1 You notice a change in a coworker's behaviors. They are showing mood swings, at times slurred speech, and are not taking care of their appearance as they once did. When working with this registered nurse, you observe pain medication has been signed out and documented correctly, but patients are constantly complaining their pain medication is not working. You
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- This is my last clinical rotation before graduation and it hasbeen a difficult year. My focus has been somewhat off fora while, and I haven’t been as prepared as I should havebeen for my clinical and classroom experiences. My clinicalinstructor has been on my case for the last few weeks. I’malso realizing that in no time at all I will be out of schooland on my own when it comes to patient care. So, all of asudden, I’m eager for as many clinical experiences as I canget. To make a long story short, I’m thrilled when offeredthe opportunity to catheterize Esther Bailey, a 72-year-oldfemale patient on my unit. I quickly review the procedure and go to the patient’s room, with the catheterization sup-plies in hand, feeling semi-confident. After introducing my clinical instructor and myself and explaining what I’m aboutto do, I open the sterile package, prepare the sterile field, and cleanse the meatus. In one quick moment, as thepatient asks a question and diverts my instructor’s gaze,I…A nurse asks a 25-year-old patient to make a list of 20 wordsthat describe him. After 15 minutes, the patient listed thefollowing: 25 years old, male, named Joe; then declared hecouldn’t think of anything else. The nurse documents that thepatient has demonstrated:a. Lack of self-esteemb. Deficient self-knowledgec. Unrealistic self-expectationd. Inability to evaluate himself9. If service is provided after the plan of care (POC) expires and before new verbal orders or a new signed POC is obtained, what happens? O O That service is an outler and w not be covered There is no longer a requirement to have a proinder onder A clinical nurse specialist can sign for the provider The orders can be carried out now and authorized de
- A nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse identify as the priority? ... . The chent engges in waridering. The client places their shpes on the wrorg feet. The client dbes not recognize their partrier The dlient is unable to remermber their plersonal historyA physician orders a pain medication for a postoperativepatient that is a PRN order. When would the nurse administerthis medication?a. A single dose during the postoperative periodb. Doses administered as needed for pain reliefc. One dose administered immediatelyd. Doses routinely administered as a standing orderA nurse working in a medical patient care unit states, “I am having trouble sleeping, and I eat nonstop when I get home. All I can think of when I get to work is how I can’t wait for my shift to be over. I wish I felt happy again.” What are the best responses from the nurse manager? (Select all that apply) EXPLAIN 1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon.” 2. "I know several nurses who feel this way every now and then. Tell me about the patients you have cared for recently. Did you find it difficult to care for them?" 3. "You can take diphenhydramine over the counter to help you sleep at night." 4. "Describe for me what you do with your time when you are not working." 5. "The hospital just started a group where nurses get together to talk about their feelings. Would you like for me to e-mail the schedule to you?"
- What are tge best Therapeutic response by a nurse when dealing with a client that is verbally abusing a nurse.1. Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?A registered nurse assumes the role of nurse coach to provideteaching to patients who are recovering from strokes. Oneexample of an intervention the nurse may provide related tothis role is:a. The nurse uses discovery to identify the patients’ personalgoals and create an agenda that will result in change.b. The nurse is the expert in providing teaching and educationstrategies to provide dietary and activity modifications. c. The nurse becomes a mentor to the patients and encour-ages them to create their own fitness programs. d. The nurse assumes an authoritative role to design the structure of the coaching session and support the achieve-ment of patient goals.
- In a group home in which most patients have slight to moder-ate visual or hearing impairment and some are periodically confused, what would be a nurse’s first priority in caring forsensory concerns?a. Maintaining safety and preventing sensory deteriorationb. Insisting that every patient participate in as many self-careactivities as possiblec. Emphasizing and reinforcing individual patient strengthsd. Encouraging reminiscence and life review in groups1) You are a nurse taking care of a patient that just underwent surgery. Post op Day 2. The patient received their pain medication 1 hour ago and is still rating their pain 8/10. What nursing actions should be done? 2) You are a nurse working on a Med- Surg floor. You just received a patient from the PACU who had an appendectomy. What are the nursing priorities?Recent layoffs have reduced the number of professionalnurses on your unit, and you are increasingly concerned aboutpatient safety as well as quality-of-care issues. What wouldyou do about your concern for your personal liability forinadequate care?