The nurse is initiating a history and physical assessment on a client who reports intermittent right-sided abdomen pain, especially after eating fatty foods. The nurse recognizes that the history interview: Select all that apply:
1. Establishes the nurse?client relationship.
2. Encourages the client to express his or her concerns.
3. Includes documentation of the client's own words.
4. Should be directed toward ruling out a gallbladder problem.
5. Should be nurse-driven via direct questioning.
1. Establishes the nurse−client relationship.
2. Encourages the client to express his or her concerns.
3. Includes documentation of the client's own words.
Rationale: Establishes the nurse−client relationship. Taking a history is a very important encounter with a patient. This is a time when a relationship with a patient is started. Encourages the client to express his or her concerns. It is important to allow the patient to express concerns and explain the problem in his or her own words during the history interview. Includes documentation of the client's own words. Direct client quotes should be documented as a part of the interview process. Should be directed toward ruling out a gallbladder problem. The nurse should keep an open mind, because sometimes information that is initially thought of as trivial can be the answer to the problem. Should be nurse-driven via direct questioning. It is important to allow the patient to direct the interview by expressing concerns and explaining the problem in his or her own words during the history interview. Interruptions should be kept to a minimum, but clarifying questions should be asked.
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The nurse is reviewing a client's laboratory studies. The extracellular fluid contains: Standard Text: Select all that apply
1. Sodium. 2. Chloride. 3. Magnesium. 4. Protein. 5. Sulfate.
What conclusion can be drawn from examining where nurses are employed?
a. There is a trend toward consolidation of health care into large central medical centers. b. There is an increased emphasis on community-based health care. c. There is an obvious need to decrease health care costs by cutting positions. d. Managed care organizations (MCOs) are employing nurses to improve customer relations.
A student nurse asks a peer, "What's the difference between recreation and relaxation?" The best response would be
a. "They're essentially the same." b. "Relaxation usually lowers stress, but recreation can create stress." c. "Relaxation exercises and recreation activities always lower stress." d. "Relaxation requires knowledge of special techniques, but recreation takes no special skills."
Which hormone regulates metabolism?
a. Thyroid-stimulating hormone b. Oxytocin c. Thyroid hormone d. Antidiuretic hormone