Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?
1. "I can't bear the thought of leaving here and failing."
2. "I might have a hard time working with you, because you remind me of my mother."
3. "I really don't want to talk any more about my childhood abuse."
4. "I'm not sure that I can count on you to protect my confidentiality."
3
Rationale: The nurse should identify that the client statement, "I really don't want to talk any more about my childhood abuse," reflects that the client is in the working phase of the nurse-client relationship. The working phase includes overcoming resistance behaviors on the part of the client as the level of anxiety rises in response to discussion of painful issues.
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A pregnant woman calls the OB clinic nurse to complain of sharp abdominal pain with coughing or sneezing. What action by the nurse is best?
A. Explain that the pain is from stretching of the ligaments. B. Have the woman count her contractions each hour while awake. C. Place the woman on bedrest until her next clinic visit. D. Tell the woman to come to the clinic today.
Which health restoration practice would a person from the Swedish-American Protestant heritage use to treat a black eye?
A. Applying leeches to decrease the bruising B. Placing heat on the affected area C. Making a poultice to draw down the swelling D. Applying ice to the affected area
The order reads: "Infuse 90 mL in 1 hour.". The set is calibrated to 10 gtt/mL. Calculate the gtt/min to the nearest whole number
What will be an ideal response?
A client in the first trimester of pregnancy is concerned that the baby will be born with birth defects since she was prescribed penicillin for dental work about the time she became pregnant. The nurse should instruct the client that:
1. Diagnostic tests can be done to check for birth defects. 2. The penicillin was used for such a short period of time that it probably will not affect the fetus. 3. Antibiotics do not affect the developing baby, so there is no need to be concerned. 4. Penicillin has no risks or minimal risks associated with it for the developing fetus.