Which of the following statements by a client would reflect a turning point?
1. "This was difficult for me, but I have learned how to manage myself in my new job."
2. "If only they would give me another chance, I know I could do better."
3. "I will get them for this."
4. "I guess I deserved this. I was not a great employee."
1
Rationale: Acknowledging it has been difficult but the client has learned to manage in a new job demonstrates that the client has reached a turning point and may learn from his or her experience. Thoughts of revenge, resignation, or unrealistic expectations of change do not necessarily reflect a turning point.
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A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform first?
a. Auscultate bowel sounds. b. Check skin turgor. c. Perform an oral assessment. d. Weigh the client.
In addition to demographic information and client and family medical history, a client's health history should contain which of these data?
a. type of health insurance coverage b. reason for seeking health care and perception of health status c. recent diagnostic tests performed d. completion of advance directives
Which of the following routine nursing assessments is contraindicated for a client admitted with suspected placenta previa?
a. Monitoring fetal heart rate and maternal vital signs b. Observing vaginal bleeding or leakage of amniotic fluid c. Determining frequency, duration, and intensity of contractions d. Determining cervical dilation and effacement
The nurse would explain to a client that the catabolism related to the hypermetabolic state caused by the client's rheumatic fever can be avoided by eating a
a. high-carbohydrate, high-protein diet. b. high-fat, high-protein diet. c. high-protein, low-carbohydrate diet. d. high-protein, low-sodium diet