The nurse has been closely observing a client who has been displaying aggressive behaviors and notes that the client's aggressiveness is escalating. Which nursing intervention would be least helpful to this client at this time?
A. Initiating confinement measures
B. Acknowledging the client's behavior
C. Assisting the client to an area that is quiet
D. Maintaining a safe distance with the client
Ans: A. Initiating confinement measures
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The nurse is caring for a patient from a very different cultural group. In delivering care, how can the nurse best demonstrate cultural sensitivity?
A) Ask the family about their cultural beliefs and customs that may apply. B) Assume that the patient and family will adjust to the hospital culture. C) Inform the patient and family that the routines of the hospital take precedence. D) Do a literature search on the patient's culture to determine beliefs.
Lindsay is a nursing student who is preparing to perform morning hygiene for Mrs. Chen, a resident of a long-term care facility who has a significant vision impairment. Before beginning to wash Mrs. Chen, Lindsay should
A) give Mrs. Chen a chance to feel the cloths and towel that will be used. B) explain who she is and what she is going to do. C) clearly and loudly ask Mrs. Chen if she would like a wash. D) assess Mrs. Chen's orientation and cognition.
The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen. Several of the patient's out-of-town friends are at the bedside watching a football game
Which action is most appropriate for the nurse to consider prior to the dressing change? a. Ask the friends to leave the room. b. Pull the curtain around the bed. c. Allow visitors to stay in the room during the procedure. d. Ask the patient to turn up the volume on the television.
Confusion and misinformation relative to herbal medicine can make patients reluctant to disclose their herbal use to health care providers. The nurse's approach should be:
a. instructive. b. nonjudgmental. c. inquisitive. d. determined.