A patient with antisocial personality disorder tells Nurse A, "You're a much better nurse than Nurse B said you were.". The patient tells Nurse B, "Nurse A's upset with you for some reason."
To Nurse C the patient states, "You'd like to think you're perfect, but I've seen three of your mistakes this morning.". These comments can best be assessed as: a. seductive.
b. detached.
c. guilt producing.
d. manipulative.
D
Patients manipulate and control staff in various ways. By keeping staff off balance or fighting among themselves, the antisocial person is left to operate as he or she pleases. Seductive behavior uses sexuality to achieve one's aims and is not evident here. The patient is interacting actively rather than detaching from those around him. Guilt is not overtly evident, although Nurse C might experience guilt in response to his criticism.
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The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, however, is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situ
A) "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die." B) "I need to try to help the family understand the client's decision so they can work through this situation together." C) "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make." D) "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death."
Before the specially trained nurse gives the prescribed dose of a chemotherapeutic agent, the nurse should
a. collect an extra syringe and needle in case of contamination. b. cover the client with a water-resistant shield. c. explain the expected side effects of the drug to the client. d. verify dose, drug, and schedule with another nurse.
A client is admitted with inflamed soft tissue folds around his nail plates. Which question by the nurse elicits the most useful information about the possible condition?
a. "What do you do for a living?" b. "Do you keep your nails manicured?" c. "Do you have diabetes?" d. "Have you had any fungal nail infec-tions?"
A newly immigrated client is constantly attended to by family members. This has presented a problem to the nursing staff and the delivery of nursing care. In order to address this issue in a culturally sensitive manner, the nurse:
1. explains to the client that he has to limit visitors. 2. Evaluate the benefits of family participation in the client's care. 3. Questions the family as to how they see their interaction with the client. 4. Have the physician limit the number of visitors the client can have.