Which of the following is a therapeutic use of silence?
A) It demonstrates concern or affection.
B) It communicates caring and support.
C) It encourages a client's verbal communication.
D) It is therapeutic when a client is uncomfortable.
C
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An older woman is recovering from a bowel resection in the intensive care unit but remains intubated and on a mechanical ventilator. Which of the following should the nurse implement to help prevent delirium in this woman?
a. Assess cognition with MMSE-2. b. Provide uninterrupted periods of rest and sleep. c. Maintain adequate sedation and pain management. d. Cover the patient's eyes with protective ophthalmic ointment.
In assessing a client, you suspect that the client's confusion may be a result of a pseudodementia. In the elderly, this term is sometimes used to refer to which of the following problems?
a. Alzheimer's disease b. delirium c. depression d. vascular dementia
The patient has been abusing alcohol for several years and tells the nurse, "I used to drink a pint of whiskey every day. Now I get sick and pass out after just two drinks." What does the nurse correctly recognize about this patient?
1. The patient's symptoms are related to hyperglycemia; he may have pancreatic damage. 2. The patient may have liver damage, resulting in an inability to metabolize large amounts of alcohol. 3. The patient is in denial and is most likely minimizing the amount of alcohol he consumes. 4. The patient has brain damage from the alcohol and cannot remember how much he consumes.
A community/public health nurse links a mental health client with the necessary services in the community. This is an example of which category of individual client-focused interventions?
a. Consulting b. Teaching c. Providing therapy d. Case management