A nurse is implementing the cognitive–behavioral approach to the care of a client with SPMI and recognizes the importance of enhancing self-esteem in members of this population. Which of the following statements is most likely to contribute to this goal?
A) "I'm going to stop reminding you when it's time to take a shower."
B) "Let's talk about why you have this pattern of going off your meds every few months."
C) "I would really like to see you get to the place where you can hold down a job."
D) "I was really impressed with how you handled that conflict in the kitchen."
Ans: D
Specifically identifying previous successes is likely to enhance self-esteem in a client with SPMI. Granting autonomy in decision making may indirectly help meet this goal, provided such autonomy results in positive outcomes. The nurse's statement of his or her goals for the client and discussions of past failures do not enhance self-esteem.
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While caring for a client, the nurse is administering medications while attempting to instruct the client on ways to improve her appetite when she returns home. The nurse is demonstrating which of the following characteristics of the nursing role?
a. Attempting to do more than one thing at a time b. Minimizing the impact of medication administration c. Maximizing the importance of client teaching d. Nursing roles often overlap
The nurse is collecting data from a hospital patient who has been admitted with pyelone-phritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. The primary goal of his treatment is to:
1. provide adequate nutrition with a stable body weight. 2. provide adequate hydration with pulse and blood pressure within patient norms. 3. give pain relief with analgesics and antispasmodics. 4. prevent further damage to his kidneys that could lead to renal failure.
Taking cues about our own behavior from those around us describes
a. Mimicking b. Mirroring c. Reflecting d. Idealizing