A client is displaying symptomology reflective of a panic attack. In order to help the client regain control the nurse responds:
A. "You need to calm yourself."
B. "What is it that you would like me to do to help you?"
C. "Can you tell me what you were feeling just before your attack?"
D. "I will get you some medication to help calm you."
Answer: C. "Can you tell me what you were feeling just before your attack?"
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When delegating care to a nursing assistant, the LPN/LVN should: (Select all that apply.)
a. give specific instruction as to what is to be done. b. instruct how the task is to be done. c. list information that needs to be reported. d. be aware that the nurse is responsible for outcome of delegated care. e. insist that the nursing assistant accept the responsibility.
Sally (RN) and Melissa (RN) have shared an ongoing conflict since the first day that Melissa worked on the unit. Sally has confided to another colleague that she doesn't even know why the conflict started or what it was about. This is an example of:
a. How expectations and objectives need to be made clear in team situations. b. The need to encourage open discussion of disagreements in opinions. c. The importance of involving all staff in discussions in group settings. d. The enduring nature of first impressions.
When caring for a client with a decubitus ulcer, the nurse should assess for adequate intake of:
1. Protein. 2. Carbohydrates. 3. Magnesium. 4. Fat.
A 32-year-old woman comes to the emergency department after being raped. Her language and behavior are disorganized, and it is difficult to understand her. Her pulse is 120 beats per minute, and her respiratory rate is 20 breaths per minute
She keeps saying, "He wore a ski mask," over and over in a loud voice. Which of the following is the best stress-related nursing diagnosis for the client at this time? 1. Defensive coping 2. Ineffective coping 3. Ineffective denial 4. Situational low self-esteem