When the nurse is alone with a client, the client states: "It was all my fault. The house was so messy when he got home and I know he hates that." Which response would be most appropriate?
A) "It is not your fault. No one deserves to be hurt. "
B) "What else did you do to make him so angry with you?"
C) "You need to start to clean the house early in the day."
D) "Remember, he works hard and you need to meet his needs."
A
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A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
1. Lies quietly in bed. 2. Does not cry if his parents return and leave again. 3. Appears to be happy and content with staff. 4. Screams and cries when his parents leave.
The nurse is individualizing Mr. Wu's plan of care by writing a plan for his nursing diagnosis of Anxiety. Why does the nurse need to write goals/outcomes on the plan of care? Because outcomes describe:
1) Desirable changes in the patient's health status. 2) Specific patient responses to medical interventions. 3) Specific nursing behaviors to improve a patient's health. 4) Criteria to evaluate the appropriateness of a nursing diagnosis.
A patient tells the nurse that she started to have a glass of wine every evening at home after work to "unwind" and then realized that she cannot continue with her day unless she has the wine. The nurse realizes that this patient uses wine to
1. cope with day-to-day problems. 2. deal with difficulty expressing emotions. 3. suppress a genetic need for alcohol. 4. socialize with others.
Select the instruction given by the nurse to a group of senior citizens attending a class on aging at a senior center that best addresses the normal age-related changes in the skin
a. Avoid using emollients because of the in-creased elasticity of your skin. b. Because of the increase in the activity of the sweat glands, you will have to take more baths and use deodorant more often. c. Even minor cuts will require special atten-tion because of slower healing. d. As you age, your fingernails and toenails grow more quickly and require more fre-quent cutting to prevent ingrown nails.