A newly admitted patient is uncommunicative about recent life events. The nurse suspects marital and economic problems, but the social worker's assessment is not yet available. Select the nurse's best action
a. Focus assessment questions on these two topics.
b. Ask another patient who shares a room with this patient.
c. Avoid seeking information on these topics at this time.
d. Refer to axis IV of the DSM-IV-TR in the medical record.
D
The admitting physician would use axis IV to record psychosocial and environmental problems pertinent to the patient's situation, providing another source of information for the nurse. Persistent questioning may cause the patient to withdraw. The other distracters demonstrate violation of the patient's privacy rights and are not an effective solution.
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A nurse working in a neonatal intensive care unit is being sued. An expert witness is called. The expert witness would be:
a. a physician who specializes in neonatology. b. the chief of nursing in the hospital. c. a neonatal intensive care nurse. d. a faculty member in a university school of nursing.
Which would be considered a niche application?
a. Computerized provider order entry (CPOE) b. Laboratory information system (LIS) c. Clinical decision support system (CDSS) d. Surgical information system (SIS)
A nurse at the healthcare center is caring for a female client who does not know English. Which is the most appropriate method for the nurse to overcome the language barrier and provide effective healthcare?
A) Ask a female professional translator to help B) Ask questions that can be answered by a "yes" or "no" C) Avoid using technical terms during conversation D) Use simple words and speak slowly
After piloting an evidence-based clinical practice change, the nurse would (Select all that apply.)
a. institute the change. b. pilot the project until the desired outcome is achieved. c. determine applicability for use. d. incorporate changes into practice. e. pilot the project until consensus is achieved.