A patient states, "I'm tired of all these therapy sessions. It's just too much for me." Using supportive confrontation, the nurse should reply

a. "It will get better if you just keep trying."
b. "You are doing fine. Don't be so hard on yourself."
c. "Tell me more about how the therapy sessions are too much."
d. "I know you find this difficult, but I believe you can get through it."


D
Supportive confrontation is a technique in which the nurse acknowledges the difficulty in changing, but pushes for action. The other options clarify or give reassurance.

Nursing

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While analyzing a rhythm strip, the nurse identifies the resting state of the heart by looking at the:

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The nurse works with cancer patients and their families to deal with difficult issues. Which of the following reasons supports why a diagnosis of malignant melanoma may be extremely difficult for patients to accept?

A) It cannot be detected early enough to improve the prognosis. B) It is a high risk in fair-skinned individuals, and incidence increases with age. C) It has been rising in the United States, probably due to sun exposure. D) It causes a small percentage of total deaths from cancer but is metastatic and fatal.

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During a well-child visit, the mother tells the nurse that her 4-month-old infant is constipated, is less active than usual, and has a weak-sounding cry. The nurse suspects botulism and questions the mother about the child's diet

What factor should support this diagnosis? a. Breastfeeding b. Commercial formula c. Infant cereal with honey d. Improperly sterilized bottles

Nursing

A patient's gynecologic examination reveals dysplasic changes of the cervix. Which historical information would the nurse interpret as indicating an increased risk that these changes are related to cervical cancer?

1. The patient was treated for human papillomavirus 2 years ago. 2. The patient reports "getting drunk" a few times a year. 3. The patient did not become sexually active until marriage at age 22. 4. The patient reports eating fast food several times a week.

Nursing