A female patient who has recently been diagnosed with an inoperable brain tumor asks the nurse, "Do you think God punishes us?" Which response demonstrates therapeutic communication?

a. "What do you think?"
b. "God loves you."
c. "Would like to speak with the chaplain?"
d. "God will not give you more than you can bear."


A
Sitting with the patient and offering oneself to listen to the patient's concerns and encouraging reflection is the best approach rather than responding with a cliché or suggesting speaking with the chaplain.

Nursing

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Which statement made by the client getting ready for discharge after a solid organ transplant indicates the need for clarification of the post-transplant drug regimen?

A. "If I develop an infection, I should stop taking my prednisone." B. "If I have tenderness over the area of the transplant, I will call the transplant team immediately." C. "I should avoid people who are ill or who have an infection because I am some-what immunosuppressed now." D. "I should mix my cyclosporine exactly the way I was taught because it won't work as well if I change the routine."

Nursing

Which client is a poor candidate for photorefractive radial keratectomy?

A. A client with severe astigmatism B. A client who cannot tolerate contact lenses C. A client with myopia who participates in sports D. A client with myopia who teaches handicapped children

Nursing

Which of the following would lead to an increase in cardiac output?

1. Reduced cardiac contractility 2. Hypovolemia 3. Peripheral vascular resistance 4. Increase in preload

Nursing

According to Peplau, treatment of client symptoms should involve which nursing action?

A. Establishing a therapeutic nurse–client relationship B. Using the technique of desensitization C. Challenging clients' negative thoughts D. Uncovering clients' past experiences

Nursing