After finalizing the nursing diagnoses, the nurse must choose the problem to address first. What is the most effective way of determining the top priority?
A. Ensuring it is reimbursable by third-party payers
B. Based on the degree of community concern about the problem
C. Comparing it with the agency's mission statement
D. Discussing conclusions with another community/public health nurse
ANS: B
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Which is objective data?
a. The client states, "I have a headache." b. The client complains of a sore throat. c. The client's temperature is 100.4 degrees Fahrenheit. d. The client says he doesn't sleep well at night.
Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication?
a. Sets up a one-on-one meeting at a specific time b. Confronts the other person loudly and in front of an audience c. Refers the problem to a supervisor d. Uses the incident as a threat
A patient has a junctional escape rhythm. Which action should the nurse make a priority?
A. Eliminate caffeine from the diet. B. Contact the physician immediately for emergency orders. C. Prepare for a pacemaker insertion. D. Assess the patient for symptoms associated with this rhythm.
The nursing assistant can be an effective member of the interdisciplinary team by
A. taking assignments directly from the physician. B. avoiding the chain of command whenever possible. C. appreciating each person's contribution to the team. D. helping patients with personal problems and concerns.