Category: Uncategorized

A patient who had a bone marrow transplant 10 days ago develops a maculopapular rash on the palms of both hands and the soles of the feet. The patient complains of severe abdominal pain with bloody diarrhea. The nurse would anticipate providing care for which condition?

A client’s natural immunity is enhanced by processes that are inherent in the physical and chemical barriers of the body. The nurse recognizes what chemical barrier that enhances natural immunity?

A client is admitted to the unit with acute cholecystitis. The health care provider has stated that surgery will be scheduled in 4 days. The client asks why the surgery is being put off for a week when he has a “sick gallbladder.” What rationale would underlie the nurse’s response?

A nurse is completing a mental status exam (MSE) and asks the newly admitted patient, “If you had a fever and vomiting for 3 days, what would you do?” Which component of the MSE is the nurse assessing?

A nurse helping lead a group of people with alcoholism wants to ask the group members about how they handle the urge to drink. What communication skill might the nurse choose?

A nurse is doing a MSE and wants to assess the patient’s recent memory. Which question might the nurse ask for this information?

When assessing a client’s social skills, which remark would serve best in seeking clarification?

A 29-year-old client attending a psychiatric outpatient clinic believes that her husband, sister, and son cause her problems.  Listening to the client describe the problems, the nurse displays therapeutic communication in which response?

During a group session, one patient comments to another, “When you first started in this group, you were unable to make decisions, but now you can. You’ve made such progress that I’m beginning to think maybe I can do this too!” Which of Yalom’s therapeutic group factors is evident by this patient’s statement?

Which characteristic of an inpatient unit culture predisposes the highest risk for client violence and aggression?