A client on the nursing unit is terminally ill but remains alert and oriented. Three days after admission, the nurse observes signs of depression. The client states, "I'm tired of being sick. I wish I could end it all." What is the most accurate and informative way to record this data in a nursing progress note?
A. Client appears to be depressed, possibly suicidal
B. Client reports being tired of being ill and wants to die
C. Client does not want to live any longer and is tired of being ill
D. Client states, "I'm tired of being sick. I wish I could end it all."
Ans: D. Client states, "I'm tired of being sick. I wish I could end it all."
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The nurse is evaluating a mother's ability to catheterize her 2-year-old son. Which observations indicate that teaching has been effective? (Select all that apply.)
A) Mother washes hands using warm, soapy water. B) Mother coats the tip of the catheter with petroleum jelly. C) Mother quickly removes the catheter once urine stops flowing. D) Mother inserts the catheter into the urinary meatus one half of an inch. E) Mother washes around the child's urinary meatus with warm, soapy water.
Which nursing intervention should take priority when giving a bath to a surgical client on his first postop day?
A) Apply lotion to the extremities. B) Raise side rails when gathering supplies. C) Remove the soiled dressing during the bath. D) Change the water when it becomes cold.
The spouse of a patient with bipolar disorder (BPD) tells the nurse that the patient will not stay on the lithium ordered by the provider longer than 1 or 2 months at a time
The nurse understands that adherence to medication regimens in patients with BPD is problematic and will tell the spouse that: a. "During manic episodes, many patients don't see the benefit of prophylactic medications." b. "Increased gastrointestinal side effects occur over time and reduce compliance." c. "Long-term use of lithium causes memory impairment, causing patients to forget to take their medications." d. "Patients who are depressed do not want to take their medications."
The nurse is establishing a therapeutic environment with a newly admitted patient with a serious mental illness. Which statement should the nurse use to demonstrate empathetic communication?
1. "I feel really bad that you have this disorder." 2. "You appear upset. Do you want to talk about it?" 3. "You appear upset. Why do you feel this way?" 4. "Many people have this disorder. You will feel better in no time."