During the first interview with a woman who has just lost her son in a car accident, the nurse feels so
sorry for the woman that she reaches out and touches her. The nurse's response
a. is empathetic and will encourage the woman to continue to express her feelings.
b. will be perceived by the client as intrusive and overstepping boundaries.
c. is inappropriate because a "no touch" rule should be applied to all psychiatric
clients.
d. may be premature as the cultural and individual interpretation of touch is
unknown.
ANS: D
Touch has various cultural and individual interpretations. Nurses should refrain from using touch
until an assessment can be made regarding the way in which the client will perceive touch. The other
options present prematurely drawn conclusions.
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A) metabolic acidosis. B) metabolic alkalosis. C) respiratory acidosis. D) respiratory alkalosis.
A client has developed the female athlete triad. Which health problem is this client most at risk of developing when aging?
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When relating to clients in the health care setting, who should the nurse include as the client's family?
a. First-degree relatives b. Whoever the client identifies as family c. Spouse and dependent children d. Those the hospital defines for legal reasons as the client's family
A client asks, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What would be the best reply by the nurse?
A. "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred." B. "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation." C. "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur." D. "This is an unscientific and unproven method of determining ovulation and is not recognized as a means of birth control."