The home care nurse is visiting a newborn and mother couplet. Which nursing action has the highest priority?
1. Establish rapport with the family members.
2. Review the hospital medical records.
3. Determine sleeping arrangements of the newborn.
4. Examine the umbilical cord stump.
1
Rationale:
1. It is critical to establish rapport with the family members prior to beginning any assessments. A therapeutic relationship must exist to obtain accurate information or provide education.
2. Although this is important, record review should be done prior to arriving at the home, so that the nurse is prepared. Establishing a therapeutic relationship is a higher priority at the onset of the visit.
3. This is less important than establishing a therapeutic relationship at the onset of the visit.
4. This is less important than establishing a therapeutic relationship at the onset of the visit.
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1. By cleaning the mouse and keyboard regularly 2. By turning the monitor so it cannot be seen by visitors 3. By using good body mechanics when sitting at the computer 4. By becoming familiar with facility policies regarding data entry
A client being admitted to the eating disorders unit has a yellow cast to her skin, her hair is limp and
dry, and her body is covered by fine, downy hair. Her weight is 70 pounds and her height is 5 feet 4 inches. She remains quiet and sullen during the physical assessment, but does say "I don't intend to eat until I lose enough weight to look thin.". An initial nursing diagnosis for the client would be a. disturbed body image related to weight loss. b. anxiety related to fear of weight gain. c. ineffective coping related to lack of conflict resolution skills. d. imbalanced nutrition: less than body requirements related to self-starvation.
A group of faculty members is overhauling the curriculum for the nursing program based on recommendations set forth by the Institute of Medicine
The nursing program would most likely include which of the following in the outcomes for students attending the program? Select all that apply. a. Ability to provide patient-centered care b. Ability to work effectively with teams c. Understanding evidence-based practice d. Understanding that only medial diagnoses are important e. Ability to use health information technology f. understanding that nursing is more important than other health care professions
The nurse is caring for a male patient who is experiencing a crisis. Which factor should the nurse consider when planning care for this patient?
1. Men are less likely to resist help during times of crisis. 2. Men are more likely to resist help during times of crisis. 3. Men usually access intervention only when the acute crisis has ended. 4. The most successful intervention for men during times of crisis is individual psychotherapy.