In the initial sessions a patient frequently asks the nurse for money and expresses doubt about the nurse's ability to help. Which principle provides guidance for the nurse in this situation?
a. This behavior is typical of transference reactions.
b. All patients have feelings of insecurity and low self-esteem.
c. Manipulative behavior is part of this patient's psychopathology.
d. Testing behavior is common during the introductory phase of a relationship.
D
Testing behavior serves the purpose of exploring the nurse's consistency and intent.
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The nurse is completing a focused interview to assess the skin, hair, and nails of a pregnant client. Which question would be most important for the nurse to include in the interview?
1. "Do you use any skin creams?" 2. "Do you try to avoid exposure to the sun?" 3. "Have you lost any hair during your pregnancy?" 4. "Have you had any nail changes?"
Which statement by a patient who has HIV would the nurse evaluate as indicating additional health care teaching is necessary?
1. "I will use an oil-based lubricant when I use condoms." 2. "I know I should not donate blood anymore." 3. "I know I have to assume responsibility when I have sex." 4. "I will not share my toothbrush or razor with my partner."
One day after giving birth vaginally, a client develops painful vesicular lesions on her perineum and vulva. She is diagnosed with a primary herpes simplex 2 infection. What is the expected care for her neonate?
1. Meticulous hand washing and antibiotic eye ointment administration. 2. Intravenous acyclovir (Zovirax) and contact precautions. 3. Cultures of blood and CSF and serial chest x-rays every 12 hours. 4. Parental rooming-in and four intramuscular injections of penicillin.
Of the data listed below, the nurse would collect the responses to numbers ____________________ to assess a client's awareness. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. "Do you know where you are?' 2. "If you paid $3.00 for an item that cost $1.75, how much change would you get back?" 3. "What year is it?" 4. "Can you feel me when I touch your arm?" 5. "I am going to turn out the light and look in your eye with a light." 6. "What is your name?"