The parents of a six-month-old patient admitted with diarrhea are anxious and concerned. To involve the
parents in the child's care, the nurse should first:

• A. Encourage the parents to continue the patient's usual diet
• B. Allow the parents to record all diaper changes
• C. Teach the parents how to adhere to standard precautions
• D. Provide literature on diarrheal causes

The nursing assistant assigned to the 6 AM shift has not been coming to work until 7 AM. Nursing care is
delayed and assignments are started late. The most appropriate action by the nurse should be to:

• A. Report the problem to the Human Resources Department
• B. Document the information before discussing it with the unit manager
• C. Remind the nursing assistant of the expected start time
• D. Discuss the issue with a friend from another unit

A nurse is caring for a patient after a cervical neck injury and is placed in a halo brace with a body cast.
The nurse determines that the appropriate nursing diagnosis is "body image disturbance." She executed
several nursing actions to resolve the problem considering that the patient is hard to get along with at the
beginning. What statement by the patient indicates that the problem has been resolved?

• A. "I've been staying under 750 calories daily most of the time."
• B. "I can't get to sleep. I make up for it in the morning by sleeping later."
• C. "I just hate having everyone else do things for me."
• D. "I've gotten used to the brace. I may never miss it when it's gone."

A female adult patient has just spent 10 minutes complaining to the nurse about numerous aspects of her
hospitalization. The best initial response by the nurse should be to:

• A. Permit the patient to release feelings and then promptly leave to allow her to regain composure
• B. Try to explain the purpose of different hospital routines to the patient
• C. Refocus the conversation on the patient's anger, frustrations, and fears about her condition
• D. Explain to the patient that becoming so upset dangerously blocks her need for rest

A male patient tells the nurse that his doctor just told him that his triglycerides and cholesterol are
excessively beyond the normal ranges. The patient appears discouraged and says, "Well, I guess I'd
better cut out all the fat and cholesterol in my diet." The nurse's most appropriate response is:

• A. "That will certainly lower the amount of your body fat."
• B. "You need some cholesterol in your diet because your body can't manufacture it so just avoid too much
  of it."
• C. "That's good, but be sure to include carbohydrates as compensation."
• D. "You need some fat to supply the necessary fatty acids, so it's mainly a need to cut down the amount."