A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?
a. Therapeutic relationships provide an outlet for tension.
b. Focusing on the strengths increases a person's self-esteem.
c. Acceptance and trust convey feelings of security to the child.
d. The child should express feelings rather than internalize them.
ANS: C
Trust is frequently an issue because the child may question their trusting relationship with the parents. In this situation, the trust the child once had in parents has been disrupted, reducing feelings of security. The correct answer is the most global response.
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A client with left-sided heart failure is in danger of impaired renal perfusion. How would the nurse assess this client for impaired renal perfusion?
A) Assess for reduced urine output. B) Assess for reduced blood sodium levels. C) Assess for elevated blood potassium levels. D) Assess for elevated blood urea nitrogen levels.
The nurse educator is reviewing with a group of nursing students the admission process at the local healthcare facility. The nurse educator is reviewing what clothing the clients are expected to wear in various locations in the healthcare facility
Based on this information, what is the best response by the student nurse of which unit in the healthcare facility the clients are encouraged to wear street clothes instead of hospital gowns? A) Transitional care B) Maternity C) Surgical D) Chemical dependency
MC The tricuspid valve sound is best heard at the
A. Second intercostal space, left sternal border. B. Second intercostal space at the sternal border. C. Midclavicular line, fifth intercostal space. D. Left, fifth intercostal space at sternal border.
Select the best response for the nurse who receives a query from another mental health professional seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis
a. "There is no functional difference between the two. Both identify human disorders." b. "The DSM-IV-TR diagnosis disregards culture, whereas the nursing diagnosis takes culture into account." c. "The DSM-IV-TR diagnosis is associated with present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems." d. "The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for phenomena a patient is experiencing."