The wife of an alcoholic client says to the nurse, "I can't afford to bail my husband out of this mess. Our business is filing for bankruptcy, and the Internal Revenue Service has posted a notice of auction on our home." Which statement by the nurse would be therapeutic?
A. "You're having a very difficult time, and the problem stems entirely from your husband's drinking."
B. "It's a shame. So many troubling things have been happening to you both because of the disease of alcoholism."
C. "The lack of money has stopped you from saving your husband? It sounds like you need to help yourself right now. What do you think?"
D. "You're codependent with your husband. Don't you see this? Are you willing to attend some group meetings to learn about ways to deal more effectively with your problem?"
Ans: C. "The lack of money has stopped you from saving your husband? It sounds like you need to help yourself right now. What do you think?"
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Which action would the nurse take to improve CULTURALCARE?
A. Confront biases and stereotypes. B. Expect everyone to embrace the process. C. Learn a foreign language. D. Study different cultures.
Prior to assessing a client's body temperature, the nurse should remember which of the following?
a. Ear canal temperature is the best method for detecting fever in infants and young children. b. Rectal temperature measurement is contraindicated in clients with cardiovascular disease. c. Pulmonary artery temperature is the most practical method of measuring core temperature. d. Oral temperature is most appropriate for a client who has a nasogastric or feeding tube in place.
Assessing orientation to person, place, and time helps determine:
a. ability to understand analogies. b. abstract reasoning. c. attention span. d. state of consciousness.
A 49-year-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which order from the health care provider will the nurse implement first?
a. Insert a nasogastric (NG) tube. b. Infuse normal saline at 250 mL/hr. c. Administer IV ondansetron (Zofran). d. Provide oral care with moistened swabs.