The nurse is concerned that a client will not be able to trust her enough to establish a therapeutic relationship. Which action will best facilitate the development of trust?
1. Responding positively to the client's demands
2. Following through with what was promised
3. Clarifying with the client when in doubt
4. Staying with the client for the entire shift
ANS: 2
Being consistent in keeping one's word implies that the nurse is trustworthy and does what is agreed upon. 1. This action is nontherapeutic. Instead, the client will need to learn new tech-niques for meeting her needs. 3. Clarification is important but is not the best method for promot-ing trust. 4. Trust is better served by shorter contacts at agreed-upon intervals.
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The nurse talks to the nurse manager to suggest making changes to the way a procedure is performed, and the manager asks if this change is evidence-based. What does the manager mean by evidence-based?
1. Research findings or other reliable evidence show that the change is appropriate. 2. Another facility is doing it in the manner proposed by the nurse. 3. The nurse performed the procedure the suggested way while in nursing school. 4. Several nurses discussed the new way to perform the procedure and agree it would be better.
Which statement regarding platelet function in hemostasis is true?
A. Platelets are required for erythrocyte aggregation. B. Platelet aggregation is dependent on adequate amounts of all clotting factors. C. Platelet aggregation helps maintain blood vessel integrity during tissue trauma. D. Platelet aggregation prevents the extension of clot formation beyond the area of injury.
The nurse is teaching family members of an adolescent who is a diabetic and was recently hospitalized for diabetic ketoacidosis (DKA); the family understands that the adolescent, upon returning to school, will:
1. Not necessarily adhere to dietary recommendations. 2. Acknowledge her condition to her classmates. 3. Not experience social stigma. 4. Recognize that there is no difference between her and her classmates.
The first phase of the ethical decision-making model is
a. assessment c. planning b. analysis and diagno-sis d. implementation