A group member says to a nurse facilitator, "Why don't you say something? It's not just me; there are others in this group who feel that you could do more in here."

Which statement shows the best therapeutic communication on the part of the nurse? a. "So, you and others feel that I ‘could do more in here'?"
b. "You sound enraged. Let's discuss what is making you so angry with me.".
c. "I don't remember the group contract requiring that I actively participate in the discussions.".
d. "If I understand you correctly, you and others in this group feel that I should take a more active role in group sessions?"


D
The most therapeutic nursing communication is the one that paraphrases and reflects back the affective domain to the group. When group members express anger or frustration with the group, it is important for the leader to give permission for the group to be angry and for the group to observe that anger does not destroy the leader.

Nursing

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When a nulliparous woman telephones the hospital to report that she is in labor, the nurse initially should:

a. Tell the woman to stay home until her membranes rupture. b. Emphasize that food and fluid intake should stop. c. Arrange for the woman to come to the hospital for labor evaluation. d. Ask the woman to describe why she believes she is in labor.

Nursing

List at least three reasons why parents should be encouraged to stop spanking their children

What will be an ideal response?

Nursing

A female client with a terminal illness is experiencing a phase of depression and decreased self- esteem. How should the nurse help her to cope with this situation?

A) Suggest going for walks by herself. B) Suggest gradual participation in group activities. C) Recommend activities that the client is comfortable performing in the room. D) Suggest the client talk with the primary care provider about coping strategies.

Nursing

After leaving work, a nurse realizes documentation of administration of a PRN medication was omitted. This off-duty nurse phones the nurse on duty and says, "Please document administration of the medication for me. My password is alpha1."

The nurse receiving the call should: a. fulfill the request promptly. b. document the caller's password. c. refer the matter to the charge nurse to resolve. d. report the request to the patient's health care provider.

Nursing