cerebral angiography. Which symptom does the client display that causes the nurse to act immediately?
A. Bleeding B. Increased temperature C. Severe headache D. Urge to void
The nurse caring for a client who has had AAA repair would be most alarmed by which finding?
A. Urine output of 20 mL over 2 hours B. Blood pressure of 106/58 C. Absent bowel sounds D. +3 pedal pulses
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that:
a. SCA is not inherited. b. all siblings will have SCA. c. each sibling has a 25% chance of having SCA. d. there is a 50% chance of siblings having SCA.