The student nurse is planning to initiate a therapeutic relationship with a client. Which interven-tion should she plan to incorporate in their interactions?
1. Becoming subjectively involved
2. Mutually sharing ideas and experiences
3. Giving and receiving friendship equally
4. Encouraging the client to choose a topic for discussion
ANS: 4
Encouraging the client to choose the topic for discussion maintains a client-centered focus. This is desirable and in keeping with accepted principles for therapeutic nurse-client relationships. The other responses are components of a social, rather than a therapeutic, relationship.
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The physician has ordered ambulation for the 63-year-old client who has had surgery and has been in bed for three days. The nurse plans to do which of the following for this client?
1. Begin ambulation immediately after breakfast. 2. Pre-ambulation exercises 3. Obtain assistance with transfer of the client. 4. Perform passive ROM before ambulating.
An organization is planning an evaluation of the health care provided to clients. This evaluation should be:
a. conducted only by individual disciplines. b. multidisciplinary only. c. conducted by nurses. d. multidisciplinary and intradisciplinary.
A client with aphasia presents to the emergency room with a suspected brain attack. What assessment data would lead the nurse to suspect this client has had a thrombotic stroke?
A. Two episodes of speech difficulties in the last month B. A sudden loss of motor coordination C. Recent seizure activity D. Nuchal rigidity
The nurse is teaching a couple about X-linked disorders. They are concerned that they might pass on hemophilia to their children. What response by the couple indicates the need for further teaching?
A) "The father can't be a carrier if he doesn't have hemophilia." B) "If the father doesn't have it, then his kids won't either." C) "If the mother is a carrier, her daughter could be one too." D) "If the mother is a carrier, her sons may have hemophilia."