A patient has difficulty expressing anger appropriately. The nurse encourages the patient to set realistic goals by stating
a. "You seem to have problems expressing anger in a nonaggressive way."
b. "I thought you sounded angry when I told you it was time for group."
c. "What do you think needs to change about how you express anger?"
d. "What bothers you about your actions when you get angry?"
C
Goal-setting is most directly related to the technique of asking patients to decide on the type of change needed. The distracters demonstrate making observations and exploring.
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A patient is non–English speaking and unable to answer questions. When preparing to bathe this patient the nurse needs to remember which of the following?
a. Use soaps which contain deodorant to help control body odor. b. Cultural heritage influences hygiene practices. c. Shave facial hair to make the patient more presentable. d. Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.
The nurse admits a patient to the critical care unit following a motorcycle crash. Assessment findings by the nurse include blood pressure 100/50 mm Hg, heart rate 58 beats/min, respiratory rate 30 breaths/min, and temperature of 100.5°
The patient is lethargic, responds to voice but falls asleep readily when not stimulated. Which nursing action is most important to include in this patient's plan of care? a. Frequent neurological assessments b. Side to side position changes c. Range of motion to extremities d. Frequent oropharyngeal suctioning
A client has just arrived in the birthing unit. What steps would be most important for the nurse to perform to gain an understanding of the physical status of the client and her fetus? Note: Credit will be given only if all correct choices and no
incorrect choices are selected. Select all that apply. 1. Check for ruptured membranes and apply a fetal scalp electrode. 2. Auscultate the fetal heart rate between and during contractions. 3. Palpate contractions and resting uterine tone. 4. Assess the blood pressure, temperature, respiratory rate, and pulse rate. 5. Perform a vaginal exam for cervical dilation, and perform Leopold maneuvers.
The Fair Labor Standards Act (FLSA) of 1938 was passed to set the standards for employment. Included in this act are provisions concerning working overtime. Which statement best describes the provision concerning working overtime?
A) There is a ceiling limit as to the amount of overtime hours that can be worked by any one individual. B) Individuals cannot be dismissed from their job if they decide to decline to work overtime. C) For each hour worked over 40 hours, payroll employees must be paid time and a half the regular pay rate. D) Persons refusing to work overtime can receive sanctions from the employer.