A nurse is providing education about sleep stages to a prenatal class. A participant asks, “I’ve been having such vivid, intense dreams lately. Is that normal during pregnancy?” Which response by the nurse demonstrates understanding of REM sleep?

A nurse enters the room of a 45-year-old patient newly diagnosed with diabetes. The patient states, “I just don’t understand how I’m supposed to manage all of this at home.” The nurse responds, “Managing diabetes can be overwhelming at first. Tell me what concerns you most about going home.” The patient replies, “Well, my work schedule is crazy, and I’m not sure when I’m supposed to check my blood sugar.” Which response by the nurse best demonstrates active listening?

A nurse is using the LEARN model with a 60-year-old patient newly diagnosed with type 2 diabetes. After listening to the patient explain that being overweight is a sign of health and prosperity in his culture, which action by the nurse best represents the “A” step of the LEARN model?  

A nurse is preparing to teach a 68-year-old patient newly diagnosed with diabetes how to check blood glucose at home. Which action by the nurse best demonstrates appropriate patient education principles?  

A nurse is teaching a patient recently diagnosed with a chronic illness about stress management. The patient states, “When I get stressed, I usually just avoid thinking about it and hope it goes away.” Which response by the nurse best promotes effective coping?

Jane, a nurse, is caring for a patient whose cultural beliefs conflict with her personal values. The nurse feels emotionally uncomfortable but wants to maintain culturally congruent care. Which action is most appropriate?  

A nurse is caring for a 72-year-old patient who has just received a difficult diagnosis of end stage heart failure. The patient begins to cry and states, “I don’t know how I’m going to tell my family.” The nurse sits down at the bedside, maintains eye contact, and remains quiet for several moments while the patient composes herself. Which caring behavior is the nurse primarily demonstrating?  

A patient who recently lost their spouse states, “I just feel so alone. No one understands what I’m going through.” Which response by the nurse best demonstrates therapeutic communication?  

A 48-year-old patient tells the nurse, “I used to be able to read the newspaper easily, but now I have to hold it at arm’s length to see the words clearly. Is something wrong with my eyes?” Which response by the nurse is most appropriate?  

A child weighs 2012 g.  He is to receive ampicillin 100 to 200 mg/kg/24h divided q 6h IV per syringe for otitis media. What is the safe and therapeutic 24-hour dosage range? Round to the nearest whole number.  ________- __________ mg/day