A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should

the nurse help the client develop problem-solving skills?

Preinteraction phase

Working phase

Orientation phase

Termination phase

Answer and Explanation

The Correct Answer is B

The therapeutic relationship can be described in terms of four sequential phases: preinteraction phase, introduction/orientation phase, working phase, and termination phase . In the working phase, most of the therapeutic interventional activities are carried out . This is the phase where the nurse should help the client develop problem-solving skills.

The other options are not correct because:

a) The preinteraction phase starts when the nurse is given the responsibility to start a therapeutic relationship with a patient.

c) The introduction/orientation phase is the first meeting of the nurse with her client (patient).

d) The termination phase is the final stage of the nurse-client relationship.

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Correct Answer is C

Explanation

c. Periorbital edema.

Explanation: Acute glomerulonephritis is an inﬂammatory condition aﬀecting the glomeruli of the kidneys. It is commonly characterized by periorbital edema, which is swelling around the eyes. This occurs due to ﬂuid retention and impaired kidney function. Other common manifestations of acute glomerulonephritis include hypertension (increased blood pressure), dark or tea-colored urine (hematuria), decreased urine output, and signs of ﬂuid overload such as edema in the hands, feet, and face.

Option a, decreased blood pressure, is not typically seen in acute glomerulonephritis. Instead, hypertension is a common finding due to ﬂuid retention and increased blood volume.

Option b, pale yellow urine, is not expected in acute glomerulonephritis. Instead, urine may appear dark or

tea-colored due to the presence of blood (hematuria).

Option d, increased urination, is not a characteristic finding in acute glomerulonephritis. Instead, there is often a decrease in urine output or oliguria.

It is important to note that individual presentations may vary, and the nurse should consider the complete clinical picture and the child's specific symptoms when assessing for acute glomerulonephritis.

A. Splenomegaly B. Abdominal pain C. Irregular heart rate D. Tarry stools

Correct Answer is B

Explanation

A nurse collecting data from a client who has hepatitis A should expect to find that the client may have abdominal pain. Hepatitis A is a liver infection that can cause inﬂammation and discomfort in the abdomen.

The other options are not typical symptoms of hepatitis

a)Splenomegaly is an enlargement of the spleen and is not a typical symptom of hepatitis A.

c) An irregular heart rateis not a typical symptom of hepatitis A.

d) Tarry stools may indicate bleeding in the digestive tract and is not a typical symptom of hepatitis A.

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A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should the nurse help the client develop problem-solving skills?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should

the nurse help the client develop problem-solving skills?