In breech presentation denominator is :

Correct Answer: A

Rationale: In obstetrics, the denominator is the fetal part defining presentation. In breech (buttocks down), the sacrum (choice A) is the reference point, determining positions (e.g., sacroanterior). Femur (choice B), shoulder (choice C), or leg (choice D) aren't denominators; legs vary in flexed/extended breech but don't define it. A is correct, per standard fetal positioning. Nurses monitor breech risks (e.g., cord prolapse), assist in version or cesarean planning, and support safe delivery.

Correct Answer: A

Rationale: A therapeutic relationship (A) aims to help the client physically and emotionally, focusing on their health needs, not friendship (B), which blurs professional boundaries. Goals are collaborative, not solely nurse-set (C), ensuring client involvement. It ends when help isn't needed (D), maintaining professionalism. A reflects the nurse-client dynamic's purpose holistic care supported by nursing theory (e.g., Peplau), making it the true statement.

Correct Answer: C

Rationale: Budek uses making observation (C), stating 'You appear restless' to reflect the client's behavior (pacing, agitation) at Anxiety +3 (severe). General leads (A) prompt broad responses (e.g., 'Tell me more'). Clarification (B) seeks explanation, not observation. Encouraging perception (D) asks the client's view. Observation opens dialogue neutrally, per therapeutic communication, making C correct.

Correct Answer: D

Rationale: Discouraging emotional bonds (D) isn't a characteristic of an effective nurse-client relationship; therapeutic bonds aid healing, per Peplau. Focus (A), trust (B), and acceptance (C) are key. D contradicts relational goals, making it correct.

Correct Answer: B

Rationale: Demonstration (B) is effective for teaching insulin self-injection, per psychomotor learning showing skills trumps telling. Explanation (A) lacks action, pamphlets (C) and films (D) supplement, not replace. B ensures mastery, making it correct.