A suicidal patient has been transferred to your unit from the medical floor and asks you why he or she "has to be watched every minute. I have a right to my privacy; I'm an adult and can come and go as I please." The best response to this patient is:
A.
"Why do you think you are being watched?"
B.
"We are concerned that you might attempt to seriously hurt yourself."
C.
"It shouldn't bother you if you have nothing to hide from us."
D.
"This is a direct order from your doctor."
ANS: B
This response communicates clearly and honestly your concern. The other responses are indirect communication about the patient's risk for self-injury.
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Which of the following client reactions reflects the greatest positive response to the nurse's use of caring touch in the form of a backrub?
1. The nurse observes the client smiling. 2. The client falls asleep shortly after the backrub. 3. The nurse feels the client's back muscles relaxing. 4. The client tells his wife that, "the nurse is so nice."
What is the reason nurses are encouraged to get involved in discussions about our health care system?
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Social events surrounding the Great Depression that had a major impact on American's emerging health care system included (Select all that apply.)
a. Blue Cross was developed as a prepaid health insurance plan. b. large hospitals experienced increasing numbers of nonpaying patients. c. many hospitals found their nursing schools too expensive to operate. d. nurses were hired in hospitals in increasing numbers. e. religious orders began supplying trained nurses, cutting the cost of nursing.
An older woman maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night
Which intervention should the nurse implement to improve the quality of this woman's sleep? a. Recommend preparation for sleep. b. Suggest trying a cup of warm milk at bed-time. c. Inquire about her nightly sleep rituals. d. Propose volunteer work at a thrift shop.