The nurse is caring for a client whose wife just died in an accident. The client says to the nurse, "I can't believe that my wife is gone and I am left to raise my children all by myself." Which re-sponse by the nurse is most appropriate?
a. "Please accept my sympathy for your loss."
b. "I can call the hospital chaplain if you wish."
c. "You sound anxious about being a single parent."
d. "At least your children still have you in their lives."
C
Therapeutic communication includes active listening and honesty. This statement demonstrates that the nurse recognizes the client's distress and has provided an opening for discussion. Ex-tending sympathy and offering to call the chaplain do not give the client the opportunity to dis-cuss feelings. Stating that the children still have one parent discounts the client's feelings and situation.
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A 52-year-old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this patient's lump is cancerous?
A) Eversion of the right nipple and a mobile mass B) Nonmobile mass with irregular edges C) Mobile mass that's soft and easily delineated D) Nonpalpable right axillary lymph nodes
The family of a young adult client who has recently been diagnosed with a rapidly progressing terminal illness tells the nurse, "This cannot be happening. There must be some mistake in the testing
" What should be the nurse's first step in assisting this family? A) Offer spiritual support. B) Examine the nurse's own feelings to ensure denial is not shared. C) Allow the family to express sadness. D) Provide structure and continuity to promote feelings of security.
The nurse is reviewing the laboratory results for a patient whose chief complaint is dyspnea. Which diagnostic test best differentiates between heart failure and lung dysfunction?
a. Arterial blood gas b. B- type natriuretic peptide c. Hemoglobin and hematocrit d. Serum electrolytes
How many tablespoons of Maalox will the patient receive each day? 
A. 6 tbsp B. 8 tbsp C. 30 tbsp D. 2 tbsp