A client, brought to the emergency department after attempting suicide by taking an overdose of
acetaminophen (Tylenol), has been lavaged. She appears tense, withdrawn, and frightened. The
nurse tells her "I am Mr. G, a unit nurse.
You seem to be tense and I'm wondering if you are feeling
frightened. I'd like to sit here with you for a while.". The behavior indicating that the nurse has
entered into a therapeutic rather than social encounter with the client is:
a. The statement of "I'd like to sit here with you . . .". is offering friendship.
b. The statement of "I'd like to sit here with you . . .". is meeting the need for a time
of quiet reflection.
c. The statement of "You seem tense and I'm wondering if you are feeling
frightened" seeks to identify emotional needs.
d. The statement of "You seem tense and I'm wondering if you are feeling
frightened" is interpreting her behavior.
ANS: C
Through the use of empathy the nurse is fostering trust and communication. Options A and B: He is
offering positive regard rather than friendship or a time for reflection. Option D: His remarks are not
interpretations.
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When developing a care plan for a client in family therapy, which of the following questions will provide the best information for planning appropriate interventions?
1. "What kinds of activities does your family enjoy together?" 2. "Who is the primary caregiver in your family?" 3. "What is the most important problem that you want help with?" 4. "How often do you attend church together as a family?"
What will the nurse include when caring for a child in Buck's extension?
a. Positioning the child with hips flexed 90 degrees at all times b. Keeping the weights in contact with the floor c. Checking for skin irritation from traction equipment d. Releasing the weights on a schedule
The nurse educates the pregnant client regarding taking any substance that can cross the placental barrier and impair normal growth and development of an embryo or fetus. These substances are known as:
a. antioxidant c. illicit drug b. carcinogen d. teratogen
Women with a normal body mass index are recommended to have a weight gain of how many pounds during pregnancy?
a. 15 to 20 b. 20 to 40 c. 25 to 35 d. 30 to 45