The nurse has been working with a depressed client for several months. Which of the following signs would indicate that an ineffective working relationship has evolved between the client and the nurse?
1. The client's sense of relaxation and confidence with the nurse
2. The nurse's and client's sense of commitment to addressing the client's problems
3. The nurse's sense of the client's severe dysfunction that cannot result in client growth
4. The nurse's sense of making contact with the client
3
Rationale: A sense that the nurse cannot facilitate client growth due to severe client dysfunction indicates that a working relationship has not evolved effectively. The sense that the nurse has made contact with the client and is committed to addressing the client's problem is a sign of an effective working relationship. The sense that the client is relaxed and confident with the nurse's abilities also indicates an effective working relationship.
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When presenting health information the population health nurse wants to create a climate where the participants do not feel threatened. Which topic and nursing action will help create this type of climate?
1. Exercise, where the nurse begins the first session with a description of the difficulties the nurse sometimes finds in trying to exercise. 2. Stress, where the nurse plays soft music throughout the first session. 3. Good nutrition, where the nurse provides a meal for the first session. 4. Diabetes, where the nurse asks a group of diabetics to talk to the class during the first session.
Sarah is involved in intervening when a patient attempts to harm herself on the unit. During the interaction, the patient slaps Sarah across the face. As a head nurse, it is important that you:
a. Offer Sarah immediate education and training in self-defense. b. Assist with follow-up documentation and offer access to counseling. c. Provide access to a lawyer. d. Encourage Sarah to see the incident as a normal part of care.
In critiquing a research report, where would the researcher find information on possible sources of sampling error and sample size?
A. methods B. results C. implications D. data analysis
In addition to identifying responses to actual or potential health problems, what is another purpose of the diagnosing step in the nursing process?
A) to collect information about subjective and objective data B) to correlate nursing and medical diagnostic criteria C) to identify etiologies of health problems D) to evaluate mutually developed expected outcomes