The nurse is learning how to reduce the stigma associated with substance abuse. Which of the following statements by the nurse would reflect that learning has taken place?
1. "We're admitting a coked-out, manic client."
2. "A 34-year-old is being admitted for suicidal threats as a result of cocaine use."
3. "They've added another druggie to my caseload."
4. "We're admitting a cocaine addict who threatened to kill herself."
2
Rationale: The statement "A 34-year old is being admitted for suicidal threats as a result of cocaine use" is nonjudgmental and objective. The other choices are pejorative, biased, and non-therapeutic.
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The nurse manager has one or two staff nurses who frequently inform the manager of things that were done incorrectly on the unit even when it is a minor infraction. What does this indicate?
1. The nurse manager is trusted by these two staff nurses. 2. The nurse manager is not observing unit care closely enough. 3. There is distrust in the group due to lack of confidentiality. 4. The two nurses are disliked by the rest of the group.
The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
A) Teach the client nutrition and joint exercises. B) Ask the client the reason for the decision. C) Tell the client there is no hope. D) Refer the client to the appropriate professionals.
A client is scheduled for a thoracentesis. Which of the following would be important information to include in your teaching plan for this client?
a. Explain that the procedure will not hurt, and she won't remember any of it. b. Caution her that she must not move or cough for 6 hours after the procedure. c. Explain that she will be positioned sitting on the edge of the bed with her arms and head on the bedside table. d. Explain to her that the needle will be left in place for 24 hours.
How is culture represented at the unit level, with an underlying belief in patient-centered care?
a. Open visiting hours in the critical care unit (CCU) b. Strict visiting hours in the CCU c. Tape-recorded report d. Verbal handoff conducted at the nurses' station