Mr. D says, "I am old and fat, and I am going to die soon anyway. So what's the point of trying?" What is the most therapeutic response?
A. "Don't talk like that. I have really enjoyed taking care of you."
B. "You have a lot to cope with. What's kept you going thus far?" C. "Sounds like you are giving up. Would you like to speak to a counselor?"
D. "After your physical health improves, I am sure that you will feel better."
B
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Which of the following health problems would a nurse be most likely to attribute to age-related changes?
A) Atrophic vaginitis B) Cancer of the vagina C) Cervical cancer D) Breast cancer
A recently hired graduate nurse has overheard a nurse and patient joking. The graduate nurse voices concern to the preceptor, stating, "I don't think the nurse is being respectful of the patient's diagnosis by telling jokes."
What response by the preceptor is indicated? 1. "I am inclined to agree with you.". 2. "You should not eavesdrop on a private conversation.". 3. "The nurse and patient were engaged in therapeutic communication.". 4. "You are too inexperienced to understand the interaction you overheard.".
A client who took a camping vacation two weeks ago in a country with a tropical climate comes to the clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for the nurse to report?
a. jaundice sclera b. intestinal cramping c. weakness and fatigue d. weight loss
A patient who is receiving IV fluids notifies the nurse that his arm feels tight. Upon assessment, the nurse notes that the arm is swollen and cool to the touch. What should the nurse's first action be?
a. Discontinue the IV site, and apply a warm compress. b. Attached a syringe, and pull back on the plunger to aspirate the IV fluid. c. Start a new IV site distal from the site. d. Stop the IV fluids, and notify the physician immediately.