The nurse working with a teen client who has become moody and withdrawn because her parents are
divorcing will make the establishment of a therapeutic alliance a priority because
a. focusing on the strengths of an individual increases the individual's self-esteem.
b. the client should express feelings and not keep them inside.
c. acceptance and trust convey feelings of security to the client.
d. therapeutic activities provide an outlet for tension.
C
Trust is frequently an issue because the child or adolescent may never have had a trusting
relationship with an adult. In this client's situation, the trust she once had in her parents has been
shattered, robbing her of feelings of security. Only option C relates to the therapeutic alliance.
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A patient has sustained a stroke. The speech therapist tells you that the patient cannot control his epiglottis. You know that this patient
a. is at increased risk of aspiration. c. will need a tracheostomy to breathe. b. will need surgery to close his epiglottis. d. is at risk for a pneumothorax.
Which of the following statements is true regarding growth and development of an infant?
A. At 2 weeks, an infant should be lifting the head while lying prone B. An infant should smile and respond to mother at 1 month C. The infant should roll over by 6 months D. The infant should sit independently by 3 months
The nurse is to ambulate a client who has an IV in her arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take?
a. Hold the IV so it is higher than the client's heart while ambulating. b. Empty the urinary drainage bag before ambulating. c. Empty the closed chest drainage system before ambulating. d. Hold the closed chest drainage system above the client's chest level while ambulating.
A patient a history of type 2 diabetes mellitus and heart failure is prescribed carvedilol (Coreg)
What will the nurse assess prior to administering this medication to the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Blood pressure 2. Pulse 3. Blood glucose level 4. Lung sounds 5. Potassium level