A psychiatric nurse has worked with a client throughout the client's 6-week, short-term outpatient psychiatric treatment and is guiding the client to formulate follow-up independent self-care plans
The nurse gently teases the client about a momentary lapse into an old maladaptive behavior. The client responds by smiling and saying, "You're right! See? I am so much better now! The old me would have stormed out of here cursing if you had said that the first day we met." The client's response indicates that the nurse's primary purpose in this use of humor with this client succeeded because it promotes the client's: a. acceptance of a lifelong problem
b. insight and control of symptoms
c. awareness of the need for long-term treatment
d. conscious use of defense mechanisms
B
The client demonstrated control by not storming out of the office. He demonstrated insight when he was able to identify his previous method of dealing with a stressful situation.
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A patient, newly diagnosed with chronic obstructive pulmonary disease (COPD), calls the clinic and asks the nurse to explain what the newly prescribed medications are for. What would be the most appropriate response by the nurse?
A) "The medications that have been ordered for you are what the physician thinks will help you the most." B) "The medications that have been ordered for you are to help you breathe easier." C) "The medications that have been ordered for you are designed to work together to help you feel better." D) "The medications that have been ordered for you are to help relieve the inflammation and promote dilation of the bronchi."
A client is admitted to the emergency department in a sickle cell crisis. The nurse assesses the client and documents the following clinical findings: temperature 102 °F, O2 saturation of 89%, and complaints of severe abdominal pain
Based on the assessment findings, which intervention is the greatest priority? A) Apply oxygen per nasal cannula at 3 L/minute. B) Assess and document peripheral pulses. C) Administer morphine sulfate 10 mg IM. D) Administer Tylenol 650 mg by mouth.
A patient is recovering from a myocardial infarction but does not have symptoms of heart failure. The nurse will expect to teach this patient about:
a. ACE inhibitors and beta blockers. b. biventricular pacemakers. c. dietary supplements and exercise. d. diuretics and digoxin.
A newly admitted patient has a fasting serum blood glucose level of 125 mg/dL. How should the nurse interpret this value?
1. This is a critical value that should be reported immediately. 2. The patient has type 1 diabetes. 3. The patient has normal glucose metabolism. 4. The patient may be prediabetic.