A nurse has just met a family and is being doing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure?
a. Confirm the reason for the assessment.
b. Demonstrate culture awareness.
c. Take time to build trust.
d. Understand the family dynamics.
ANS: C
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A two-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 ml three times daily by mouth for ten days for otitis media. To guard against antibiotic resistance, the nurse instructs the parent to:
1. Give the antibiotic for the full ten days. 2. Measure the prescribed dose in a household teaspoon. 3. Spread the dose evenly during daylight hours. 4. Stop the antibiotic when the child is afebrile.
The infant should be placed in which position to have his or her height or length measured?
a. Vertically, with the examiner's hands un-der the infant's axillae b. Supine on a measuring board c. Prone on a measuring board d. In the lateral position, with the toes against a measuring board
A nurse is caring for a client who is undergoing chemotherapy. A relative of the client
wants to bring the client a bouquet of flowers. What is expected of the nurse in this given situation? A) Set the flowers on the client's table B) Allow the relative to present the flowers to the client C) Explain to the relative why the flowers are not allowed in the room D) Accept the flowers and hand them to the client
After 3 days, nurse receives results from Raymond's TB skin test that was administered at his HCP's office. Even though Raymond's reaction to the TB test measures only 5mm in diameter, the HCP documents a positive test result. A new graduate nurse finds this confusing. New grad thought that a 10mm induration was the minimum size for a positive reading and asks the nurse preceptor for clarification. How should the nurse preceptor respond?
A. "This confuses me too. I think we need to consult with the HCP" B. "That is not always true. A 5mm induration is considered positive for TB in a person with HIV" C. "It may be that you are confusing induration with inflammation in skin testing results" D. "Let's ask the nurse practitioner who specializes in caring for clients who are HIV positive"