The nurse wishes to demonstrate genuineness within the context of the nurse-client relationship with
his client who has been diagnosed with schizophrenia. The nurse will need to
a. use extensive self-revelation in client interactions.
b. encourage the client to depend on him for support and reassurance.
c. consistently make value judgments about client behaviors.
d. be aware of his own feelings and use congruent communication strategies.
ANS: D
Genuineness is a desirable characteristic involving awareness of one's own feelings as they arise and
the ability to communicate them when appropriate. The other possible options are undesirable in a
therapeutic relationship.
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The nurse is evaluating care provided to a client recovering from hip replacement surgery. Which piece of documentation in the medical record indicates that the client has achieved the expected outcome for pain management?
A) The client states pain is a 6 on a numeric pain scale of 1 to 10 prior to evening care. B) The client is crying and requesting pain medication prior to morning care. C) The client is using PCA pump around the clock and rates pain as a 2 on a numeric pain scale of 1 to 10. D) The client refuses pain medication prior to physical therapy. Pain is rated as a 7 on a numeric pain scale of 1 to 10.
A nurse is administering multiple morning medications on a busy medical-surgical unit. Which drug-to-drug interaction should concern the nurse the most?
a. Metoprolol (Lopressor) and insulin b. Enalapril (Vasotec) and insulin c. Atenolol (Tenormin) and spironolactone (Aldactone) d. Carvedilol (Coreg) and furosemide (Lasix)
A nurse is presenting a class to new mothers preparing for postpartum discharge from the hospital. What topics would the nurse be sure to include in teaching? (Select all that apply.)
A) Choking prevention B) Bundling the baby C) Suffocation prevention D) Reading to the baby E) Sleep positioning
Individuals who have impaired cognitive ability but who can understand some aspects of participation in a research study may indicate agreement to participate in the study by:
A) signing the informed consent B) giving their assent C) being coerced to participate D) none of the above