The feelings most commonly experienced by a nurse working with a depressed client include
a. a sense of satisfaction in seeing rapid improvement of client mood.
b. gratification when client appreciation is openly expressed.
c. frustration with client resistance.
d. disinterest in client situation.
C
Depressed clients often seem to reject the overtures of staff and seem to resist change despite the
nurse's best efforts. Feelings of anxiety, frustration, incompetence, and even helplessness may be
engendered in the nurse. Supervision can help the nurse develop realistic expectations for the client
and the nurse. Options A and B: Pleasurable feelings are rarely the outcome of working with a
depressed client. Option D: Withdrawal and disinterest in the client on the part of the nurse are
attributable to frustration with the client.
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During labor, a fetus is identified as having uteroplacental insufficiency. Which tracing should the nurse assess on the monitor to confirm this finding?
A) Variable decelerations that are too unpredictable to count B) Fetal baseline rate increasing at least 5 mmHg with contractions C) A shallow deceleration occurring with the beginning of contractions D) Fetal heart rate declining late with contractions and remaining depressed
The nurse is assisting the health care provider with a routine prostate examination. The nurse would position the client: Select all that apply
1. Leaning over the examination table. 2. On the left side with right knee drawn up. 3. On the edge of the table with the rectum exposed. 4. On the right side with both knees flexed. 5. Standing in the most comfortable position.
The patient tells the nurse that he is on many medications, and questions how they all get to the right places. What is the best response by the nurse?
1. "It depends on how much protein you have in your body." 2. "It depends on the health of your kidneys." 3. "It depends on whether they are fat based or water based." 4. "It depends on the amount of blood flow to your body tissues." 5. "It depends on the health of your liver."
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is:
a. abnormal and requires further investigation. b. abnormal unless it occurs in conjunction with knock-knee. c. normal if the condition is unilateral or asymmetric. d. normal because the lower back and leg muscles are not yet well developed.