Which comment by the nurse would best support relationship building with a victim of partner abuse?
a. "You are feeling violated, because you thought you could trust your partner."
b. "I'm here for you. I want you to tell me about the bad things that happened to you."
c. "I was very worried about you. I knew you were living in a potentially violent situation."
d. "Abusers often target people who are passive. I will refer you to an assertiveness class."
A
The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.
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A client with superficial and partial-thickness burns of the cheek was very concerned about permanent damage. The nurse should focus the client teaching on:
1. use of plastic surgery to relieve scarring. 2. prevention of infection to reduce scarring. 3. use of vitamin E to prevent scarring. 4. scrubbing the burned area daily to promote new skin growth.
The nurse recognizes a need for further instruction about the emotional preparation for surgery when a patient says:
a. "I'm going to hug my surgeon tomorrow." b. "My fate is in the hands of my surgeon. I'm frightened about the outcome." c. "I'll be ready for a cheeseburger when I get back." d. "I know I may have some pain, but this gallbladder will be gone when I wake up."
A patient who comes to the emergency department is anxious, short of breath, diaphoretic, and has a history of heart disease
The patient states that the doctor instructed him to chew an aspirin on the way to the emergency department. The nurse understands that the rationale for this instruction is that aspirin a. suppresses platelet aggregation, producing an immediate antithrombotic effect. b. acts as an immediate analgesic. c. augments the effects of morphine. d. has vasodilatory properties that can improve perfusion of the heart.
A nurse wishes to document nursing actions using a standardized language. Which of the following systems might the nurse use?
A) NANDA International (NANDA-I) B) Nursing Outcomes Classification (NOC) C) Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) D) Nursing Interventions Classification (NIC)