The nurse admits a client, and begins by orienting the client to the room and measuring vital signs. What does the nurse say next?
1. "It has been nice meeting you, and I'll see you later."
2. "I will be your nurse for today, so use the call bell if you need something."
3. "Mrs. Jones, do you have any questions? I have time now."
4. "Mrs. Jones, would you like a tour of the unit?"
3
Rationale: When orientation for the client is completed, it is important to allow the client to ask questions in an unhurried manner. A tour of the unit is not usually indicated. Instructing the client to use the call bell or saying that it was nice to meet them indicates the admission process is completed, which is not true in this case.
You might also like to view...
An older patient's spouse passed away 4 years ago; however, the patient still sets a place at the dinner table for the spouse and has never removed any clothing or other personal items from the home. What does the nurse suspect the patient is experiencing?
1. Normal grief 2. Hopelessness 3. Survivor guilt 4. Pathological grief
A group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following?
A) Sleep patterns are relatively constant across the lifespan. B) Women report more problems with sleep than men. C) Working night shifts and sleeping during the day can affect sleep. D) Environmental influences on sleep can be internal or external.
The nurse reviews the patient's complete blood count (CBC) results and notes that the neutrophil levels are elevated, but monocytes are still within normal limits. This indicates what type of inflammatory response?
a. Chronic b. Resolved c. Early stage acute d. Late stage acute
The nurse is constructing a genogram as part of the family assessment process. Which will the nurse include in the genogram? Select all that apply
1. Social class 2. Occupation 3. Place of residence 4. Social networks 5. Ethnicity