A cognitively impaired client who has been a widow for 30 years is frantically trying to leave the
unit, saying "I have to go home to start dinner before my husband comes home from work.".
To
intervene with validation therapy, the nurse should say
a. "You must come away from the door.".
b. "You have been a widow for many years.".
c. "You want to go home to get your husband's dinner.".
d. "Was your husband abusive when you did not have his dinner ready on time?"
C
Validation therapy meets the client "where she or he is at the moment" and acknowledges the
client's wishes. Validation does not seek to redirect, reorient, or probe.
The other options do not validate client feelings.
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The nurse has identified the diagnosis of imbalanced nutrition for a pregnant patient. Which assessment data did the nurse use to identify this diagnosis for the patient?
A) Patient eats salads at least twice a day. B) Patient does not like potatoes or bread. C) Patient eats red meat several times a week. D) Patient does not want to gain any weight while pregnant.
Clients receiving home IV therapy are instructed to change the dressing on central venous catheters using clean technique
Indicate whether the statement is true or false.
While reviewing the laboratory results for a client, the RN notes that pulmonary function test values are as follows: residual volume: 1800 mL; vital capacity: 2300 mL; tidal volume: 275 mL
Identify the nursing action included in the care plan developed by the LPN that the RN would change. a. Increase fluid intake to 3500 mL per day. b. Position the client in the high-Fowler's position. c. Contact the dietitian to arrange for a six-feeding, small-portion diet. d. Increase the oxygen flow rate to 10 L/min by rebreather mask for shortness of breath.
A client tells the nurse they have been taking Imodium (loperamide) for diarrhea, but it has not helped. Which response should the nurse provide the client?
A. "Are you taking it after every episode of diarrhea?" B. "Imodium is not very effective against diarrhea." C. "How much Imodium are you taking daily?" D. "You may have to take the maximum dose for 2 or 3 days before diarrhea slows."