The nurse enters the room of a client with schizophrenia the day after he has been admitted to an inpatient setting and says, I would like to spend some time talking with you. The client stares straight ahead and remains silent.
The best response by the nurse would be: A) I can see you want to be alone. I'll come back another time.
B) You don't need to talk right now. I'll just sit here for a few minutes.
C) I've got some other things I can do now. I hope you'll feel like talking later.
D) You would feel better if you told me what you're thinking.
Question 2
A community health nurse is teaching a class to expectant parents. All participants lack infant care knowledge. A student nurse asks, If you had to assign a nursing diagnosis to this group, what would it be? What is the best nursing reply?
A. I would assign the nursing diagnosis of cognitive deficit.
B. I would assign the nursing diagnosis of knowledge deficit.
C. I would assign the nursing diagnosis of altered family processes.
D. I would assign the nursing diagnosis of risk for caregiver role strain.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Entry level nurse competencies
Nurse's hand over patients abdomen
Nurse administering enteral nutrition through a feeding tube.
Testing the client’s ability to feel vibrations, the knee
Testing patellar reflex, client in a supine position