chapter 11 qs and some 14
A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety?
"I know that you are anxious, but the IV location needs to be changed."
A nurse is asking a colleague about a situation. Which statement demonstrates assertive communication?
"I think there is a better way to handle this."
Which nurse would most likely be the best communicator?
A nurse who easily develops a rapport with clients
Each of the following facilitates a therapeutic nurse-client relationship except:
closed-ended questions.
A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques?
open-ended question
A nurse is immunizing children against measles. This is an example of what level of preventive care?
primary
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?
primary
A group of students is reviewing information about traditional Chinese medicine as a complete healing system that includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and meditation. The students demonstrate understanding of this concept when they identify the core of traditional Chinese medicine as:
qi
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
tertiary
Which is a skill appropriate to use in therapeutic communication?
Control the tone of the voice to avoid hidden messages.
A client with stage IV colon cancer reports back pain and appears to be anxious. What response should the nurse provide when asked if therapeutic touch may be beneficial?
"Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety."
What is the definition of wellness?
An active state of being healthy
A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication?
Assess how the client would like to communicate
A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?
Be silent and allow the client to continue speaking when ready.
A nurse caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring?
Holding the client's hand while talking
A nurse uses Therapeutic Touch (TT) to decrease a postoperative client's nausea. Which of the following is a principle of this CAM modality?
Illness is an imbalance in a person's energy field.
The client is experiencing a cold and has sinus congestion. The client is prescribed a decongestant by his primary care provider. The client has a poor response to the decongestant and seeks to include acupuncture treatment. The nurse explains the use of a decongestant and acupuncture at the same time is called what type of therapy?
Integrative
A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean?
It contains a certain amount of an active ingredient.
A nurse is reading a journal article about complementary health approaches that specifically describes mind-body practices. The nurse demonstrates understanding of the article by identifying which type as an example? Select all that apply.
Meditation Tai Chi
A client asks the nurse about using acupuncture as a treatment for various conditions. For which condition would the nurse most likely recommend the its use?
Osteoarthritis
A camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?
Primary
The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
Teaching about adhering to a low-sodium diet
A nurse practices holistic client care. Which of the following is a guiding principle of this practice?
The body is a unified, dynamic whole.
A nurse practitioner uses integrative care in the practice. What does this mean?
The nurse uses both allopathic medicine and CAM.
A nurse who "unblocks" and "clears" congested areas of energy in a client's body to promote comfort is applying the phenomenon known as:
Therapeutic Touch (TT)
The concept of invisible energy flow that circulates through plants, animals, and people, as well as the earth and sky, and the balance of this energy are central to which medical system?
Traditional Chinese medicine
A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should:
eliminate as many distractions as possible.
A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation?
empathy
A nurse enters a client's room to complete an admission history. The nurse will convey interest in the client's story if the nurse:
sits at the client's bedside and faces the client.
