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- A nurse is counseling a husband and wife who have decidedthat the wife will get a job so that the husband can go topharmacy school, as he has wanted to do for some time. Theirthree teenagers, who were involved in the decision, are alsogetting jobs to buy their own clothes. The husband plans towork 12 to 16 hours weekly and states, “I was always an Astudent, but I may have to settle for Bs now because I don’twant to neglect my family, and I need to work a few hours sothat my wife won’t have to work overtime.” How would thenurse document the husband’s self-expectations?a. Realistic and positively motivating his developmentb. Unrealistic and negatively motivating his developmentc. Unrealistic but positively motivating his developmentd. Realistic but negatively motivating his developmentWhich of the following statements aboutdelegation is true?It is outside the nurse assistant's scope ofpractice to decline to do a delegated task.b. When one person delegates a task to anotherand the responsibility to complete the task onthat person gives the other person the authorithis or her behalf.c. Nurse assistants may delegate tasks to othermembers of the health care team.d. All of the aboveYou are caring for a recently hospitalized patient who hadbeen living in a retirement community. When his daughters,who tend to be critical, come to visit, they tell you that theyhope their father’s care here will be better than it was inthe retirement community, which they are in the process ofsuing. How would you respond to the daughters, and what,if anything, would you share with other nurses about thisincident?
- A nurse is performing patient care for a severely ill patientwho has cancer. Which nursing interventions are likely toassist a severely ill patient with cancer to maintain a positivesense of self? Select all that apply.a. The nurse makes a point to address the patient by nameupon entering the room.b. The nurse avoids fatiguing the patient by performing allprocedures in silence.c. The nurse performs care in a manner that respects thepatient’s privacy and sensibilities.d. The nurse offers the patient a simple explanation beforemoving her in any way.e. The nurse ignores negative feelings from the patient sincethey are part of the grieving process.f. The nurse avoids conversing with the patient about her life,family, and occupation.A nurse is feeding a patient who states that she is feelingnauseated and can’t eat what is being offered. What wouldbe the most appropriate initial action of the nurse in thissituation?a. Remove the tray from the room.b. Administer an antiemetic and encourage the patient to takesmall amounts.c. Explore with the patient why she does not want to eat herfood.d. Offer high-calorie snacks such as pudding and ice cream.A hospice nurse is caring for a patient who is terminally illand who is on a ventilator. After a restless night, the patienthands the nurse a note with the request: “Please help me endmy suffering.” Which response by a nurse would best reflectadherence to the position of the American Nurses Associationregarding assisted suicide? a. The nurse promises the patient that he or she will do eve-rything possible to keep the patient comfortable but cannot administer an injection or overdose to cause the patient’sdeath.b. The nurse tells the patient that under no condition canhe be removed from the ventilator because this is activeeuthanasia and is expressly forbidden by the Code forNurses.c. After exhausting every intervention to keep a dying patientcomfortable, the nurse says, “I think you are now at a pointwhere I’m prepared to do what you’ve been asking me.Let’s talk about when and how you want to die.”d. The nurse responds: “I’m personally opposed to assistedsuicide, but I’ll find you a…
- Which action would be most important for a nurse to includein the plan of care for a patient who is 85 years old and haspresbycusis?a. Obtaining large-print written materialb. Speaking distinctly, using lower frequenciesc. Decreasing tactile stimulationd. Initiating a safety program to prevent fallsAn older resident who is disoriented likes to wander thehalls of his long-term care facility. Which action would bemost appropriate for the nurse to use as an alternative torestraints?a. Sitting him in a geriatric chair near the nurses’ stationb. Using the sheets to secure him snugly in his bedc. Keeping the bed in the high positiond. Identifying his door with his picture and a balloonDuring an interaction with a patient diagnosed with epilepsy,a nurse notes that the patient is silent after she communicatesthe plan of care. What would be appropriate nurse responsesin this situation? Select all that apply.a. Fill the silence with lighter conversation directed at thepatient. b. Use the time to perform the care that is needed uninter-rupted. c. Discuss the silence with the patient to ascertain its mean-ing. d. Allow the patient time to think and explore inner thoughts.e. Determine if the patient’s culture requires pauses betweenconversation. f. Arrange for a counselor to help the patient cope with emo-tional issues.
- An RN on a surgical unit is behind schedule administeringmedications. Which of the RN’s other tasks can be safelydelegated to a UAP?a. The assessment of a patient who has just arrived onthe unitb. Teaching a patient with newly diagnosed diabetes aboutfoot carec. Documentation of a patient’s I & O on the flow chartd. Helping a patient who has recently undergone surgery outof bed for the first timewhat can the senate of the philippines do to reduce medication administration errors of nurses?Does a nurse manager really needs to downsize their unit staff when notified by the hospital? Can they find away to avoid it? If they can't, how can they approach downsizing their unit staff appropriapety?
