A patient who displays dependent tendencies follows the nurse around the unit and repeatedly asks, "What do you think I should do, nurse?" Which is the nurse's most therapeutic response?
a. "You need to think for yourself. I can't do that for you.".
b. "Instead of asking me what to do, you should be practicing decision making yourself.".
c. "One of the things I've observed is your dependency on me. Let's discuss why you fear making your own decisions.".
d. "Let's discuss your seeming discomfort regarding decision making when we meet today in group. In the meantime, think about why you feel you need my help.".
D
Working with dependency strivings is a difficult task and one that requires patience and understanding from the nurse. The most therapeutic nursing intervention is the one that encourages mutual problem solving.
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1. Have appropriate support services in place to address the health needs of these aggregates. 2. Ensure health services in the schools to keep children healthy. 3. Prevent the factors that cause homelessness and poverty. 4. Ensure sufficient employment opportunities are available for all adults.
During hospitalization for congestive heart failure, a client awakens during the night frightened and short of breath. This client most likely is experiencing:
1. Multisystem heart failure. 2. Cardiomyopathy. 3. Paroxysmal nocturnal dyspnea. 4. High-output failure.
The perinatal nurse teaches the postpartum woman about the normal process of diuresis that she can expect to occur approximately 6 to 8 hours after birth. A decrease in which of the following hormones is primarily responsible for the diuresis?
a. Prolactin b. Progesterone c. Oxytocin d. Estrogen