You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
1. "A new psychiatrist is a chance to start fresh; I'm sure it will go well for you."
2. "You said you are looking forward to the meeting, but I noticed you frowned as you said it."
3. "I notice that you frowned and avoided eye contact just now; don't you feel well?"
4. "I get the impression you don't really want to see your psychiatrist—can you tell me
why?"
Ans: 2. "You said you are looking forward to the meeting, but I noticed you frowned as you said it."
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The nurse is reinforcing teaching for a patient who has just been diagnosed with Ménière's disease. Which of these, if stated by a patient, indicates to the nurse correct understanding of how to manage the vertigo?
a. "Increase sodium intake." b. "Increase fluid intake." c. "Avoid sudden movement." d. "Listen to soft music."
A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation?
A) A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects. B) A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects. C) A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects. D) A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects.
A patient has a peripheral IV. The nurse should assess the IV site for what primary signs and symptoms of infiltration? (Select all that apply.)
a. Redness b. Swelling c. Pallor d. Warmth e. Red streaks
Change champions are ____
a. Formal leaders who lead evidence-based practice development teams b. Formal leaders who write new evidence-based practice guidelines c. Informal leaders who educate peers about the evidence-based practice d. Informal leaders who gather data about nursing practice changes