A severely withdrawn patient diagnosed with schizophrenia will spend time in the dayroom but will not speak to staff or other patients. The most therapeutic nursing intervention in response to this behavior would be to:
a. seat the patient with a group of patients who are talking to each other.
b. ignore the silence and talk about superficial topics such as the weather.
c. point out that the patient makes others uncomfortable by refusing to speak.
d. plan time for staff members to sit with the patient even though the patient does not talk with them.
D
Developing trust is fundamental to developing a nurse-patient relationship. The nurse must demonstrate consistent and genuine caring. Initially schedule brief (5- to 10-minute), frequent contacts. Increase time gradually based on patient agreement.
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The nurse observes a family member feeding a client in a long-term care facility. Which of the following observations is cause for the nurse to give additional instruction in the proper method of feeding a client? The family member
A) ensures the client is wearing dentures before beginning to feed the client. B) checks that each bite is swallowed before placing the next spoonful of food in the client's mouth. C) tries to insert the spoon in the client's mouth while the client clamps down and keeps his lips tightly together. D) cues the client to chew the specific food after placing the food in the client's mouth.
An occlusive dressing is applied to a large abrasion. This is advantageous because the dressing will accomplish what?
a. Deliver vitamin C to the wound. b. Provide an antiseptic for the wound. c. Maintain a moist environment for healing. d. Promote mechanical friction for healing.
Which nursing intervention would take priority following administration of a new medication?
A. Evaluating the results of recent labs B. Monitoring the client's respiratory status C. Administering additional medications if side effects occur D. Measuring client's weight daily
The client asks the nurse how local anesthetics work. Which response by the nurse is most appropriate?
1. They numb the skin. 2. They block calcium channels. 3. They block sodium channels. 4. They increase sensation.