Which client action should a nurse expect during the working phase of the nurse-client relationship?
1. The client gains insight and incorporates alternative behaviors.
2. The client establishes rapport with the nurse and mutually develops treatment goals.
3. The client explores feelings related to reentering the community.
4. The client explores personal strengths and weaknesses that impact behavioral choices.
1
Rationale: The nurse should expect that that the client will gain insight and incorporate alternative behaviors during the working phase of the nurse-client relationship. The client may also overcome resistance, problem-solve, and continually evaluate progress toward goals.
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The nurse is caring for a male patient who states, "I have been smoking two packs of cigarettes a day for 20 years and now my nurse practitioner wants me to take vitamins. Do you think I need to take vitamins?"
What is the most appropriate response by the nurse? a. "Smoking is bad for your health. I believe if you stop smoking you would certainly be better off and not have to take vitamins." b. "Smokers use vitamin C faster than do nonsmokers, and is linked to iron deficiency. You can either eat more foods containing vitamin C and iron or take dietary supplements." c. "It is probably a good idea. With your history of tobacco use, I'm sure you are lacking in vitamins and nutrients." d. "I really cannot answer this question. You will need to speak with your nurse practitioner to find out more about this."
Which is the correct needle for an IM injection?
1. 18 G, 1-inch 2. 20 G, 1/2-inch 3. 25 G, 2-inch 4. 21 G, 1 1/2-inch
The client is a 28-year-old man newly diagnosed with type 1 diabetes mellitus. He wears glasses for myopia and asks the nurse how frequently he should see his ophthalmologist now. What is the nurse's best answer?
A. "At your age, you do not need to change your usual patterns for visiting the oph-thalmologist." B. "See your ophthalmologist whenever you have a vision problem and yearly after you are 40 years old." C. "Your vision will change more quickly now, and you should see the ophthalmol-ogist whenever you find that your glasses are not strong enough to allow you to read comfortably." D. "The disease increases your risk for cataracts, glaucoma, and retinal blood vessel changes, so you should see the ophthalmologist yearly, even when you do not have a new vision problem."
Which nursing intervention would be appropriate for the nurse to implement when working with incarcerated adults who are being released from prison?
a. Connect offenders with community-based mental health programs. b. Provide community supervision for mentally ill offenders. c. Advocate for increased prison time to decrease recidivism rates. d. Educate about available state resources.