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- Janie wants to call an ethics consult to clarify treatment goalsfor a patient no longer able to speak for himself. She believeshis dying is being prolonged painfully. She is troubled whenthe patient’s doctor tells her that she’ll be fired if she raisesquestions about his care or calls the consult. This is a goodexample of:a. Ethical uncertaintyb. Ethical distressc. Ethical dilemmad. Ethical residueA 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.The nurse is admitting a 35-year-old pregnant woman to thehospital for treatment of preeclampsia. The patient asks thenurse: “Why are you doing a history and physical exam whenthe doctor just did one?” Which statements best explain theprimary reasons a nursing assessment is performed? Select allthat apply.a. “The nursing assessment will allow us to plan and deliverindividualized, holistic nursing care that draws on yourstrengths.”b. “It’s hospital policy. I know it must be tiresome, but I willtry to make this quick!”c. “I’m a student nurse and need to develop the skill ofassessing your health status and need for nursing care.”d. “We want to make sure that your responses to the medicalexam are consistent and that all our data are accurate.”e. “We need to check your health status and see what kind ofnursing care you may need.”f. “We need to see if you require a referral to a physician orother health care professional.
- A nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.A nurse manager of a busy cardiac unit observes disagree-ments between the RNs and the LPNs related to schedules and nursing responsibilities. At a staff meeting, the managercompliments all the nurses on a job well done and points outthat expected goals and outcomes for the month have beenmet. The nurse concludes the meeting without addressing thedisagreements between the two groups of nurses. Which ofthe following conflict resolution strategies is being employedby this manager?a. Collaboratingb. Competingc. Compromisingd. SmoothingA 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 nurse is caring for an 80-year-old female patient who isliving in a long-term care facility. To help this patient adapt toher present circumstances, the nurse is using reminiscence astherapy. Which question would encourage reminiscence?a. “Tell me about how you celebrated Christmas when youwere young.”b. “Tell me how you plan to spend your time this weekend.”c. “Did you enjoy the choral group that performed hereyesterday?d. “Why don’t you want to talk about your feelings?”During 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.A nurse is using time management techniques when planningactivities for patients. Which nursing action reflects effectivetime management?a. The nurse asks patients what is their priority to accomplisheach day.b. The nurse includes a “nice to do” for every “need to do”task on the list.c. The nurse “front loads” the schedule with “must do”priorities.d. The nurse avoids helping other nurses if scheduling doesnot permit it.
- A nurse is caring for a 42-year-old male patient who isadmitted to the hospital with injuries sustained in a motorvehicle accident. While he is in the hospital, his wife tells himthat the bottom level of their house flooded, damaging theirbelongings. When the nurse enters his room, she notes thatthe patient is visibly upset. The nurse is aware that the patientwill most likely be in need of which type of counseling?a. Long-term developmentalb. Short-term situationalc. Short-term motivationald. Long-term motivationalA nursing student asks the charge nurse about legal liabilitywhen performing clinical practice. Which statement regardingliability is true?a. Students are not responsible for their acts of negligenceresulting in patient injury.b. Student nurses are held to the same standard of carethat would be used to evaluate the actions of a registerednurse. c. Hospitals are exempt from liability for student negli-gence if the student nurse is properly supervised by an instructor.d. Most nursing programs carry group professional liabilitymaking student personal professional liability insuranceunnecessary.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 himself