A client with a diagnosis of bipolar I disorder has been presented with a coping strategy by her therapist that may help her manage her behavior during manic episodes
The client has responded to the therapist's suggestion by saying, "What's the use? I don't ever see this changing." The client's statement is suggestive of a potential problem with what factor that influences communication?
A) Values
B) Knowledge
C) Ability to relate to others
D) Attitude
Ans: D
A tone of defeatism or resignation is indicative of an attitude that may inhibit communication and treatment.
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A client who had a severe traumatic brain injury is being discharged home, where the spouse will be a full-time caregiver. What statement by the spouse would lead the nurse to provide further education on home care?
a. "I know I can take care of all these needs by myself." b. "I need to seek counseling because I am very angry." c. "Hopefully things will improve gradually over time." d. "With respite care and support, I think I can do this."
A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patient's statement is
a. "Those symptoms may indicate a need for an increased dosage of the eye drops." b. "The drops are uncomfortable, but it is important to use them to retain your vision." c. "These are normal side effects of the drug, which should be less noticeable with time." d. "Notify your health care provider so that different eye drops can be prescribed for you."
Which client will see the greatest permanent changes in lifestyle following surgery?
A) Right total knee replacement B) Left mastectomy C) Ileostomy D) Appendectomy
The nurse manager is interviewing nurses for a position in an infertility clinic. Which statement best indicates that the interviewee understands the role of the nurse when working with infertile clients?
1. "This position is an assistant to the physician during diagnostic testing for infertility." 2. "My job will be teaching clients how to take their medications and scheduling tests." 3. "I will both teach and support families struggling with emotions as they attempt to become pregnant." 4. "Many of my duties will involve forming therapeutic relationships with clients struggling with infertility."