A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?
A) Support the patient's cultural beliefs about expressing feelings.
B) Encourage the patient to focus on one aspect at a time.
C) Provide the patient with an understanding that everything will be okay.
D) Explain information clearly to clarify any misconceptions or myths.
B
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A 10-year-old child, who has been placed in a foster home after being removed from parental contact because of abuse, demonstrates apprehension, tremulousness, and impaired concentration
The foster parent reports the child has an upset stomach, is urinating frequently, and does not seem to understand what has happened. She asks the nurse what measures they can use to help the child. The nurse should recommend: Select all that apply. a. using a calm manner and low, comforting voice. b. avoiding repetition in what is said to the child. c. conveying empathy and acknowledging the child's distress. d. minimizing opportunities for exercise and play. e. explaining and reinforcing reality to avoid distortions. f. staying with the child until his anxiety decreases.
Which of the following objective assessment data does the nurse know to obtain before administering any opioid?
A) Pain level as stated by client B) Any nausea the client might be feeling C) Color of skin D) Respiratory rate
A nurse is preparing to administer an enteral feeding. In which order will the nurse implement the steps, starting with the first one?
1. Elevate head of bed to at least 30 degrees. 2. Check for gastric residual volume. 3. Flush tubing with 30 mL of water. 4. Verify tube placement. 5. Initiate feeding. a. 4, 2, 1, 5, 3 b. 2, 4, 1, 3, 5 c. 1, 4, 2, 3, 5 d. 2, 1, 4, 5, 3
Which measure should the nurse recommend for inclusion in the plan of care for an older adult who has a nursing diagnosis of ineffective sexual patterns?
a. Play favorite music. b. Schedule private time. c. Provide a soft mattress. d. Provide pain medication.