A 25-year-old client says to the nurse, "I got my degree in criminal justice. I graduated first in my class from the police academy and had just started as a patrolman when my partner and I responded to a domestic violence call in the most rural part of our patrol area. Someone started shooting at us, and I'm terrified. Maybe I'm not right for this job." Which statement by the nurse would be therapeutic?
A. "You're saying that because you felt afraid in a violent situation, you may not be right for the job?"
B. "Did you really think that you wouldn't be frightened? You're fortunate if this is the first time you've ever been afraid."
C. "You seem to be surprised that you were frightened by the violence. Have you talked with your co-workers about their experiences?"
D. "My earlier work as a nurse involved trips through our local crack houses. Wait until you've had some experience working narcotics and then tell me how you feel."
Answer: A. "You're saying that because you felt afraid in a violent situation, you may not be right for the job?"
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The nurse discusses the potential for the use of certain dietary supplements and suggests that the mother's diet include: 1. Kava. 2. Thiamine. 3. Omega-3 fatty acids. 4. Ginkgo leaf extract.
Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder?
a. Self-esteem, low b. Personal identity, disturbed c. Role performance, ineffective d. Anxiety
The nurse has been teaching a class on dysrhythmias to a group of patients with this disorder. The nurse determines that teaching has been effective when a patient makes which statement?
1. "Our sodium, potassium, and magnesium levels must be okay for our hearts to have an electrical impulse." 2. "Potassium is the most important electrolyte when it comes to the electrical impulse in our hearts." 3. "Our sodium, potassium, and calcium levels must be okay for our hearts to have an electrical impulse." 4. "Enhancing potassium and sodium is how our medications will work to prevent dysrhythmias."
Ms. S is a 55-year-old woman who is morbidly obese and 2 days postoperation for knee surgery. You notice a strong scent of urine when you enter the room. There is a bedside commode and a bedpan in the room. What should you do first?
A. Instruct the UAP to assist the patient with hygiene. B. Try to determine the source of the urine odor. C. Check the intake and output (I & O) record for urine output and the nurses' notes for problems with voiding. D. Review the medical records for a history of urinary incontinence.