As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse's most therapeutic statement?
A. "I want to assure you that I will maintain your confidentiality."
B. "A long-term goal for someone your age would be to develop better job skills."
C. "Which identified problems would you like for us to initially address?"
D. "I think first we need to focus on your relationship issues."
C
When moving on a continuum from the orientation to working phase of the nurse–client relationship, the client's identified goals are addressed through mutual therapeutic work to promote client behavioral change.
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When reviewing the client nursing care plan, the nurse notes which of the following components in each nursing diagnosis? Standard Text: Select all that apply
1. Diagnostic label 2. Defining characteristics 3. Qualifiers 4. Etiology 5. Question
The nurse is caring for a client with renal failure whose blood gas reflects a pH of 7.21. Which of the following is correct regarding the hydrogen ion and acid?base balance?
1. As the hydrogen ion concentration increases, the pH decreases. 2. As the hydrogen ion concentration increases, the pH increases. 3. As the hydrogen ion concentration decreases, the pH decreases. 4. When present in proper concentration, the hydrogen ion maintains the normal pH of the body between 6.8 and 7.8.
A female client is concerned that she has not had sexual intercourse with her husband for over 2 months. Which of the following can the nurse respond as causes for an alteration in sexual functioning? (Select all that apply.)
1. Chronic illnesses 2. Physical disabilities 3. Negative body image 4. Medications 5. Surgical procedures 6. Employment status
The client receives multiple antibiotics to treat a serious infection. What will the priority assessment of the client by the nurse include?
1. Assessing blood cultures for the presence of bacteria 2. Assessing changes in stool, white patches in the mouth, and urogenital itching or rash 3. Assessing renal and liver function tests 4. Assessing whether or not the client has adequate food and fluid intake