Which of the following comments is an example of directing a conversation to explore a topic in depth?
a. "Are you saying that you want to move out of your apartment?"
b. "Have you ever considered attending a weekly self-help group?"
c. "Let's go back to the situation where you felt uncomfortable in class."
d. "Hmmm, I see."
C
The best example would be for the nurse to say, "Let's go back to the situation where you felt uncomfortable in class." The nurse would be using the therapeutic communication technique of focusing. Focusing is when the nurse directs the conversation to focus on a topic of particular importance to the client. Here, the nurse asks questions about one theme that has emerged during the interaction with the client.
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When working with patients on changing health-related behaviors, the nurse understands that the first priority is to
a. assess the patient's knowledge about the behavior. b. determine how motivated the patient is to change. c. establish a collaborative relationship with the patient. d. plan interventions and set goals for behavior change.
A patient has just been diagnosed with cancer and will begin chemotherapy. The patient asks the nurse about the possibility of nausea and vomiting. The nurse will tell the patient that:
a. nausea and vomiting can be avoided by having a snack before chemotherapy. b. nausea and vomiting are common side effects and will abate over time. c. nausea and vomiting are common and will be treated with antiemetics when they oc-cur. d. the provider will order drugs to help pre-vent nausea and vomiting before each dose.
The entire regulation process by which the autonomic nervous system acts in response to incoming information is best described by which method of control?
a. Effector b. Sensor c. Reflex d. Adjustment
A patient with severe diarrhea has been taking diphenoxylate with atropine (Lomotil) a synthetic opiate agonist, with subtherapeutic anticholinergic. The nurse would recognize which signs indicating that too much is being taken?
a. Increased bleeding, visual field obstruction, and hearing loss. b. Weight loss, heat intolerance, abdominial distention, and tearing. c. Slurred speech, bradycardia, and increased diarrhea. d. Dry mouth, abdominal pain, tachycardia, and blurred vision.