The nurse educator is teaching a group of students about the phases of the nurse–client relationship. Which of the following objectives does the educator include as indicative of the working phase of the nurse–client relationship?
1. Client accomplishments are honestly evaluated.
2. Plans for follow-up are clearly arranged.
3. Client behaviors and response patterns are openly analyzed.
4. Roles and responsibilities of the client are explicitly defined.
3
Rationale: Open analysis of client behaviors and response patterns is one of the primary objectives during the working phase. Evaluating client accomplishments and arranging for follow-up are aspects of the termination phase. Explicit definition of client roles and responsibilities is an important aspect of the orientation phase.
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The nurse is using the New Ballard Score to assess the gestational age of a newborn delivered 4 hours ago. The infant's gestational age is 33 weeks based on early ultrasound and last menstrual period. The nurse expects the infant to exhibit:
1. Full sole creases, nails extending beyond the fingertips, scarf sign showing the elbow beyond the midline 2. Testes located deep in the scrotum, rugae covering the scrotum, vernix covering the entire body 3. Ear cartilage folded over, lanugo present over much of the body, some flexion of arms and legs at rest 4. 1 cm breast bud, peeling skin and veins not visible, rapid recoil of legs and arms to extension
Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?
a. Licensed practical nurse b. Cardiac monitor technician c. Nursing assistive personnel (NAP) d. Another registered nurse on the floor
The nurse accidentally sticks herself with a needle after starting an intravenous (IV) line on a client with acquired immune deficiency syndrome (AIDS). The nurse tells the supervisor about the accident. What is the best initial response by the supervisor to decrease anxiety in the nurse?
1. "If you are started on medications soon, it will decrease the severity of the disease." 2. "Workers compensation will cover the cost of your illness and medications." 3. "Did you use the hospital protocols for starting intravenous (IV) lines on a client with acquired immune deficiency syndrome (AIDS)?" 4. "Fortunately, the chances of you contracting human immunodeficiency virus (HIV) after the stick are very small."