The nurse is caring for a patient who is recovering from a suicide attempt. Which of the following nursing interventions would be inappropriate for this patient?
A) Utilize active listening techniques.
B) Allow for expression of negative feelings.
C) Implement all-new coping mechanisms.
D) Include the patient's family and friends.
Ans: C
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Which of the following assumptions would be made by nurses who think family and intend to practice family-focused nursing care?
1. Families always think as a whole. 2. Nurses need to solve family problems. 3. Nurses need to know the limits of their scope of practice. 4. The individual and the family are not separate.
Which is an example of an expected outcome?
a. Turn, cough, and deep breathe every 2 hours. b. The patient will maintain nutritional status. c. The patient will walk the length of the corridor twice a day by the second day after surgery. d. The patient has gained 3 pounds.
A nurse asks you to do a urinary catheterization. This involves sterile technique and inserting a tube into the person's bladder. The nurse gives you very clear instructions. What should you do?
a. Perform the task. The nurse's directions were clear. b. Perform the task if the nurse is available to answer questions. c. Refuse the task. It is beyond the legal lim-its of your role. d. Perform the task if another nursing assis-tant can help you.
The nurse is triaging a client and notes pallor and cyanosis of the oral cavity and lips. Which action by the nurse is the priority based on the assessment data?
A. Administer oxygen. B. Provide oral hygiene. C. Provide a warm drink. D. Administer IV fluids.