The nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, explains the procedure to the patient, and tells the patient what to expect. Just before inserting the catheter, the nurse tells the patient to relax and says that, once the catheter is in place, the patient will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. Which type of touch is this?
Caring touch
Protective touch
Task-oriented touch
Interpersonal touch
Task-oriented touch
Rationale
Nurses use task-orientated touch when performing a task or procedure. An expert nurse learns that any procedure is more effective when administered carefully and in consideration of any patient concern. Caring touch is holding a patient's hand, giving a back massage, gently positioning a patient, or participating in a conversation to enhance a patient's comfort and security, self-esteem, confidence in the caregivers, and mental well-being. Protective touch protects the nurse and/or the patient to prevent physical or emotional harm. Touch can enhance interpersonal relationships, but there is no category of touch labeled interpersonal touch.
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The nurse who uses the interpersonal model as a basis for practice will focus assessment on identifying
a. intrapsychic conflicts. b. relationship problems. c. how the environment affects behavior. d. the patient's achievement of development tasks.
A patient who reports a severe, steady pain in the epigastric area along with nausea and vomiting states, "This happens every time I eat barbecued ribs. It will go away in a little while, especially if I lie on my back."
The nurse would consider which disorder as the likely cause of these symptoms? 1. Porcine allergy 2. Obesity 3. Cholelithiasis 4. Pancreatitis
A client has developed postsurgical muscle weakness after the removal of a brain tumor. To minimize this client's risk for developing deep vein thrombosis (DVT), the nurse initially:
1. Applies antiembolism hose. 2. Instructs the client to perform leg exercises. 3. Includes regular leg massages in the client's care plan. 4. Determines through questioning whether the client has a history of DVT.
A family with children has income too high to qualify for state health insurance, but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage?
a. Medicare b. Children's Health Insurance Plan (CHIP) c. Medicaid d. Social Security