A nurse manager is educating nurses about the risk of violence experienced by nurses and social ...

Answer to #1

ANS: A
Violence against health care workers is increasing. Nurses are at greater risk because of their close contact with clients. In fact, nurses and social workers are at three times greater risk to experience violence in their workplace than are other professionals.

Answer to #2

ANS: A, B, C
Suggested nursing actions to promote positive change in family functioning include
 encouraging the telling of illness narratives.
 commending family and individual strengths.
 offering information and opinions.
 validating or normalizing emotional responses.
 encouraging family support.
 supporting family members as caregivers.
 encouraging respite.

Answer to #3

ANS: B
Effective nurse-client communication is critical to efficient care provision and to providing quality care. Knowing how to respond in emotional situations allows the nurse to use feelings as a positive force. Nurses often find themselves in dramatic situations in which a calm response is required. Some clients approach their initial encounter with a nurse with hostility or embarrassment, such as the intoxicated client admitted to an emergency department. To listen and to respond creatively to intense emotion when the nurse's first impulse is to withdraw or to retaliate demands a high level of skill. It requires self-control and empathy for what the client may be experiencing. The nurse should avoid blaming, which will only make the client feel defensive or angry. Competition is a response style characterized by domination. In this contradictory style, one party exercises power to gain his own goals at the expense of the other person. It is characterized by aggression and lack of compromise. Authority may be used to suppress the conflict in a dictatorial manner. This leads to increased stress. It is an effective style when there is a need for a quick decision, but it leads to problems in the long term, making it a lose-lose situation. Timing is also important if an individual is very angry. The key to assertive behavior is choice. Sometimes it is better to allow the client to let off some emotional steam before engaging in conversation.

Answer to #4

ANS: A, B, C, E
Interventive questioning is a nursing intervention that nurses can use with their client families to identify family strengths; help family members sort out their personal fears, concerns, and challenges in health care situations; and provide a vehicle for exploring alternative options. Interventive questioning can be either linear or circular. Encouraging the family's current coping style is not useful because it clearly has detrimental effects, including a malnourished child.

Answer to #5

ANS: B
Questions nurses can use specifically to elicit family strengths include, What has the family been doing so far that has been helpful? Questions regarding level of understanding, comfort, and who is taking care of the house are not the best questions that the nurse can ask the client's family to elicit information about family strengths.

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