A pregnant woman states, "I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor." The nurse responds by stating, "Oh, don't worry about labor so much. I have been through it,

and although it is painful, many good medications are available to decrease the pain." Which statement is true regarding this response? The nurse's reply was a:
a.
Therapeutic response. By sharing something personal, the nurse gives hope to this woman.
b.
Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the woman's fears.
c.
Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman.
d.
Nontherapeutic response. The nurse is essentially giving the message to the woman that labor cannot be tolerated without medication.


ANS: B
By providing false assurance or reassurance, this courage builder relieves the woman's anxiety and gives the nurse the false sense of having provided comfort. However, for the woman, providing false assurance or reassurance actually closes off communication, trivializes her anxiety, and effectively denies any further talk of it.

Nursing

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1. Chemical restraint 2. Physical restraint 3. Medication restraint 4. Psychological restraint

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The nurse is talking to the family of a patient who has fallen several times. She knows that her teaching should be aimed toward the most important intervention for falls, which is:

1. prevention. 2. hospitalization. 3. continuous observation. 4. restraint.

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In preparing a staff in-service presentation about diabetes mellitus, the nurse includes which information?

a. Diabetes increases the risk for develop-ment of epilepsy. b. The cure for diabetes is the administration of insulin. c. Diabetes increases the risk for develop-ment of cardiovascular disease. d. Carbohydrate metabolism is altered in di-abetes, but protein metabolism is normal.

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Most renal calculi are composed of

a. cystine. b. struvite. c. uric acid. d. calcium oxalate.

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