What two therapies from Nursing Interventions Classification (NIC) are used during every interaction with clients?
a. active listening and presence
b. coping enhancement and emotional support
c. assertiveness training and cognitive restructuring
d. teaching of prescribed medications and body image enhancement
A
During every intervention with a client, the nurse uses active listening and presence. Both concepts are based on the premise of building and strengthening the nurse-client relationship. By listening and hearing the experience of clients, the nurse will be able to assess their responses to the emotions they are experiencing. By being present, the nurse offers him- or herself as a source of support for the client. Both active listening and presence are a means of portraying honest interest in the clients.
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A 22-year-old female college student is shocked to receive a diagnosis of myasthenia gravis. What are the etiology and most likely treatment for her health problem?
A) Autoimmune destruction of skeletal muscle cells; treatment with intensive physical therapy and anabolic steroids B) A decline in functioning acetylcholine receptors; treatment with corticosteroids and intravenous immunoglobulins C) Cerebellar lesions; surgical and immunosuppressive treatment D) Excess acetylcholinesterase production; treatment with thymectomy
The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client?
A) Positive for human papillomavirus (HPV) B) Use of pessary C) Vaginal bleeding D) Urinary stress incontinence
Measures of variability show how ____________ the data are within a set
a. even b. skewed c. similar d. different
Nursing interventions should be documented according to specific criteria in order that they may be clearly understood by other members of the nursing team. The most appropriate of the fol-lowing intervention statements is the following:
1. "Take vital signs." 2. "Refer client to a therapist." 3. "Turn client as needed while in bed." 4. "Apply two 4 × 4 dry gauze dressing pads tid."