When you are questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker.". Which initial response is appropriate?
a. "I'm glad that you are a responsible drinker.".
b. "Do the other people in your household consume alcohol?"
c. "What amount and what kind of alcohol do you drink in a week?"
d. "If you only drink socially, you won't need to worry about always having a des-ignated driver.".
C
"What amount and what kind of alcohol do you drink in a week?" clarifies the patient's own statement without asking a leading question or being judgmental.
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When the nurse is evaluating the effectiveness of nursing interventions, which of the following is done?
a. Comparing nursing diagnoses to goals and outcomes b. Comparing nursing diagnoses to medical diagnoses c. Comparing goals and outcomes to client's progress d. Comparing medical orders to client vital signs data
A married patient who lives in a rural area is 8 months pregnant and reports to the nurse that her house is "rather primitive." The couple cooks and heats using propane, does not have indoor plumbing, and lives along the bank of a stream
What would be the most appropriate nursing intervention for this family? A) Baby-proof the house B) Teach the patient to avoid using the stove or heater without ventilation C) Screen for genetically transmitted diseases D) Encourage timely immunizations
The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes. The nurse should be especially watchful for which of the following? (Select all that apply.)
a. Return of the gag reflex b. Laryngospasm c. Respiratory status d. Facial or neck crepitus
Supporting a client by holding onto her elbow while accompanying her as she ambulates around the nursing unit is considered social touching and so would typically:
1. Be considered nonthreatening by the client 2. Not require the client's permission 3. Be viewed as therapeutic by the nurse 4. Not be needed unless the client was ataxic