A client tells the nurse, "I really like you. You're the only true friend I have." The client's re-marks call for the nurse to revisit the issue of:
1. Boundaries
2. Trust
3. Safety
4. Countertransference
ANS: 1
The client's remarks call for the nurse to remind the client of the parameters of the nurse-client relationship. The remark would also give the nurse the opening to go on to discuss the matter of friends. Options 2, 3, and 4: The client's remarks do not suggest the need to deal with any of these three issues.
You might also like to view...
The nurse is caring for a client with the nursing diagnosis of Nutrition: altered, less than body requirements
What nursing interventions will the nurse plan to improve appetite and increase nutritional intake? Standard Text: Select all that apply. 1. Oral care every two hours 2. Maintain clean environment. 3. Always keep food and fluids at the bedside. 4. Repeatedly remind the client of the importance of eating. 5. Increase the amount of food on the client's meal tray.
An OB manager is interviewing a registered nurse for a labor and delivery position
The manager asks the interviewee, "Tell me about the most challenging delivery experience in your nursing career," and learns the candidate has experienced several challenges that required quick action. Which nursing skill will this exchange best assess? 1. Adaptability 2. Negotiation skills 3. Initiative 4. Decision-making skills
Which of the following interventions would be MOST appropriate in assisting a client deal with stress? (Select all that apply.)
a. teach relaxation exercises d. encourage verbalization of feelings b. plan care for client e. encourage increase in workload c. minimize environmental stimuli f. establish a trusting relationship
A client in a group therapy session listens for a time and then remarks "I used to think I was the only
one who felt afraid. It is nice to know that I am not alone.". This is an example of a. ventilation. b. altruism. c. universality. d. group cohesiveness.