Which statement or question by the nurse indicates that the nurse–patient relationship is entering the termination phase?
a. "I'll be admitting you to our nursing unit as soon as I obtain your health history."
b. "You seem upset today. Would you like to talk about whatever is bothering you?"
c. "I'm leaving for the day. Is there anything I can do for you before I leave?"
d. "Hello. My name is Leslie and I'm going to be your nurse today."
C
When the nurse says, "I'm leaving for the day. Is there anything I can do for you before I leave?" the nurse–patient relationship is entering the termination phase. The termination phase is the conclusion of the relationship, which can occur at the end of a nurse's shift. The preinteraction phase occurs before the nurse meets the patient. The statement "I'll be admitting you to our floor as soon as I obtain your history" demonstrates the preinteraction phase of the nurse–patient relationship. The nurse introduces herself to the patient during the orientation phase. During the working phase of the nurse–patient relationship, feelings are explored. This phase is demonstrated when the nurse says, "You seem upset today. Would you like to talk about whatever is bothering you?"
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In addition to providing care in traditional arenas such as health care providers' offices and acute care hospitals, nurses provide care in nonacute arenas of health care such as:
a. acupuncture clinics c. emergency departments b. suicide prevention services d. long-term care facilities
An older adult client says to the nurse, "I'm gaining weight around my middle and my legs look like chicken legs." An appropriate response by the nurse to this client is:
1. "Older people often put on weight around the middle, but lose muscle in the legs, making the legs appear thinner. This is normal." 2. "Have you been doing any exercises to slim down your middle?" 3. "This is very unusual. I will let the healthcare provider know." 4. "Let's talk about your diet to see why you're gaining weight around your middle."
Which of the following nursing activities is most reflective of the evaluation phase of the nursing process?
a. Administering pain medication prior to changing a complex wound dressing b. Obtaining patient's blood pressure 30 minutes after administering blood pressure medication c. Reporting that there have been three patient falls in the past month on the nursing unit d. Teaching the patient how to perform daily Accu-Cheks for blood sugar readings
What mechanism can cause hypernatremia?
a. Syndrome of inappropriate antidiuretic hormone b. Hypersecretion of aldosterone c. Brief bouts of vomiting or diarrhea d. Excessive diuretic therapy