Which nursing intervention will initially be most helpful for trust building with a suspicious patient?
a. Enforcing rules
b. Keeping appointments and promises
c. Agreeing not to document the patient's disclosures
d. Openly challenging unclear statements by the patient
B
Consistency and honesty regarding intentions are behaviors that promote patient trust. Enforcing rules is important but not necessarily related to trust building. The other options are nontherapeutic.
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A patient was placed on an antitubercular drug because he tested positive for tuberculosis more than three times. The patient tells the nurse that the drug will completely kill the bacteria. Which should be the nurse's proper response?
a. "Yes, you are correct. That is the action of the medication." b. "No, the medication only controls the bacteria." c. "Yes, the medication covers the bacteria's cell growth." d. "No, the action of the medication is unknown."
A nurse is reviewing the previous medical history of a new client and is cross-referencing the client's pre-admission medication regimen with her current medication orders
The nurse reads that the client was taking ginseng on a regular basis, but another nurse is adamant that this is not considered to be a "medication". The nurse should be aware that a medication is defined as A) A substance that affects health status. B) Any physical substance that the client ingests in any form. C) A non-nutritional substance that is taken for health purposes. D) A chemical substance that changes body function.
Why is more than one dose of Flumazenil (Romazicon) often needed to reverse a benzodiazepine overdose?
a. It must be administered only by the intravenous route. b. It depresses the drug metabolizing effects of the liver. c. It has a shorter duration of action than most benzodiazepines. d. It must be given in low doses to avoid respiratory depression.
The nurse is caring for a pregnant woman who admits to using cocaine and ecstasy on a regular basis
The patient states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?" The best response by the nurse is: 1. "Ecstasy can cause a high fever in you and therefore cause the baby harm." 2. "Ecstasy leads to deficiencies of thiamine and folic acid, which help the baby develop." 3. "Ecstasy produces babies with small heads and short bodies with brain function alterations." 4. "Ecstasy produces intrauterine growth restriction and meconium aspiration."