A high school basketball player sustains a serious knee injury and states to the school nurse, "I will never get to college if I don't receive a basketball scholarship"
Which nursing reply would assist the student to see a broader range of possibilities? A. "Let's look at the alternatives for funding your college education."
B. "I know you are feeling helpless now, but you are looking at this from only one perspective."
C. "Can your family afford knee surgery?"
D. "You now need to prioritize your academics and not focus on basketball."
A
When the nurse helps the student to see a broader range of possibilities, the nurse is using the cognitive technique of generating alternatives.
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The nurse has a multicultural practice, seeing clients from a variety of ethnic backgrounds. The nurse recognizes that people from what culture are most likely to believe that enduring pain is a sign of strength?
1. Mexican Americans 2. Puerto Ricans 3. Asian Americans 4. African Americans
A patient with diarrhea is incontinent of liquid stool. The nurse documents that he now has excoriated skin on his buttocks. Which finding by the nurse led to this documentation?
a. Skin was softened from prolonged exposure to moisture. b. Superficial layers of skin were absent. c. Epidermal layer of skin was rubbed away. d. Lesion caused by tissue compression was present.
A client who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse's best answer?
a. "You should have felt the baby move by now." b. "The baby is moving, but you can't feel it yet." c. "Some babies are quiet and you don't feel them move." d. "Within the next month you should start to feel fluttering sensations."
Before administering the continuous nasointestinal tube (NIT) feeding, the nurse verifies placement of the client's NIT and flushes it with water. Which should the nurse implement next?
1. Instill the formula at room temperature. 2. Infuse the formula over 10 to 15 minutes. 3. Raise syringe feet above insertion site. 4. Attach feeding bag to proximal end of NIT.