The nurse is cleaning the patient with fecal incontinence when he says, "This is so embarrassing, and it makes me really angry." The nurse's best response would be:
1. "Don't worry about it, it's my job to clean you up."
2. "You should have called me sooner and this wouldn't have happened."
3. "Do you feel angry and embarrassed?"
4. "Would you rather let your family clean you up?"
3
The nurse should use therapeutic communications of reflection to validate the patient's feelings.
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If the nurse is using the nursing theory that has shaped psychiatric–mental health most directly, which nursing action is priority?
1. Assessing the client's abilities in areas of self-care 2. Teaching effective coping skills 3. Establishing a therapeutic nurse–client relationship 4. Encouraging the client's sensitivity and caring for self
The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient says:
a. "I can ambulate in the hallway with this gadget on." b. "I always take off the telemetry device when I shower." c. "My EKG is being watched by one of the nurses in CCU on the home unit." d. "I am able to sleep just fine with this device on."
A 10-year-old boy has a body mass index that places him in the 96th percentile for his age and gender
While educating the parents about obesity, the nurse should emphasize that his weight may predispose him to the development of A) scoliosis. B) respiratory infections. C) gastrointestinal disorders. D) type 2 diabetes.
The nurse teaches the importance of avoiding nonessential substances to a young adult female who is 6 weeks pregnant. Which patient statement indicates that teaching has been effective?
A) "I can drink on weekends only.". B) "Smoking is bad for me and my baby.". C) "Smoking is permitted as long as I do it outdoors.". D) "Only one beer or one glass of wine is permitted while pregnant.".