A client's wife is concerned about her husband's declining health. He has been admitted with an acute myocardial infarction and has had two myocardial infarctions before this admission. He is not a candidate for surgery
She and her husband have discussed "no breathing machine" for long-standing care, but she is unsure of his wishes if he were to need a "breathing machine" for a short period. The nurse discusses his current condition and care with the client and his wife. She also organizes a team meeting consisting of the client's physicians, social worker, pastoral care person, and nursing staff. During this meeting, the nurse helps the wife share her concerns and the client's concerns with the rest of the team. What type of communication technique is being utilized by the nurse (select all that apply)? a. Bargaining
b. Negotiation
c. Persuasion
d. Spiritual assessment
e. Collective action
B, C
Persuasion and negotiation are used to ensure that all members of the team work together in a cooperative manner. The nurse, the patient, and the spouse all communicate the wishes of the patient to convince the team to abide by the autonomous decisions of the patient and spouse.
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The parents of a 5-year-old are concerned because he has recently starting wetting himself during the day while at school. They inform their pediatrician about this when they bring their newborn daughter in for her first immunizations
After ruling out any physical cause, the pediatrician informs the parents that this is due to? a. Primary nocturnal enuresis b. Secondary enuresis c. Encopresis d. Disobedience
A patient has an extensive bowel preparation of oral laxatives and enemas for a colon resection. What rationales should the nurse list when asked about the rigorous preparation? (Select all that apply.)
a. Reduces possibility of fecal contamination of the operative site b. Flattens the colon c. Decreases postoperative distention d. Avoids postoperative constipation e. Decreases straining at stool
Which of the following is an example of a study typically exempt from IRB review?
a. Comparison of IV insertion techniques related to incidence of pain b. Description of levels of spiritual distress in cancer patients c. Effect of a new antiemetic on nausea in pregnant women d. Qualitative investigation of drug abusers' experiences in the health care system
While learning about the Nutrition Facts label, the client sees the term "very low" on a food label. What does this mean?
A) The product contains virtually none of the specified nutrient. B) The product has one-third fewer calories than a comparable product. C) It refers to sodium only. D) It refers to meat and poultry products with less than 10 g of fat.