The nurse is working with a teen admitted with a diagnosis of depression. Which of the following interventions demonstrates that the nurse is sensitive to the client's needs?
1. Avoiding the use of silence to decrease anxiety
2. Asking for details to demonstrate interest in the client
3. Using closed-ended questions
4. Listening to the client's feelings
4
Rationale: Listening to the client's feelings helps to communicate the client's value and is part of demonstrating sensitivity to the client. Closed-ended questions limit the quality of the client's responses, minimizing opportunity for the client to explore feelings or to develop insight. Avoiding the use of silence does not decrease anxiety, but is often a response to anxiety.
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As part of an orientation to a genetic counseling practice, a group of medical students are differentiating between autosomal recessive disorders and autosomal dominant disorders. Which of the following statements is true of autosomal recessive disorders?
A) They can manifest when present in one or both gene pairs. B) There is a one in two chance of an affected child in each pregnancy with an affected mother. C) They tend to have a more uniform symptomatology than autosomal dominant disorders. D) The associated disorders are usually attributable to abnormalities in structural proteins.
Histamine blocker medications, such as ranitidine (Zantac), improve symptoms associated with gastroesophageal reflux disease (GER
D) by A) neutralizing stomach acid. B) creating a coating that acts as a protective barrier. C) increasing motility in the esophagus and stomach. D) decreasing acid production in the stomach.
A patient with metastatic cancer has developed trigeminal neuralgia and is taking carbamazepine (Tegretol) for pain relief. What principle applies to the administration of this medication?
A) Tegretol is not known to have serious adverse effects. B) The patient should be monitored for bone marrow depression. C) Side effects of the medication include renal dysfunction. D) The medication should be first taken in the maximum dosage form to be effective.
When planning care for a patient with liver disease, the nurse keeps in mind that the leading cause of chronic liver disease is:
A) alcoholism. B) hepatitis C. C) environmental toxins. D) hepatotoxic drugs.