A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?
A. "You appear to be talking to someone I do not see."
B. "Please describe what you are seeing."
C. "Why do you continually look in the corner of this room?"
D. "If you hum a tune, the voices may not be so distracting."
A
The nurse is making an observation when stating, "You appear to be talking to someone I do not see." Making observations involves verbalizing what is observed or perceived. This encourages the client to recognize specific behaviors and make comparisons with the nurse's perceptions.
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A. Discuss the cardiovascular problems associated with this substance. B. Explain that it is safe to use during pregnancy. C. Inform the woman that safety has not been established. D. Tell the woman she should not use it during pregnancy.
A nurse is aware that the sense of hearing is dependent on the transformation of mechanical waves into meaningful neural activity that is interpreted as sound. At what location in the hearing system does this transformation take place?
A) The tympanic membrane B) The malleus C) The semicircular canals D) The organ of Corti
Every bed in the intensive care unit is occupied when a call comes from the emergency department about admitting a patient who was critically injured in an explosion. Which patients would the manager evaluate as a possible transfer to a less acute unit?
1. A 70-year-old man who remains hemodynamically unstable after cardiac surgery the previous day 2. A 48-year-old patient who was admitted for diabetic ketoacidosis whose blood glucose is now 240 mg/dL 3. A 40-year-old patient admitted for an unintentional overdose of blood pressure medication who is now conscious and alert 4. An 18-year-old patient who developed a pulmonary embolism this morning and is being mechanically ventilated 5. A 41-year-old patient with severe sepsis secondary to renal failure for whom the family has requested "no code" status
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A) Has severe chest pain B) Can identify risks factors for MI C) Agrees to participate in a cardiac rehabilitation walking program D) Can perform personal self-care activities without pain