The nurse gathering data from a client admitted to labor and ...

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The nurse gathering data from a client admitted to labor and delivery is overheard making the comment, You are lying. You need to tell me the truth so we can do what is best for your baby. The nurse's communication is:
 
  1. A perception check.
  2. Nontherapeutic.
  3. Necessary.
  4. Therapeutic.

Question 2

The psychiatricmental health nurse's scope of practice includes:
 
  1. Developing a comfortable relationship with the client.
  2. Establishing a routine for clients to manage basic life issues of eating, sleeping, grooming, and hygiene.
  3. Identifying client reasons for failure to comply with recommended treatments.
  4. Exploring the meaning of life experiences such as birth and death, losses, life course changes, and human rights.

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Answer to Question 1

2
Rationale: During admission, the nurse should engage in active listening. This nurse is making an accusatory statement that is nontherapeutic, unnecessary, and will result in a defensive response from the client. This is not a perception check; a perception check provides the client with the opportunity to correct inaccurate perceptions.

Answer to Question 2

4
Rationale: The nurse's key role is to help clients examine a full range of life experiences in more satisfying ways, learn new patterns of coping with stress, and generally enhance the quality of their lives and social worlds. Focusing on failure of compliance undervalues concepts of human choice and empowerment within the nurseclient relationship. The goal of the nurseclient relationship is to create a therapeutic rather than a comfortable relationship. The scope of the nurse's role includes understanding and facilitating exploration of client issues related to basic functions rather than assuming that issues need to be managed and understood separate from the holistic view of the person.

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Wow, this really help

[Sarahjh]

Gracias!