What behavior might signal that the nurse treating a client with bulimia nervosa is experiencing
rescue feelings?
a. The nurse's comments are nonjudgmental.
b. The nurse refers the client to a self-help group for individuals with eating
disorders.
c. The nurse teaches the client to recognize signs of increasing anxiety and ways to
intervene.
d. The nurse assesses the client's problem as poor eating habits and gives her a diet
to follow.
D
Rescue feelings stem from the nurse's wish to take over for or control a client who is recognized by
the nurse as feeling out of control. When a nurse experiences rescue feelings, the nurse tries to
provide simple answers rather than use a problem-solving approach and focus on the client's feelings
of shame and low self-esteem. The other options reflect appropriate interventions that do not signal a
particular need for supervision.
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In the rehabilitation phase of a CVA, patients with homonymous hemianopsia need to have their environment arranged so that persons approaching and important items are available on:
1. the unaffected side. 2. the affected side. 3. the direct front. 4. either side.
A school-age child with diarrhea has been rehydrated. The nurse is discussing the child's diet with the family. Which statement by the parent indicates a correct understanding of the teaching?
a. "I will keep my child on a clear liquid diet for the next 24 hours." b. "I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours." c. "I will offer my child bananas, rice, applesauce, and toast for the next 48 hours." d. "I should have my child eat a normal diet with easily digested foods for the next 48 hours."
A patient with lung cancer is demonstrating signs of complete tumor response after two courses of chemotherapy. What should the nurse conclude that this response indicates?
1. a long-term survival from the disease 2. an indication that radiation therapy is needed 3. an indication that surgery can be performed 4. a contraindication for further chemotherapy
Postsurgical teaching for a client who has just undergone a modified mastectomy would include which of the following?
a. Wear purse straps over the affected arm. b. Minor injuries on the affected side are to be expected. c. Slight swelling or bruising of the affected limb is normal in the first month. d. Vaccinations and blood draws should be done on the unaffected side only.