VN Mental health week 1
After a mastectomy or a hysterectomy a client may feel incomplete as a woman. What statement should alert the nurse to this feeling in a client who has undergone total hysterectomy?
"I feel washed out; there isn't much left."
After 5 years of unprotected intercourse, a childless couple comes to the fertility clinic. The husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. What is the nurse's best response to this comment?
"This must be very difficult for you with this added pressure."
A client who had abdominal surgery asks the nurse about when the client can return to work after discharge. The most appropriate response by the nurse is:
"What type of work did you have in mind?"
During admission a client appears anxious and says to the nurse, "The doctor told me I have lung cancer. My father died from cancer. I wish I had never smoked." What is the nurse's best response?
"You are concerned about your diagnosis."
A client in active labor is rushed from the emergency department to the labor and birth suite screaming, "Knock me out!" Examination reveals that her cervix is dilated 9 cm. What should the nurse say while trying to calm the client?
''Medication may interfere with the baby's first breaths; keep breathing."
A nurse determines that a newborn has a cephalhematoma. What did the nurse note?
Bleeding between the parietal bone and periosteum confined within the suture line
A nurse in the pediatric clinic receives a call from a mother who states that her 2½-year-old daughter, whom she discovered in a kitchen cabinet, is crying that her mouth hurts. She is drooling, and her tongue and gums are white. The nurse gives the mother the number of the poison control center, telling her to call immediately because the nurse suspects that the child has ingested:
Dishwashing detergent
The nurse is discussing discharge plans with a client who had a myocardial infarction. The client states, "I'm worried about going home
Exploring
The nurse is caring for a client who is suspected of having a brain tumor who is scheduled for a computed tomography (CT) scan. The nurse expects that the pre-procedure plan of care will include:
Telling the client about what to expect during the examination
A 14-year-old emancipated minor at 22 weeks' gestation comes in for her second prenatal examination. As she enters the examination room with her mother, she tells the nurse that she does not want her mother present for the examination. What should the nurse say?
Telling the mother, "I'm sorry, but I need to ask you to stay in the waiting area."