The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
a. Determine why the mother is so suspicious.
b. Determine what the mother does not want to tell.
c. Explain who will have access to the information.
d. Explain that everything is confidential and that no one else will know what is said.
ANS: C
Communication with the family should not be invasive. The nurse needs to explain the importance of collecting the information, its applicability to the child's care, and who will have access to the information. The mother is not being suspicious and is not necessarily withholding important information. She has a right to understand how the information she provides will be used. The nurse will need to share, through both oral and written communication, clinically relevant information with other involved health professionals.
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Cindy, who delivered her third child yesterday, has just learned that her two school-aged children have contracted chickenpox. What should the nurse tell her?
a. Her two children should be treated with acyclovir before she goes home from the hospital. b. The baby will acquire immunity from Cindy and will not be susceptible to chickenpox. c. The children can visit their mom and baby in the hospital as planned but must wear gowns and masks. d. She must make arrangements to stay somewhere other than her home until the children are no longer contagious.
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Indicate whether the statement is true or false
The staff members notify the police that a court-committed patient has eloped. What is the initial action for the staff to take when the patient is returned to the hospital?
a. Discuss with the patient the reason for the elopement. b. Ask the patient to sign an "against medical advice" release. c. Request that the patient give written notice of intent to leave. d. Readmit the patient under the original court-ordered commitment.
The nursing student received several lectures on caring for a client requiring bedrest. The nursing student practiced essential skills related to caring for a client on bedrest. The nursing student has the first clinical experience
Which example supports the primary purpose of clinical instruction? A) The nursing instructor demonstrates how to log roll the client and allows the nursing students to practice this for the first time since the students never learned this skill before. B) The nursing student found that he could not insert the urinary catheter as easily as he had practiced it in the laboratory, and the clinical instructor stated the client may have an obstruction in his urethra, making it difficult to insert the catheter as taught. C) The nursing student wrote in his clinical journal that he used what he learned in class and in the lab while caring for the client he was assigned. D) The nursing student wrote in his clinical journal that he found that the skills he learned in the lab were able to be used in the clinical area.