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The nurse will be caring a client who will soon be admitted to the medical unit. The nurse should establish a working relationship and discuss how communication will take place during what phase of the nurse–client relationship?
The nurse will be caring a client who will soon be admitted to the medical unit. The nurse should establish a working relationship and discuss how communication will take place during what phase of the nurse–client relationship?
Each facilitates a therapeutic nurse–client relationship except:
Each facilitates a therapeutic nurse–client relationship except:
Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?
Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?
Which is a skill appropriate to use in therapeutic communication?
Which is a skill appropriate to use in therapeutic communication?
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When collecting data on a client, the nurse implements which nonverbal communication form as one of the most effective to express feelings?
When collecting data on a client, the nurse implements which nonverbal communication form as one of the most effective to express feelings?
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A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique?
A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique?
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A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not often performed wound care on a complex wound. Using effective intrapersonal communication, this nurse should:
A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not often performed wound care on a complex wound. Using effective intrapersonal communication, this nurse should:
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A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be:
A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be:
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Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?
Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?
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A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question?
A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question?
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The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client’s communication abilities?
The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client’s communication abilities?
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A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis?
A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis?
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The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response should the nurse provide to best demonstrate empathy?
The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response should the nurse provide to best demonstrate empathy?
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The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed?
The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed?
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A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse?
A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse?
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When preparing client teaching materials, how does the nurse best assess a client’s preferred learning style?
When preparing client teaching materials, how does the nurse best assess a client’s preferred learning style?
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The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs?
The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs?
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When a client says, “I don’t care if I get better; I have nothing to live for, anyway,” which type of counseling would be appropriate?
When a client says, “I don’t care if I get better; I have nothing to live for, anyway,” which type of counseling would be appropriate?
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The acronym TEACH stands for the following: T: Tune into the client. E: Edit client information. A: Act on every teaching moment. C: Clarify often. H: Honor the client as a partner in the education process. The “T” does not stand for the nurse turning to the doctor for support. The "E" does not stand for the nurse educating the client before treatment. The “H” does not stand for the nurse helping the client cope when education fails.
The acronym TEACH stands for the following: T: Tune into the client. E: Edit client information. A: Act on every teaching moment. C: Clarify often. H: Honor the client as a partner in the education process. The “T” does not stand for the nurse turning to the doctor for support. The "E" does not stand for the nurse educating the client before treatment. The “H” does not stand for the nurse helping the client cope when education fails.
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The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs?
The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs?
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The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way?
The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way?
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The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request?
The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request?
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What percentage of weight change in 6 months is considered abnormal?
What percentage of weight change in 6 months is considered abnormal?
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The nurse has performed a Romberg test in the context of a client's neurologic assessment. The client has failed the test. The nurse should consequently identify what nursing concern for care planning?
The nurse has performed a Romberg test in the context of a client's neurologic assessment. The client has failed the test. The nurse should consequently identify what nursing concern for care planning?
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Upon assessment of an older adult, the nurse notes the client's skin to have a yellow color. The nurse interprets this finding as a result of which health condition?
Upon assessment of an older adult, the nurse notes the client's skin to have a yellow color. The nurse interprets this finding as a result of which health condition?
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The nurse is caring for a client admitted with a head injury. Which question should the nurse ask to determine the client’s remote memory?
The nurse is caring for a client admitted with a head injury. Which question should the nurse ask to determine the client’s remote memory?
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The acute care nurse is assessing a newly admitted client’s abdomen. Which finding would indicate the need to contact the health care provider?
The acute care nurse is assessing a newly admitted client’s abdomen. Which finding would indicate the need to contact the health care provider?
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The nurse cares for a client with chronic obstructive pulmonary disease. Which explanation does the nurse provide to the client’s adult child, who asks, “How will we know if my parent is experiencing chronic hypoxia?”
The nurse cares for a client with chronic obstructive pulmonary disease. Which explanation does the nurse provide to the client’s adult child, who asks, “How will we know if my parent is experiencing chronic hypoxia?”
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The nurse is assessing a child for an underactive thyroid gland. Which assessment technique would the nurse use?
The nurse is assessing a child for an underactive thyroid gland. Which assessment technique would the nurse use?
