When an individual is "two-faced," which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?
1. Respect
2. Genuineness
3. Sympathy
4. Rapport
2
Rationale: When an individual is "two-faced," which means double-dealing or deceitful, the nurse should identify that genuineness is missing in the relationship. Genuineness refers to the nurse's ability to be open and honest and maintain congruence between what is felt and what is communicated. When a nurse fails to bring genuineness to the relationship, trust cannot be established.
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A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?
a. Notify the charge nurse. b. Give the patient a snack of graham crackers and milk. c. Ambulate the patient in the hall for a short time. d. Give the patient more insulin according to the sliding scale.
A client tells the perioperative nurse that she takes no prescription drugs, only herbal preparations. Which of the following herbal preparations should the nurse assess if the client has been taking it?
a. Garlic b. Green tea c. Ephedra d. Capsasin
During which phase of the nursing process would the nurse identify client perceptions and expectations of the drug's effectiveness?
a. Planning b. Assessment c. Evaluation d. Implementation
The nurse is involved in requesting a management consultation for personnel-related issues. Which of the following is true regarding the consultation process in which the nurse is involved?
1. The problem area should be totally delegated to the consultant. 2. Consultation is often used when the exact problem remains unclear. 3. The problem area is identified by any member of the health care team. 4. Feelings about the problem should be described to the consultant by the nurse.