A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by asking:
a. "Tell me why you were crying."
b. "How did your wrists get injured?"
c. "How can I help you feel more comfortable?"
d. "What was happening just before you started to feel this way?"
ANS: D
A clear definition of the immediate problem provides the best opportunity to find a solution. Asking about recent upsetting events permits assessment of the precipitating event. "Why" questions are non-therapeutic.
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A nurse is instructing a client diagnosed with sexual female sexual interest/arousal disorder. Which symptom and treatment of this disorder should the nurse describe to the client?
1. Avoidance of all genital sexual contact treated by sensate focus exercises 2. Avoidance of all genital sexual contact treated by medicating with tadalafil (Cialis) 3. Anorgasmia treated by vardenafil (Levitra) 4. Anorgasmia treated by systematic desensitization
A client in the mental health unit is being evaluated for schizophrenia. In addition to the client's having hallucinations, the nurse identifies which observation that would support the diagnosis?
1. The client is convinced he is Elvis Presley. 2. The client has frequent outbursts of yelling and shouting. 3. The client has had symptoms for over 30 days. 4. The client refuses to eat or come out of his room.
The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection. Priorities for an NI specialist include:
a. Developing computer information systems for the hospital. b. Incorporating common nursing nomenclature into the system. c. Researching evidence-based practice. d. Developing restrictions of certain patient information to insurance companies.
An 8-year-old girl is brought by her mother to the outpatient clinic with complaints of abdominal cramping and greenish diarrhea. A diagnosis of shigellosis is made after a stool culture
Identify the discharge instruction by the nurse that best explains the requirement for enteric precautions at home. a. Enteric precautions only have to be main-tained until the diarrhea stops. b. The child must remain on enteric precau-tions until she has three stool cultures negative for Shigella. c. After the child has been taking the anti-biotics for 48 hours, you can stop the en-teric precautions. d. The child must remain on enteric precau-tions for 30 days or until her viral titer is normal.