Denying Feelings

A 40-year-old man arrives at the ED with severe mid-facial trauma. He had been sitting in the front passenger seat of an automobile that crashed into a tree at 60 miles/hour. The orthopedic surgeon examines the patient and determines that an open reduction and internal fixation is required. When communicating the news to the patient’s family, the nurse should:

A client receiving care for hypertension decides he would rather receive care from a different provider. Which option best describes the relationship between client rights and choice of healthcare providers?

A 29-year-old pregnant client arrives at the hospital in active labor. The client is deaf and her husband is with her. Which intervention from the nurse expresses her ability to communicate with this client?

A client developed an infection in the foot following surgery. The surgeon recommends incision and debridement of the foot wound but the client refuses, blaming the surgeon for the infection. What actions must the nurse initiate when a client refuses care as recommended? Select all that apply.

A client and her spouse are seen at the primary care clinic for assessment for infertility. The client becomes tearful as she tells the nurse that she has been trying to become pregnant for over a year without success. The client says, “I do not think I could handle it if I knew I could never start a family.” Which intervention by the nurse best demonstrates therapeutic communication to assist the client with coping with her situation?

A 39-year-old client is talking with a nurse about the client’s sexual relationship with a committed partner. Which describes how the nurse should discuss an awkward topic with a client?

A 16-year-old client is being seen for treatment of an inguinal hernia. The client’s parents are present while the child talks to the provider. The client decides against undergoing the recommended treatment. The parents are considering their child’s position as a mature minor to allow the child to make the decision. Which of the following best describes a mature minor?

A 30-year-old client is scheduled for an endometrial ablation and is concerned about “what everyone will see” during the procedure. The nurse knows that which of the following is the best response to this comment?

A 45-year-old client with schizophrenia has been brought to the hospital after trying to commit suicide. The client tells the nurse that the voices he hears told him to do it. He is extremely anxious and upset. Which assessment question would most likely help the nurse to assess the client’s perception of this event?

A client with lung cancer tells the nurse about how difficult it has been to go through cancer treatment. Which response from the nurse best demonstrates therapeutic communication?