Therapeutic communication techniques support effective communication between the client and the nurse. Which group of therapeutic techniques is most likely to be effective when one is conversing with a client?
a. Broad openings, restating, and advising
b. Clarification, focusing, and confrontation
c. Listening, silence, and reflection
d. Humor, informing, and reassuring
C
The techniques of listening, silence, and reflection are all therapeutic. Advising, confronting, and reassuring are all examples of nontherapeutic techniques.
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The primary muscles of respiration include the:
a. Diaphragm and intercostals. b. Sternomastoids and scaleni. c. Trapezii and rectus abdominis. d. External obliques and pectoralis major.
A client diagnosed with major NCD is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing. Which action should be a nursing priority?
1. Consult the psychologist regarding behavior-modification techniques. 2. Medicate the client with prn antianxiety medications. 3. Assess environmental triggers and potential unmet needs. 4. Anticipate the behavior and restrain when pacing begins.
The nurse knows which of the following clients listed below is most likely to exhibit clinical manifestations of chronic fatigue?
A) A client with a diagnosis of multiple sclerosis who has been admitted to the hospital for exacerbation of the disease process B) A hospitalized client with cellulitis to the lower leg C) A hospitalized client with a history of paraplegia with a necrotic ischial wound D) A hospitalized client admitted for a surgical repair of a rectovaginal fistula
Which statement(s) accurately describe(s) characteristics of normal sinus rhythm (NSR)? (Select all that apply.)
a. One atrial contraction (P wave) b. One ventricular contraction (QRS com-plex) c. One T wave d. Heart rate 60 to 100 e. P wave immediately follows the QRS complex