A client with depression says to a nurse, "Why is my family meeting with you? Are you telling them about me?" Which response by the nurse would be therapeutic?
A. "Have you talked with your family? What have they said to you about the meetings?"
B. "I am committed to keeping everything you say to me confidential, so it is troubling when you accuse me of talking to your family."
C. "You sound concerned that I would tell your family something about you even though you know that what we talk about is confidential."
D. "Your family is learning about depression and how best to help you so that they can be supportive of you. We do not talk about you or anything confidential about you."
Ans: D. "Your family is learning about depression and how best to help you so that they can be supportive of you. We do not talk about you or anything confidential about you."
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Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)?
a. Vital signs b. Insertion of N/G tube c. Enema d. Height and weight e. Obtaining operative consent f. Sterile gowning
A patient in whom cancer has just been diagnosed tells the nurse, "Just get out of here and leave me alone! Let me suffer alone. God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is
a. risk for loneliness. b. powerlessness. c. dysfunctional grieving. d. spiritual distress.
A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are signs of:
a. infantile hydrocephalus. b. acromegaly. c. Cushing syndrome. d. achondroplasia.
A client comes to the emergency department with a fever of 104° F. What will the best plan by the nurse include?
1. Plan to obtain liver and renal function tests. 2. Plan to obtain a complete blood count (CBC) test. 3. Plan to obtain a sterile urine specimen. 4. Plan to obtain blood for culture and sensitivity.