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to use a bed scale: follow the sequence below
Place a cover over the sling of the bed scale.
Attach the sling to the bed scale.
Balance the scale so that weight reads 0.0.
Roll client back over the sling and onto other side.
Gradually elevate the sling so that the client is lifted up off of the bed.
Note weight reading on the scale.
to use a bed scale: follow the sequence below
Place a cover over the sling of the bed scale. Attach the sling to the bed scale. Balance the scale so that weight reads 0.0. Roll client back over the sling and onto other side. Gradually elevate the sling so that the client is lifted up off of the bed. Note weight reading on the scale.
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Upon assessment of a client with myasthenia gravis, the nurse observes drooping of the upper eyelids. This finding is known as:
Upon assessment of a client with myasthenia gravis, the nurse observes drooping of the upper eyelids. This finding is known as:
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The nurse is preparing to do a focused assessment of the abdomen on a client following an abdominal hysterectomy. Which intervention is most important for the nurse to do prior to the physical assessment?
The nurse is preparing to do a focused assessment of the abdomen on a client following an abdominal hysterectomy. Which intervention is most important for the nurse to do prior to the physical assessment?
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The nurse should use the bell of the stethoscope during auscultation of:
The nurse should use the bell of the stethoscope during auscultation of:
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A nurse is performing a physical assessment for an older adult client who recently had a hip replacement. In what position would the nurse place this client to examine the hip joint?
A nurse is performing a physical assessment for an older adult client who recently had a hip replacement. In what position would the nurse place this client to examine the hip joint?
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Study Notes
Nurse-Client Relationship
- Establishing a working relationship and discussing communication during the orientation phase of the nurse-client relationship.
- Facilitating a therapeutic nurse-client relationship requires empathy, trust, and respect.
Therapeutic Communication
- A nurse's emotional stability and objectivity help in providing effective care while remaining compassionately detached.
- Active listening and clarifying are skills used in therapeutic communication.
- Nonverbal communication, such as observation, is an effective way to express feelings during data collection.
Communication Techniques
- Reassurance, such as saying "This injection will not be painful," is a communication technique used to calm the client.
- Effective intrapersonal communication involves recognizing and managing one's own emotions and biases.
Wound Care
- When preparing to perform wound care, the nurse should acknowledge the client's physical and emotional needs.
Social Media
- Proper use of social media by a nurse includes sharing ideas, developing professional connections, and accessing educational resources.
Client History
- Clarifying questions, such as "How many times have you been pregnant?" help to gather accurate information.
Client Education
- Assessing the client's communication abilities involves observing and asking questions to ensure understanding.
- The nurse should adapt teaching methods to the client's preferred learning style.
- The TEACH acronym stands for Tune into the client, Edit client information, Act on every teaching moment, Clarify often, and Honor the client as a partner.
Empathy
- Demonstrating empathy involves acknowledging and validating the client's feelings, such as saying "I can see that you're upset."
Client Assessment
- During neurological assessment, the nurse should acknowledge the client's nonverbal cues, such as decreased skin turgor, indicating dehydration.
- A client's yellow skin color may indicate liver dysfunction.
Romberg Test
- A failed Romberg test indicates a risk of falls, and the nurse should identify this concern for care planning.
Abdominal Assessment
- The nurse should ask about remote memory to determine the client's cognitive function.
- A finding of abdominal tenderness or guarding requires immediate contact with the healthcare provider.
Chronic Hypoxia
- The nurse should explain to the client's family that chronic hypoxia is experienced when the client's oxygen levels are persistently low.
Thyroid Assessment
- The nurse should use a palpation technique to assess the thyroid gland in a child.
Myasthenia Gravis
- Drooping of the upper eyelids is a characteristic finding in myasthenia gravis.
Abdominal Hysterectomy
- The nurse should perform a bowel sounds assessment prior to the physical examination of the abdomen.
Auscultation
- The nurse should use the bell of the stethoscope to auscultate for low-frequency sounds, such as those in the abdomen or lungs.
Hip Replacement
- The nurse should place the client in a lateral position to examine the hip joint.
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Description
Test your knowledge on the phases of the nurse-client relationship by answering questions about establishing a working relationship and communication during a client's admission to the medical unit.
