The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that in addition to all that he's doing now, he could tell her when the contractions are:
a. 2 minutes apart.
b. at their acme.
c. at their increment.
d. at their decrement.
ANS: B
When the contraction is most intense, the coach can tell the laboring woman that this contraction will be over soon to help her remain focused. Describing the frequency of the contractions is not usually helpful. The increment occurs as the contraction begins in the fundus and spreads through the uterus. Calling attention to this phase may cause the woman to become tense. The woman does not need anyone to tell her that the contraction is decreasing in intensity.
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The nurse educator is developing a seminar to help children who have experienced a loss. Which information should the nurse include to help these children adapt?
A) Explain that magical thinking helps with the pain. B) Remind the child that big children don't cry. C) Help create new memories. D) Pretend that the individual has not really gone.
The role of glucocorticoids in the hypothalamic-pituitary-adrenal (HPA) axis is to serve as which of the following?
a. To activate T lymphocytes in the immune system b. To diminish phagocytosis in the inflammatory process c. To prevent further release of the corticotrophin releasing factor (CRF) d. To stimulate the further release of serotonin and norepinephrine
A nurse has just explained to a newly admitted patient that the token economy system is employed on the unit. The patient announces, "I have a PhD, and I'll be damned if I participate in a barter exchange for my human rights."
An appropriate response from the nurse would be: a. "Well, according to the unit rules you have just lost four tokens for swearing, and you haven't even earned any yet. That makes your score a negative four.". b. "Being a PhD, I'm sure you are familiar with being held responsible for your actions. That's the policy on this unit, and you now have minus four tokens.". c. "It seems as if you're having difficulty being here. Are you saying that you feel you don't have to abide by the same policies for living on this unit because you are well educated?" d. "Well-educated individuals usually have no need to swear. You have now lost four tokens. We'll talk when you are able to be more polite.".
List, in the correct order, the five steps in Tomey's model of the problem-solving process
What will be an ideal response?