The nurse is planning interventions to assist a client with anxiety. The intervention that would be the least beneficial would be:
a. relieving pain.
b. guided imagery.
c. teaching progressive muscle relaxation.
d. encouraging the client to be stoic.
ANS: D
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When a patient's aggression quickly escalates, on which principle should nursing intervention be based?
a. Staff should match their tone of voice and level of intensity to the patient's. b. When there is no time to de-escalate, immediate use of restraint is necessary. c. Always ask the patient what will be most helpful to increase his sense of control. d. Choose the least restrictive measure that will keep the patient and others safe.
The nurse is caring for an older patient recently diagnosed with cancer. What laboratory data should the nurse identify to support the diagnosis of frailty in this patient?
1. Hemoglobin 12 g/dL 2. Hemoglobin 23 g/dL 3. Serum albumin less than 2.5 g/100 dL 4. Serum albumin greater than 2.5 g/100 dL
Other early sensual contacts between infant and mother involve sound and smell. Nurses should be aware that despite what folk wisdom might say:
1. high-pitched voices irritate newborns. 2. infants can learn to distinguish their mother's voice from others soon after birth. 3. all babies in the hospital smell alike. 4. mother's breast milk has no distinctive odor.
A nurse is caring for a client with history of nocturia who is confined to bed. As a nurse
assessing this case, what should be the nursing intervention for this client? A) Ensure fluid restriction during the day B) Have client refrain from drinking cranberry juice C) Assist the client in using incontinence pads D) Offer the bedpan frequently