The nurse says "I find myself always thinking that Mr. X is really a lowlife, based on the way he treated his wife and children." These thoughts will prevent this nurse from
A. assessing client symptoms.
B. assessing boundary issues.
C. giving the client positive regard.
D. engaging in values clarification.
Answer: C. giving the client positive regard.
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A woman, gravida 3, para 2, is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband. She is assessed to have multiple bruises at various stages of healing
What nursing actions are appropriate for the nurse to implement? (Select all that apply.) a. Tell the husband that authorities will be notified immediately. b. Provide privacy for the assessment. c. Determine if children are being hurt. d. Communicate in a non-judgmental way. e. Determine factors that increase the risk of injury.
A 75-year-old patient questions the nurse about the need to consider a vaccine to prevent the development of shingles. What response by the nurse is most appropriate?
a. "The incidence of shingles in people your age is not overly common, making the need for vaccination unnecessary." b. "The vaccination is still under study so I would not recommend you consider it." c. "Considering the incidence of shingles in your age group taking the vaccination should be considered." d. "The vaccination is considered a positive option for your age group and will provide for lifelong immunity."
While listening at the mitral area, the nurse notes abnormal heart sounds at the patient's fifth in-tercostal space, midclavicular line. After listening to the audio clip, describe how the nurse will document the assessment finding
Click here to listen to the audio clip a. S3 gallop heard at the aortic area b. Systolic murmur noted at mitral area c. Diastolic murmur noted at tricuspid area d. Pericardial friction rub heard at the apex
A client is scheduled for a barium enema. What is the nursing priority for this client?
1. Assess bowel sounds. 2. Assess for allergies. 3. Cleanse the bowel. 4. Keep the client NPO.