While a health history is obtained from a client with a new diagnosis of advanced pancreatic cancer, the client begins to cry. Which is the nurse's best response?
a. "I am so sorry for making you cry!"
b. "I will step out for a few minutes until you feel better."
c. "I can see that you are upset about this. It is all right to cry."
d. "I can see that I am upsetting you. Let's move on to something else."
C
The nurse should recognize the client's feelings and should allow the client to cry. Moving on to another topic shows disregard for the client's feelings. The nurse should not leave the room but should stay to offer support. Apologizing to the client does not place the focus on the client or acknowledge the client's feelings and emotions in this situation.
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The perinatal nurse listens as the patient describes her labor and emergency cesarean birth. Providing an opportunity to review this experience may assist the patient in doing which of the following?
A. Decreasing her ambivalence about her labor and birth B. Developing more positive feelings about her labor and birth C. Initiating her role development in the "letting-go" stage D. Understanding the various demands associated with the maternal role
The nurse assesses the nail base angle using the Schamroth technique. The normal expected examination finding is nail beds that are _____ at the bases
a. flat b. convex c. concave d. bowed
Which is a restraint?
a. A chair with an attached tray table b. A rocking chair c. A reclining chair d. A low bed
A nurse is caring for a client in a healthcare facility. The nurse has to document information to maintain the health record of the client. Which description is required consistently for each charting entry?
A) Report each observation to the physician. B) Sign the record with first initial, last name, and classification. C) Obtain a signature from the primary care provider. D) Provide the day of the week on the entry.