A nurse understands that effective communication requires several components. Which
refers to a medium or channel?
A) Source of the idea
B) Interpreter of the message
C) Response to the message
D) Means of transmission
D
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A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?
a. Severe pain b. Overflow incontinence c. Hypotension d. Blood-tinged urine
Which of the following are included in the health history of an older adult?
a. Chief complaint b. Amount of edema c. List of medications d. Oculomotor deficits e. Review of the systems f. Current nursing diagnoses
A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist, saying, "Back off, bitch!" and then goes into the day room. The nurse follows the patient into the day room
Which intervention would be best at this time? a. Stay between the patient and the door for easy exit. b. Stand out of range of possible assault by the patient. c. Position oneself about 28 inches from the patient. d. Sit down in a chair near the patient to convey interest.
What is the responsibility of the nurse when collecting a specimen from a client?
1. Always accompany the client to collect a specimen. 2. Handle the specimen discreetly. 3. Clean technique should be used with all specimen collection. 4. Use day-old specimens.