The nurse is establishing a therapeutic alliance with a new client. Which of the following behaviors would enhance the development of a therapeutic one-to-one relationship?
1. Specifically defining emotional and social goals for the client
2. Eagerly encouraging the client to communicate on a superficial level
3. Instinctively sharing personal experiences with the client
4. Spontaneously assisting the client to identify thoughts and feelings
4
Rationale: Assisting the client to identify thoughts and feelings, either spontaneously or in a planned manner, will enhance the development of a therapeutic alliance. Sharing personal experiences with the client or encouraging continued communication on a superficial level are more characteristic of a social relationship than a professional relationship. The nurse should collaborate with the client to mutually define goals instead of defining goals for the client.
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The nurse is working in a team nursing model of care under the direction of an RN. Which action demonstrates an understanding of the LPN/LVN role in relationship to the RN?
1. The nurse performs a complete assessment of the client to determine plan of care. 2. The nurse determines the nursing diagnosis appropriate for the client. 3. The nurse consults the RN when a new problem with the client is identified. 4. The nurse asks the RN to perform wound care on the client.
In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process, a QI team might turn to which of the following for confirmatory evi-dence?
a. NDNQI b. NANDA c. NIOSH d. AHRQ
12.6 cm = _____________________ mm
Fill in the blank(s) with correct word
The patient will be undergoing moderate intravenous (IV) sedation. The nurse needs to assess which of the following during the procedure? (Select all that apply.)
a. Airway compromise b. Hemodynamic instability c. Agitation d. Combativeness