A nurse is in the orientation phase of the nurse–client relationship with a client diagnosed with a mental disorder. When interviewing the client during this first encounter,
which information about the client would be most important for the nurse to obtain?
A) Known allergies
B) Recent hospitalizations
C) Perception of the problem
D) Family history
Ans: C
Although information about allergies, hospitalizations, and family history are important in the orientation phase, it is most important for the nurse to ask a client with a mental disorder about the nature of the problem from the client's perspective. Some clients deny that a problem exists; other clients may have misperceptions about the problem.
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Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship?
1. "I'm going to miss our sessions together, but I think you're ready to handle difficult situations on your own." 2. "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively." 3. "I'm skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful." 4. "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."
Which of the following statements reflect a theory X approach?
A. "My staff really care about their patients." B. "People will do as little work as they can get away with." C. "Nurse managers should treat unit staff as individuals." D. "Sometimes it is necessary to threaten to fire a staff member."
The nurse is reviewing the health problems for a group of assigned patients. Which patient does the nurse recognize as being at increased risk for developing metabolic alkalosis?
1. patient with bulimia 2. patient on dialysis 3. patient with venous stasis ulcer 4. patient with COPD
For which type of leukemia has imatinib mesylate (Gleevec) proven most effective?
A. Acute lymphocytic leukemia that has normal chromosomes B. Acute myelogenous leukemia that has abnormal chromosomes C. Chronic myelogenous leukemia that is Philadelphia chromosome–positive D. Chronic lymphocytic leukemia that is Philadelphia chromosome–negative