A client states, "I just know my brother will not come back from the war." Which of the following examples would be used to encourage the client to explore this concern?
1. "Maybe he will be one of the lucky ones."
2. "How do you know this?"
3. "Where is your brother going?"
4. "What do you feel will happen to him?"
4
Rationale: Therapeutic communication skills are used to foster the nurse–client relationship in the psychiatric–mental health setting. It is therapeutic at this point to encourage the client to explore feelings. Asking where the brother is going is not therapeutic as this question prompts an informational response as opposed to encouraging the client to explore feelings about the situation. Stating the brother may be one of the lucky ones is an example of a stereotypical comment that closes the communication loop. Asking how the client knows the brother will not return is an example of requesting an explanation, which is not therapeutic.
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A 72-year-old client hospitalized with a second episode of pneumonia in the past 18 months expressed frustration to the nurse, stating that he never used to get sick in the past. Which response by the nurse is most appropriate?
A) "As you grow older, there is a decrease in the speed and strength of the immune system, which puts you at greater risk for developing an infection." B) "As you grow older, your immune system just quits working." C) "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response." D) "As you grow older, there in an overall increase in the speed and strength of your immune response."
Hypertonic dehydration occurs in which of the following conditions?
a. the vascular space loses fluid and particles in equal proportions b. with vomiting and diarrhea or in severe blood loss c. then the vascular space loses more fluid than particles d. then the vascular space loses a greater portion of particles than fluid
A wound was closed with staples. Wound healing will occur through:
a. Primary intention b. Secondary intention c. Third intention d. Tertiary intention
Which outcome should the nurse use for evaluation of the efficacy of interventions designed for this nursing diagnosis?
a. the client's family inspects the skin for reddened areas daily b. the client exhibits no reddened areas or breaks in the skin c. the nursing staff rotates the client's kinetic bed per unit protocol d. the physical therapist performs passive ROM exercises