What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?
A. To clarify personal attitudes, values, and beliefs
B. To obtain thorough assessment data
C. To determine the client's length of stay
D. To establish personal goals for the interaction
A
The most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client is to clarify personal attitudes, values, and beliefs. Understanding one's own attitudes, values, and beliefs is called self-awareness.
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The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.)
a. The state's Nurse Practice Act b. Theory X management c. Nurse's Code of Ethics d. The NCSBN website e. NCSBN journal articles
A nurse is caring for a client who is newly diagnosed with rheumatoid arthritis (RA). The client asks the nurse what the difference is between RA and osteoarthritis (OA). Which responses by the nurse are the most appropriate?
Select all that apply. A) "The onset of OA is gradual while the onset of RA may be rapid." B) "With OA, multiple joints are symmetrically affected; RA affects one joint at a time." C) "The affected joints in RA feel cold to the touch while the joints affected by OA are warm or hot to the touch." D) "OA is slowly progressive while RA is characterized by exacerbations and remissions." E) "The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising."
A client hospitalized with diabetic ketoacidosis calls the nurse and reports feeling hungry, shaky, and anxious. Which action by the nurse is most appropriate?
1. Administer 10 mg glucagon intramuscularly. 2. Give 6 oz of orange juice to drink. 3. Check the client's blood pressure and pulse. 4. Call the lab to draw blood for a glucose level.
When performing a capillary puncture, the nurse should
a. hold the lancet at a 45 degree angle to the skin b. puncture the skin 5 mm deep c. wipe off the first drop of blood with a sterile gauze d. apply heat to the puncture site