An appropriate nursing intervention for an agitated, depressed client who paces the corridor hour
after hour is to
a. restrain the client in a chair.
b. seclude the client as needed.
c. provide a simple monotonous task.
d. explain that pacing produces fatigue.
C
Providing a simple monotonous task may reduce the amount of pacing. Options A and B: Restraint
and seclusion are punitive. Option D: Explanations may not be comprehended when concentration is
poor.
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An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description?
1. The relationship between the nurse and client is reciprocal. 2. The nursing process is the cornerstone of the relationship. 3. The essential feature of the relationship is a therapeutic alliance. 4. The nurse must meet the client's needs throughout the relationship.
When performing an assessment of the integumentary system on a client, the nurse should:
1. palpate for edema over the knee. 2. inspect the inside of the mouth for skin tags. 3. check color, quantity, and distribution of hair. 4. check for skin turgor on the forearm.
A nurse provides education for a patient who has just started taking buspirone (BuSpar)
The patient asks the nurse, "When should I expect to see an effect from the medication?" The nurse's best response would be based on the understanding that the effects of buspirone begin in most patients during which time frame? a. 3 days b. 24 to 48 hours c. 1 day d. 4 to 6 weeks
While instructing a client on the body's nutritional needs, the nurse would include that the majority of calories consumed daily should be supplied from:
1. vitamins. 2. fats. 3. carbohydrates. 4. proteins.