A serious disagreement has arisen between two staff nurses. The unit manager elects not to make a decision regarding the disagreement until more evidence is collected
Which part of the nursing process does this manager's critical thinking reflect? 1. Assessment
2. Diagnosis
3. Planning
4. Evaluation
2
Rationale 1: Assessment is collecting the evidence.
Rationale 2: Suspending judgment is equivalent to the diagnosis step.
Rationale 3: Planning would occur when information is collected and analyzed and a course of action is being determined.
Rationale 4: Deciding which hypothesis is correct is evaluation.
Global Rationale:
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A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?
A) Narcotics are banned in private settings and cannot be used. B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO). C) Narcotics to be used in the hospital are dispensed only with a written prescription. D) Narcotics can be used in the hospital according to patient preferences.
Palpation, one of the four components of musculoskeletal examination, is used to assess
a. hypertrophy or atrophy of muscles. c. hypotonicity or spasticity of muscles. b. limb circumference. d. muscle strength.
The nurse's care of a Hispanic family includes teaching about infant care. When devel-oping a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families:
a. Breastfeeding is encouraged immediately after birth. b. Male infants typically are circumcised. c. The maternal grandmother participates in the care of the mother and her infant. d. Special herbs mixed in water are used to stimulate the passage of meconium.
When preparing to test a patient for meningeal irritation, which of the following would be most important for the nurse to do first?
A) Check for evidence of fever and chills B) Ensure no injury to the cervical spine C) Position the patient prone D) Check for a Babinski reflex