Answer to Question 1
4
Rationale: The nurse who disagrees with a client's delusions may make the client more defensive and cling to the delusions even more firmly. It is most therapeutic for the nurse to empathize with the client's experience. The nurse can also use the opportunity to try to explore further the meaning of the experience for the client. I don't believe that what you are telling me is true. There are no religious cults in this area that are going to kill you. and What makes you think that cult members are being sent to hurt you? are nontherapeutic responses.
Answer to Question 2
4
Rationale: To decrease the risk of recurrent otitis media, mothers should be encouraged to breast-feed during infancy, discontinue bottle-feeding as soon as possible, feed the infant in an upright position, and never give the infant a bottle in bed. Additionally, parents should be told not to smoke in the child's presence because passive smoking increases the incidence of otitis media.
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Working out
nurse
Testing the client’s ability to feel vibrations, the toe
Position the client