671 - The nurse assigned to care for a client experienced disturbed thought processes.
The nurse is told that the client believes that the food is being
... [Show More] poisoned. Which
communication technique should the nurse plan to use to encourage the client to eat? -
right answer--1) Open ended questions and silence.
2) Focusing on self disclosure regarding food preferences.
3) Stating the reasons that the client may not want to eat.
4) Offering opinions about the necessity of adequate nutrition.
672 - The nurse assigned to care for a client admitted to the hospital after sustaining an
injury from a house fire. The client attempted to save a neighbor involved in the fire, but
despite the client's efforts, the neighbor died. Which action should the nurse take to
enable the client to work through the meaning of the crisis? - right answer--1) ID the
client's ability to function.
2) ID the client's potential for self harm.
3) Inquiring about the client's feelings that may affect coping.
4) Inquiring about the client's perception of the cause of the neighbor's death.
673 - The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the data obtained, the nurse should ID which as a
priority concern? - right answer--1) The client's report of not eating or sleeping.
2) The presence of bruises on the client's body.
3) The client's report of self destructive thoughts.
4) The family member is disapproving of the treatment.
674 - Laboratory work is prescribed for a client who has been experiencing delusions.
When the laboratory tech approaches the client to obtain a specimen of the client's
blood, the client begins to shout "You're all vampires. Let me out of here!" The nurse
present at the time should respond by stating which? - right answer--1) The technician
will leave and come back later for your blood.
2) What makes you think that the tech wants to hurt you?
3) Are you fearful and think that others may want to hurt you?
4) The technician is not going to hurt you but it is going to help you.
675 - An intoxicated client is brought to the ED by local police. The client is told that the
HCP will be in to see the client in about 30 minutes. The client becomes very loud and
offensive and wants to be seen by the HCP immediately. The nurse assisting to care for
the client should plan for which appropriate nursing intervention? - right answer--1)
Watch the behavior escalate before intervening.
2) Attempt to talk to the client to de-escalate the behavior.
3) Offer to take the client to an exam room until he or she can be treated.
4) Inform the client that he or she will be asked to leave if the behavior continues [Show Less]