While the nurse is bathing a seven-year-old child, the child states, "I get so sad when my mom leaves." The response that ignores the importance of the child's feelings is:
1. "I am working tonight so I will be with you tonight while your mother is away."
2. "Could you explain to me what you mean by sad?"
3. "Your mother has to take care of your brothers and sisters, too. She will be back tomorrow."
4. "Can you tell me more about how it makes you feel when your mom leaves?"
3
Rationale 1: Staying with the child might alleviate some fear of being alone and might facilitate expression of feelings and establish trust and rapport in the nurse-client relationship.
Rationale 2: Asking the child to explain what is meant lets the child know the feelings experienced are important to the nurse.
Rationale 3: This response ignores the importance of the child's expressed feelings and conveys disinterest in the child.
Rationale 4: The nurse's wanting to know more about the child's feelings conveys caring for the child and is therapeutic.
Global Rationale:
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A client with whom the nurse is discussing advance directives asks "What advantage does a durable
power of attorney for health care have over a living will?" The nurse should reply a. "A durable power of attorney for health care gives your agent the ability to speak for you during any illness if you become incapacitated.". b. "A durable power of attorney for health care can be used only if you have a terminal illness and become incapacitated.". c. "A durable power of attorney for health care cannot go into effect for 30 days so you have time to rethink your decision.". d. "A durable power of attorney can be given only to a relative who would have your best interests at heart.".
The nurse is performing a physical assessment for a client who underwent a hemorrhoidectomy the previous day. The nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended area
Which is the nurse's priority action? a. Assess the client's vital signs. b. Determine the last time the client voided. c. Insert a rectal tube to facilitate passage of flatus. d. Document the findings in the client's chart.
The etic perspective is the "insider's view," the way the members of a culture see the world
A) True B) False
Augmentation of labor:
A) Is part of the active management of labor instituted when the labor process is unsatisfactory and uterine contractions are inadequate B) Relies on more invasive methods when oxytocin and amniotomy have failed C) Is elective induction of labor D) Is an operative vaginal delivery that uses vacuum cups