A nurse is assisting with administering an IV Infusion of 0.9% sodium chloride at 100 mL/hr. The IV tubing has a drop factor of 15 gtt/mL. The nurse should set the IV Infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero If It applies. Do not use a trailing zero.)

Supporting families of clients newly diagnosed with depression involves therapeutic communication that promotes understanding, reduces anxiety, and assesses knowledge gaps. Depression is a complex mental health condition influenced by biological, psychological, and social factors, and recovery timelines vary widely depending on severity, treatment adherence, and individual response to therapy. Nurses should avoid giving false reassurance or vague predictions and instead engage the family in dialogue that helps tailor education to their needs. Effective communication strengthens coping and improves support for the client.

Rationale:
A. Providing generalized statements about improvement in other clients is non-therapeutic because it may create unrealistic expectations and does not address the partner’s specific concerns. Each client’s response to treatment for Major depressive disorder is individualized, so comparing outcomes can be misleading and unhelpful.

B. Stating that no one knows the answer may be truthful but is abrupt and non-therapeutic. It can increase anxiety and leave the partner without support or direction. Nursing communication should remain supportive while guiding the family toward understanding and coping.

C. Focusing only on the importance of improvement minimizes the partner’s concern about prognosis and does not provide education or emotional support. This type of response may shut down further discussion and fail to address the family’s need for information about recovery expectations.

D. Asking what the partner knows about depression is a therapeutic communication technique that assesses baseline understanding and allows the nurse to provide individualized education. It encourages dialogue, clarifies misconceptions, and supports emotional processing. This approach fosters engagement and helps build a realistic understanding of recovery.

When transferring a client with unilateral weakness, such as hemiplegia, safety and biomechanical principles are paramount. The goal is to maximize the client’s independence by utilizing their stronger side and minimizing the risk of falls for both the patient and the nurse.

Rationale:

A. "Reach under the client's arms to pull them up" is an incorrect action. This maneuver is ergonomically unsafe for the nurse and can cause injury to the client’s shoulders, particularly the affected shoulder, which may have decreased stability or tone.

B. "Pivot the client on the foot closest to the chair" is an incorrect action. The client should be instructed to pivot on their stronger (unaffected) foot. Pivoting on the weaker foot can lead to instability and an increased risk of the client’s knee buckling.

C. "Place the wheelchair on the left side of the client" is the correct action. Because the client has right-sided hemiplegia, their left side is their stronger side. Placing the wheelchair on the client's stronger side allows them to lead the transfer with their stronger leg and arm, providing the necessary support and control during the movement.

D. "Ask the client to reach around the nurse's neck for support" is an incorrect action. This is unsafe for the nurse and the client. The client should be instructed to place their hands on the nurse's waist or shoulders (or the armrests of the chair), while the nurse maintains a safe, stable grip on the transfer belt.