The nurse has had three patients die during the past 2 days. Which approach is most appropriate to manage the nurse's sadness?
a. Telling the next patients why the nurse is sad
b. Talking with a colleague or writing in a journal
c. Exercising vigorously rather than sleeping
d. Avoiding friends until the nurse feels better
ANS: B
Self-care strategies for nurses include talking with a close colleague and reflecting on feelings by writing in a journal. It is inappropriate for a nurse to talk with patients to resolve the nurse's grief. Although exercise is important for self-care, sleep is also important. Shutting oneself away from friends is not self-care; the nurse should spend time with people who are nurturing.
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The Crimean War of the mid-19th century was the venue for many of the sweeping changes to nursing that were introduced by Florence Nightingale. Which of the following statements best describes these changes?
A) Because of Nightingale's ideas, nursing became a profession that was appropriate for men as well as women. B) Nightingale proposed the germ theory of disease and organized nursing care around the principles of this theory. C) Nightingale helped schools of nursing transition from being based on superstition to being evidence-based. D) Under Nightingale's influence, nursing became respectable, organized, and effective.
Each person has his or her personal definition of what the concepts of the nursing metaparadigm mean to his or her own practice or nursing
Indicate whether this statement is true or false.
A woman at 32 weeks' gestation is diagnosed with severe preeclampsia with HELLP syndrome. The nurse will identify which of the following as a positive patient care outcome?
a. Rise in serum creatinine b. Drop in serum protein c. Resolution of thrombocytopenia d. Resolution of polycythemia
A patient in sickle cell crisis states that the pain is lessened when watching television. The patient's physiological response is best attributed to:
A. the perception of pain. B. nociceptor stimulation. C. a negative protective reflex response. D. the application of the gate control theory.