The nurse is caring for a patient following painful radiation treatment for newly diagnosed cancer. Which question, if asked by the nurse in the orientation phase, is most likely to elicit a meaningful response?
a. "Don't you love this weather?"
b. "How have things been going for you?"
c. "Tell me why you didn't stop smoking."
d. "Are you having any pain?"
D
Pain must first be addressed before the interview can proceed. Option a is a stereotypical com-ment. Option b (exploring) is best addressed once pain has been assessed and treated. Explora-tion of needs, feelings, emotions, and concerns would be addressed in the working phase. Option c is likely to elicit a defensive response and will hinder therapeutic communication.
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Some aspects of mentoring between an expert nurse preceptor and novice nurse are listed below. Which is not correct about this relationship?
a. focuses on professional aspects of nursing b. is mutually beneficial c. can be a one-on-one or one-to-two relationship d. involves good communication
The manager of a health club has been discovered to have placed a hidden video camera in the
women's locker room and has taped several women as they showered and dressed. The nurse who reads this in the paper can assess that the club manager probably is a a. homosexual. b. exhibitionist. c. pedophile. d. voyeur.
Based on current research, which of the following statements about family presence in the acute care setting is accurate?
1. Visitation by family members should be unlimited in the acute care setting with the exception of the ICU. 2. Inclusion of family members in bedside rounds may cause miscommunication and family stress. 3. Inclusion of family members in bedside rounds improves patient/family satisfaction. 4. The inclusion of family members during resuscitation and invasive procedures is appropriate.
The nurse is administering the first dose of irinotecan (Camptosar) to a patient on the oncology unit. Shortly after the infusion is complete, the patient begins to complain of severe diarrhea. The nurse understands that the diarrhea is caused by
a. excessive cholinergic stimulation of the gastrointestinal tract. b. stimulation of H2 receptors. c. excessive water being drawn into the gastrointestinal tract. d. bowel obstruction.