The nurse is working with a client who has severe rheumatoid arthritis in her hands. The client states that she is frustrated at mealtime because it is difficult for her to manage cups and silver-ware. What is the nurse's best response?
a. "I'll have the nursing assistants set up your meal trays while you are in the hospital."
b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use."
c. "I'll arrange for a home nursing assistant to help you with your meals after you are discharged from the hospital."
d. "Let's see if the physical therapist can suggest some muscle strengthening exer-cises for you."
B
The client wishes to be more independent at mealtimes; adaptive eating utensils from the occu-pational therapist will help her meet this goal. Muscle-strengthening exercises will not be as ef-fective for the client's mealtime needs. The client wishes to remain as independent as possible, so a home nursing assistant should not be suggested.
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The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. The nurse's best response is:
a. "I am required to report any intent to hurt yourself or others." b. "Conversations between patient and nurse are confidential." c. "What we say can be secret. What I write in the chart is available to the health team." d. "I can't help you unless you trust me."
What should be the next action by the nurse, once an over-the-needle catheter (ONC) has been inserted through the skin and into the vein?
a. Loosen the stylet for removal b. Check for blood return in the flashback chamber c. Stabilize the catheter and release the tourniquet d. Advance the catheter until the hub rests at the insertion site
A client is talking with the nurse about the death of her son 3 years ago. Which of the following indicates successful completion of the mourning process?
A) All of the son's belongings are still in his room just as he left them before he died. B) Although they were close, the client reports she has never cried or had any negative feelings over her son's death. C) The client reminisces about the pleasures and disappointments of her son. D) The client speaks of her son as though he was still living, weeping as she does so.
What is the focus of a nursing portfolio?
A) Career goals B) Salary expectations C) Professional growth D) Educational background