The nurse plans to encourage an anxious client to talk about his feelings and concerns. The rationale
for this intervention is that
a. offering hope allays the client's anxiety.
b. concerns stated aloud become less overwhelming and can serve as the basis for
problem solving.
c. anxiety can be reduced by focusing on and validating what is occurring in the
environment.
d. encouraging clients to explore alternatives increases the sense of control and
lessens anxiety.
ANS: B
All principles listed are valid, but the only principle directly related to the intervention of assisting
the client to talk about his feelings and concerns is option B.
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The nurse is assessing the skin of a client being admitted to the long-term care facility from an acute care facility. A small blister is noted on the client's right heel. This is documented as:
1. A stage I decubitus ulcer. 2. A stage II decubitus ulcer. 3. A stage III decubitus ulcer. 4. A stage IV decubitus ulcer.
When assessing the patient with tissue injury, the nurse correlates signs and symptoms to the responses occurring within the patient's body. Put the inflammatory responses in the order they will occur
A) Activation of Hageman's factor B) Kininogen activates release of bradykinin C) Release of leukotrienes and prostaglandins D) Prekallikrein becomes kallikrein E) Release of arachidonic acid
The nurse is serving a breakfast tray to the patient receiving an alpha- and beta-adrenergic agonist medication. The nurse notifies dietary of the error with the patient's diet when finding what on the tray?
A) Eggs B) Bacon C) Coffee D) Milk
A client post–cardiac arrest is receiving oxygen therapy via mask. What unit should the
nurse use to document the amount of oxygen delivered? A) Liters per minute B) Pounds per square inch C) Milliliters per minute D) Liters per square inch