A nurse is assisting a client with his bed bath. The client states, "I can do it myself." The nurse's best response is:
A) I really have limited time. Let me give you your bath right now?
B) I will set up your bath for you. I will come back and help you with your bath?
C) You will need to sit up for your bath, and then I will change your bed?
D) You will be able to take your bath by yourself tomorrow when you can get up?
Ans: B
Feedback:
The nurse must value and support the client becoming independent in care.
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A nurse is giving a report to the hospital nursing counsel on the Institute of Medicine's report: "The Future of Nursing: Leading Change, Advancing Health." What broad goals does the nurse report on? (Select all that apply.)
a. Credentialing will continue to be the best way to advance practice. b. Nurses should be allowed to practice to the extent of their capabilities. c. Nursing should be included as an equal partner in health care reform. d. The nursing workforce is encouraged to attain higher levels of education. e. Workforce data collection needs infrastructure to enable meaningful use.
The school nurse has been seeing a 16-year-old pregnant teen in the clinic. A few weeks before the baby is scheduled to arrive, the student asks the nurse which formula she should use. She says,
"My cousin breast fed her baby and she said it was really easy but formula is better for the baby, right?" The school nurse should reply A) bottle feeding is widely acknowledged as the more complete form of nutrition for infants. B) breast-fed infants have increased rates of diarrhea and ear infections. C) breast-feeding is beneficial to the health, growth, immunity, and development of the infant. D) bottle and breast-feeding have equal benefits and the choice is really the mother's preference.
The nurse is performing preoperative teaching for a client who is scheduled for surgery in the morning. The client does not at present have any respiratory problems. The nurse's teaching plan includes coughing and deep-breathing exercises
Which type of nursing intervention is the nurse performing? a. Health promotion b. Treatment c. Prevention d. Assessment
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
a. 55 years old b. 20/20 vision c. Urinary continence d. Orthostatic hypotension