A nurse tells a client who is struggling with cancer pain, "It is normal to feel frustrated about the discomfort."

Which of the following is most representative of the skills associated with the working phase of the helping relationship? 1. Respect
2. Genuineness
3. Confronting
4. Concreteness


1. Respect

Rationale:
Respect is correct because the nurse is validating the client's feeling. It is not genuineness because the nurse is giving information versus making a personal statement. Rather than being confrontational by pointing out discrepancies between thoughts, feelings, and actions that inhibit the client's self-understanding or exploration of specific areas, the nurse is being supportive by respecting the client's feelings. Concreteness involves assisting the client by giving specific examples rather than speaking in generalities.

Nursing

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A patient who is endotracheally intubated and on mechanical ventilation has a decreasing oxygen saturation level with an increasing heart rate. What is the nurse's priority action?

1. Ensure the airway is clear. 2. Auscultate lung sounds. 3. Reposition the patient. 4. Reposition the endotracheal tube.

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Which statement indicates that a client needs additional teaching about protecting the ears and preventing hearing loss?

a. "I will start a smoking cessation program and will take a multivitamin every day." b. "I will wear earplugs whenever I cut the grass or use my snow blower." c. "I will blow my nose gently, one nostril at a time, whenever I get a cold or the flu." d. "I will take Motrin (ibuprofen) instead of Tylenol (acetaminophen) for pain."

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After the patient handoff report has been delivered, a shift action plan is developed. Some of the considerations used by nurses when making shift action plans are listed below. Which is not necessarily correct?

a. considers the big picture b. considers interventions for the shift c. considers the desired outcomes d. considers assessment for the shift

Nursing

MC A group of community leaders is using radio and television messages to try to educate high school students about the consequences of smoking. The social marketing "P", represented by not smoking is

A. Product. B. Promotion. C. Price. D. Place.

Nursing