Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol dependence
a. Strongly confrontational
b. Empathetic, supportive
c. Skeptical, guarded
d. Cool, distant
B
Support and empathy assist the patient to feel safe enough to start looking at problems. Counseling during the early stage of treatment needs to be direct, open, and honest. The other approaches will increase patient anxiety and cause the patient to cling to defenses.
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The nurse can best communicate to the client that she or he is interested in listening by
a. restating the feeling or thought the client has expressed. b. making a judgment about the client's problem. c. asking a direct question, such as "Did you feel angry?" d. saying "I understand what you're saying.".
You are asked to justify the creation of the first public health informatics (PHI) program in your jurisdiction. You will emphasize this likely benefit by ensuring:
a. current PHI can enhance public health surveillance such as identifying clusters of diseases. b. privacy and security issues are avoided because public health informatics data are de-identified at the community level. c. interoperability already exists for public health IT. d. standards already exist for PHI.
A patient is being monitored in the left femoral artery 2 hours after an angiogram. What assessment by the nurse is of greatest priority?
a. The patient is a little sleepy and can't re-member the procedure. b. The left pedal and posterior tibial pulses are palpable. c. The patient hasn't voided yet. d. Both of the patient's feet are cool and pink.
A nurse in the ICU receives report from the nurse in the ED about a new patient being admitted with a neck injury he received while diving into a lake
The ED nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. What does the ICU nurse recognize that that patient is probably experiencing? A) Anaphylactic shock B) Neurogenic shock C) Septic shock D) Hypovolemic shock