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.
A nurse visited a postpartum mother who delivered a baby boy 3 days ago. During assessment, the nurse suspects that the mother is having postpartum depression.
Which behavior suggests the condition in the mother?
Postpartum Depression Symptoms:
Postpartum depression can manifest in various ways, affecting the mother's ability to care for herself and her baby.
Behavioral Indicators:
Euthymia: Indicates normal mood, not a sign of depression.
Eating Too Little: Can be a symptom but not as specific to postpartum depression.
Weakness to Care for the Baby: A significant indicator, as it shows the mother's lack of energy, interest, or capability to perform daily tasks related to baby care.
Difficulty Breastfeeding: Could be due to various reasons and not solely indicative of depression.
American Psychological Association (APA) on Postpartum Depression
Mayo Clinic guidelines on Postpartum Depression
A group of nurses conducting a systematic review to identify best practice evidence for hemodialysis in patient with anemia.
Which of the following should considered based on level of research evidence?
Randomized controlled trials (RCTs) are considered the highest level of evidence in research because they reduce bias and provide the most reliable results. When conducting a systematic review to identify best practice evidence for hemodialysis in patients with anemia, RCTs should be prioritized. These studies provide strong evidence on the efficacy of interventions. Case-control studies, non-experimental studies, and quasi-experimental studies provide valuable information but are considered lower levels of evidence compared to RCTs.
A woman attends the health center with complaints of sudden, severe and sharp pain in the lower abdomen and an absence of menses for 8 weeks. The ultrasound reveals ectopic pregnancy.
When interviewing the woman, which of the following will the nurse ask about as risk factor of ectopic pregnancy?
A history of chlamydial infection is a significant risk factor for ectopic pregnancy. Chlamydia can cause scarring and damage to the fallopian tubes, increasing the likelihood of a fertilized egg implanting outside the uterus. Oral contraceptive usage generally reduces the risk of ectopic pregnancy. The frequency of sexual activity and history of urinary tract infections are not directly related to the risk of ectopic pregnancy. Identifying and understanding these risk factors is essential for appropriate management and prevention strategies.
Which of the following is the MOST common cause of aortic dissection is:
Poorly controlled hypertension is the most common cause of aortic dissection. Hypertension increases the pressure within the aorta, leading to damage to the aortic wall and making it more susceptible to tearing. Diabetes, liver disease, and kidney disease can contribute to cardiovascular problems, but they are not the primary causes of aortic dissection. Managing blood pressure is critical in preventing this life-threatening condition.
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