The schizophrenic patient tells you, "I know that the man down the hall wants to kill me." How should you respond?
A.
"I will protect you from him."
B.
"What makes you say that?"
C.
"Let's walk over here to join in afternoon activities."
D.
"You need to go to your room."
ANS: C
The response does not get involved in the patient's delusion and refocuses on here and now. Response A is communicating that the threat is real to you; response B is not helpful, because the patient will not know why he says that; and response D may increase the patient's anxiety by promoting isolation.
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a. 6 b. 10 c. 4 d. 8
A community health nurse is using the health belief model (HBM) as a basis for providing client care. Which of the following best describe the problems associated with using the HBM? (Select all that apply.)
a. It ignores the need to reduce health system barriers to action. b. It is extremely difficult to change the client's belief system. c. It is the nurse's responsibility to persuade clients to engage in the appropriate behavior. d. Clients do not have the knowledge to correctly analyze the seriousness of the disease or their susceptibility to it. e. Clients expect health professionals to take preventive actions for them. f. The choice and the burden for acting are entirely with the client.
A patient has been scheduled for a bone marrow biopsy and admits to the nurse that she is worried about the pain involved with the procedure. What patient education is most accurate?
A) "You'll be given painkillers before the test, so there won't likely be any pain?" B) "You'll feel some pain when the needle enters your skin, but none when the needle enters the bone because of the absence of nerves in bone." C) "Most people feel some brief, sharp pain when the needle enters the bone." D) "I'll be there with you, and I'll try to help you keep your mind off the pain."
A postpartum patient is developing a thrombophlebitis in her right leg. Which assessment should the nurse make to detect this?
A) Bend the knee and palpate the calf for pain B) Ask to raise the foot and draw a circle C) Blanch a toe and count the seconds it takes to color again D) Dorsiflex the right foot and ask if pain is in the calf