题目内容

A client with a history of alcoholism returns to the hospital 3 hours later than he supposed to be. His breath smells of alcohol and his gait is unsteady. Which of the following would be the best response by the nurse

A. "I’m disappointed that you weren’t responsible with your day pass. "
B. "Please go to bed now. We’ll talk in the morning. "
C. "Why are you 3 hours late"
D. "How much did you drink tonight Drinking is against the rules. "

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The nurse is teaching a student nurse in a mental health unit about how to establish a therapeutic nurse-client relationship. Which of the following is of prior importance in the therapeutic nurse-client relationship

A. Nurse’s self-awareness and understanding.
B. Nurse’s sound knowledge of psychiatric nursing.
C. Nurse’s sincere desire to help others.
D. Nurse’s acceptance of others.

The neonate’s big toe dorsiflexes and the other toes fan when the nurse gently strokes the sole of the foot. The nurse should interpret this positive finding as which of the following

A. Stepping reflex.
B. Plantar grasp.
C. Galant reflex.
D. Babinski sign.

Which abnormal laboratory value is most indicative of aplastic anemia

A decreased hemoglobin.
B. An elevated white blood cell count.
C. An elevated red blood cell count.
D. A decreased erythrocyte sedimentation rat

The nurse is caring for a client in the first 4 weeks of pregnancy. The nurse should expect to collect which assessment findings

A. Presence of menses.
B. Uterine enlargement.
C. Breast sensitivity.
D. Fetal heart tones.

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