A patient is withdrawn and avoids talking to the nurse. The best initial intervention for the nurse would be to
a. offer to listen and help.
b. directly ask why the patient does not wish to talk.
c. involve the patient in a group activity to decrease isolation.
d. respect the patient's desire not to talk and leave the patient alone.
A
Patients might be afraid or unable to approach nurses. Nurses must take the initiative to approach the patient, thus acknowledging the patient's worthiness and conveying acceptance. "Why" questions usually elicit rationalization. Leaving the patient alone does not foster trust. Decreasing isolation will not build trust in the nurse.
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What type of health care focuses on diagnosis and treatment in acute and emergency settings as described by the World Health Organization (2011)?
a. tertiary care c. secondary care b. primary care d. ancillary care
The patient is elderly and has been diagnosed with Imbalanced nutrition: less than body require-ments. Her treatment regimen should include having the nurse
a. Encourage weight gain as rapidly as possi-ble. b. Encourage large meals three times a day. c. Decrease fluid intake to prevent feeling full. d. Encourage fiber intake.
At the site of a collapsed building, some victims are walking away from the building, while others are lying on the ground around the perimeter. What should be done first when implementing reverse triage?
A. Enter the building to locate other victims who might not have been able to leave before the collapse. B. Transfer the victims on the ground to stretchers and send them to the local emergency department. C. Systematically assess each victim lying on the ground and assign a color. D. Identify one safe location for all ambulatory victims to be assessed and observed.
The nurse explains that problem-focused coping strategies are based on the ability to:
a. eliminate the cause of stress. b. deny the cause of stress. c. repress the response to stressors. d. use prescription drugs to alter perception of the problem.