A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?
Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.
48-year-old male has an appointment at the primary health care setting for the screening program. The nurse recognizes that this patient had breakfast.
Which of the following is the BEST nurse's response?
Screening Programs and Fasting Requirements:
Certain screening tests, like fasting blood glucose or lipid profiles, require fasting for accurate results.
Nurse's Response:
Not Eligible: Incorrect as the patient can still participate in parts of the screening.
Come Tomorrow: Not the most efficient use of the patient's time.
No Worries: Incorrect as fasting is important for some tests.
Take History Now, Blood Test Later: The best response as it makes efficient use of the current visit for history taking and schedules the blood test for another time when fasting can be ensured.
American Diabetes Association (ADA) guidelines
While reviewing medication charts, the nurse observed that one patient received a wrong medication that was prescribed for another patient with similar first and last name.
What is the BEST nursing action for reporting the incident?
The best nursing action for reporting a medication error is to report and document the incident immediately. Prompt reporting ensures that the error is addressed quickly to prevent harm to the patient, allows for accurate documentation, and initiates the process for investigation and prevention of future errors. While assessing the patient and informing a senior nurse are also necessary steps, immediate documentation is the priority to ensure patient safety and compliance with legal and professional standards.
A nurse is assigned to provide health teaching about the prevention strategies for a patient who complains of frequent severe low back pain.
Which of the following exercises would the nurse include in the teaching?
Swimming is an excellent exercise for individuals with low back pain as it is low-impact and helps strengthen the muscles supporting the back without putting undue stress on it. Sit-ups and leg lifts can strain the back and worsen pain, while running is a high-impact activity that can also exacerbate back pain. Swimming promotes flexibility, strength, and cardiovascular health while minimizing the risk of further injury to the back.
Which of the following is the appropriate nursing action in the termination phase of the home visit?
In the termination phase of a home visit, the appropriate nursing action is to review important teaching topics discussed during the visit. This ensures that the family understands the care instructions and can ask any final questions. Validating the health history and documenting the care provided are important but are typically part of the initial or ongoing phases of the visit. Determining readiness for future visits is also important but is secondary to ensuring the family understands the teaching provided.
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