A client with schizophrenia tells the nurse "I eat skiller. Tend to end. Easter. It blows away. Get it?"
The best response for the nurse to make would be
a. "Nothing you are saying is clear.".
b. "Your thoughts are very disconnected.".
c. "Try to organize your thoughts and then tell me again.".
d. "I am having difficulty understanding what you are saying.".
D
When a client's speech is loosely associated, confused, and disorganized, pretending to understand is
useless. The nurse should tell the client that she is having difficulty understanding what the client is
saying. If a theme is discernable, ask the client to talk about the theme. The other options tend to
place blame for the poor communication with the client. Option D places the difficulty with the
nurse rather than being accusatory.
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A nurse is preparing oral rehydration solution for a child weighing 13.7 lb (6.21 kg). How much solution should the nurse prepare for one feeding?
A. 0.5-2 mL B. 2-4 mL C. 6 mL D. 10 mL
A 22-year-old woman is in the clinic to end an early pregnancy. She takes three tablets of mifepristone (Mifeprex)
Two days after she takes the medication, she returns to the clinic to see if she is still pregnant or if the medical abortion is complete. It is determined that she is still pregnant. The nurse will administer which of the following drugs? A) Alendronate B) Misoprostol C) Raloxifene D) Etidronate
Individuals who are trained to help the registered nurse in the provision of patient-client care activities as delegated by and under the supervision of the registered professional nurse are known as ____
a. Certified assistive personnel b. Health care assistive personnel c. Medical assistive personnel d. Unlicensed assistive personnel
A client seeking care for stress tells the nurse that he is interested in seeking holistic care that in-corporates body, mind, and spirit. The nurse knows that which of the following CAM therapies may be beneficial to him?
1. Chiropractic medicine 2. Chinese medicine 3. European phytomedicine 4. Allopathic medicine