Establishing and maintaining the therapeutic nurse–client relationship differs according to the client's cultural background. The nurse is guided by knowledge of which of the following?
1. A client's religious beliefs may interfere with constructive change.
2. Alternative values should always be discussed with the client.
3. Clients who believe family problems should not be discussed with strangers should not be coaxed into doing so.
4. Exploring religious beliefs with the client is not recommended.
1
Rationale: A client's religious beliefs could prevent the client from taking constructive action to change behaviors. Exploring religious beliefs and alternative values is useful if the client initiates such an action. Clients raised in restrictive family environments may not realize that a ban on discussing family problems with others is unhealthy.
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A teenage boy was hospitalized 3 weeks ago. He has been confined to bed throughout his hospital stay because of a crushed pelvis. His parents tell the nurse, "Our son is just staring off into space; he won't talk to us
We are worried because he has not even listened to his iPod, watched television, or played his video games for 2 days. That is so unlike him." What is the best response the nurse can make? a. "I will inform his doctor and see whether we can get your son started on an antidepressant medication." b. "He is at a critical time in his life; teens are often moody, and being in the hospital with an injury will only make that worse." c. "Your son had a major injury, and his immobility might be causing him to feel isolated and depressed." d. "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to do."
The nurse is having difficulty communicating with a hearing-impaired patient. Which of these nursing actions is most important?
a. Speaking softly b. Facing the patient when speaking c. Avoiding verbal communication d. Speaking rapidly
When the nurse is developing a care plan for a terminally ill patient, what might be a realistic goal?
a. The patient will remain pain-free. b. The patient will function optimally. c. The patient will spend time out of bed. d. The patient will demonstrate improved nutritional status.
A dose of 250 mg in 5 mL has been ordered to be diluted to 40 mL and infused in 60 minutes. A 15-mL flush follows. The administration set is a microdrip
Calculate the milliliters/hour (mL/hr)._____ a. 55 b. 40 c. 45 d. 4