The nurse is assessing a depressed child who was referred by the elementary school nurse. What is the best approach to use when assessing the child's socialization?
1. "Tell me about the friends you enjoy being with."
2. "So you spend a lot of time with your friends?"
3. "You seem like a person who would have a lot of friends."
4. "How many friends do you have at school?"
1
Rationale: The nurse is using therapeutic communication and encouraging the client to talk about a positive aspect of life. "You seem like a person who would have a lot of friends," is a judgmental observation that may also be viewed as a stereotypical comment. The question "How many friends do you have at school?" can be perceived as probing and intrusive, which is nontherapeutic. "So you spend a lot of time with your friends?" invites a yes or no response and does not facilitate exploring the child's feelings about the "friends."
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A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation. Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery?
a. Review the hemoglobin and hematocrit as ordered. b. Take vital signs and notify the surgeon immediately. c. Release the traction on the three-way catheter. d. Remind the client not to pull on the catheter.
Patients often respond to questions that begin with the word why by
a. sharing important and useful information. b. trying to explain or defend themselves. c. establishing a closer relationship with the nurse. d. becoming confused.
The amount of urine necessary to carry away waste products is called ______ excretion
1. Discretionary 2. Mandatory 3. Obligatory 4. Optional
Mildred Montag's major contribution to nursing is considered to be
a. encouraging minority women and men to enter nursing. b. establishing associate degree nursing programs. c. fighting for improved wages and recognition for nurses. d. paving the way for the military to use trained nurses.