A nurse tells a patient who is feeling guilty about an infidelity to call the spouse and beg for forgiveness. According to the transactional model of communication, the nurse's response originated from which state?
a. Adult
b. Child
c. Parent
d. Complementary
C
The nurse's statement can be construed as critical. The parent ego state consists of all the nurturing, critical, and prejudicial attitudes, behaviors, and experiences learned from other people, especially from parents and teachers.
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The client who is taking a low-potency antipsychotic medication should be informed by the nurse that the most common side effects are: (Select all that apply.)
a. Dystonia b. Akathisia c. Dry mouth d. Bradykinesia e. Blurred vision f. Urinary retention
During an assessment, a client with congestive heart failure (CHF) and severe shortness of breath tells the nurse about not having enough money to purchase medications. What nursing diagnosis is of the greatest initial importance when planning care?
A) Excess Fluid Volume related to shortness of breath B) Ineffective Family Management of Therapeutic Regime related to inability to purchase medications C) Fatigue related to shortness of breath D) Activity Intolerance related to shortness of breath
The nursing instructor is discussing renal failure with her senior nursing class. The instructor states, "A patient in renal failure partially loses the ability to regulate changes in pH." What is the cause of this partial inability?
A) The kidneys regulate and reabsorb carbonic acid to change and maintain pH. B) The kidneys buffer acids through electrolyte changes. C) The kidneys regenerate and reabsorb bicarbonate to maintain a stable pH. D) The kidneys combine carbonic acid and bicarbonate to maintain a stable pH.
Which assessment finding by the nurse would be indicative of oral candidiasis, a common secondary infection in persons with compromised immune systems?
A. blisters on tongue or oral mucosa B. inflammation of gums C. painless white lesions on lateral surface of the tongue D. white-yellow patches on the tongue or oral mucosa