When you perform your nursing assessment on your medical acute-care client, she seems calm and relaxed. She readily discusses her medical condition and concerns and asks you questions
You refer her to discuss these issues in more depth with her provider. The next day you discover that she said, "I just couldn't open my mouth to say anything when the provider came in with all those medical students." Your next intervention is MOST appropriately to: a. do nothing, because the client will eventually get used to all the medical students and talk to the provider without further intervention on your part
b. refer the client for a psychiatric diagnostic workup
c. relieve the client of this chore by relaying the client's questions and concerns to the provider
d. assess the client for social anxiety disorder
D
The most appropriate response would be to assess the client for social anxiety disorders. Social anxiety disorder is a disorder in which a person has a strong and irrational fear of social situations (often involving strangers). It is one of the most common anxiety disorders in the United States. In this case, the client has been able to talk to the nurse with whom she has established a rapport with. However, when a large number of people, most of whom she doesn't know, are present (the medical students), her anxiety manifests itself.
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1) Be a patient advocate. 2) Involve institutional ethics committees. 3) Improve one's own ethical decision making. 4) Respect patient confidentiality.
The nurse's action that will best prevent clogging of a gastric feeding tube is to
a. adhere to the tube flushing protocol. b. apply intermittent suction. c. check tube placement every 4 hours. d. periodically reposition the tube.
A patient with cirrhosis has begun displaying signs and symptoms of hepatic encephalopathy. The nurse prepares to administer lactulose per the prescriber's order. The nurse understands that this drug has been ordered to
a. reduce cerebral edema. b. reduce abdominal ascites. c. lower ammonia levels. d. reduce the hepatic enzymes.
When an alert, conscious patient who is clear of mind makes a decision you disagree with, you should
A) argue the options with the patient. B) ignore the patient's decision. C) honor the patient's decision. D) all of the above