You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her. As a nursing colleague, you respond by demonstrating understanding that the perception of the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a professional, whose influ-ence may affect the decision making of patients, colleagues, and other profession-als.
c. Has been influenced by nurse leaders and managers who leave for other positions.
d. Is related to the general perception that nurse leaders and managers are not satis-fied in their jobs.
B
Care coordination that involves the intersection of individual, family, and community-based needs requires that nurses have self-confidence, knowledge of organizations and health systems, and an inner desire to lead and manage. There is often a view that leadership is isolated to those holding managerial positions and that a direct care nurse is subject to following by adhering to the direction of others. Such views fail to acknowledge that to be a nurse requires each licensed individual to lead, manage, and follow when practicing at the point-of-care and beyond.
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A nurse interacts with a newly hospitalized patient. Select the example of offering self
a. "I've also had traumatic life experiences. Maybe it would help if I told you about them." b. "Why do you think you had so much difficulty adjusting to this change in your life?" c. "I hope you will feel better after getting accustomed to how this unit operates." d. "I'd like to sit with you for a while to help you get comfortable talking to me."
A patient with multiple sclerosis must be fed, bathed, and dressed. The nurse assesses the client to be:
1. disabled. 2. disadvantaged. 3. handicapped. 4. impaired.
Felicity Chan, a new mother, is accompanied by her mother during her hospital stay on the postpartum unit
Felicity's mother makes specific various requests of the nurses including bringing warm tea, a cot to sleep on and that the baby not be bathed at this time. Felicity's mother is also concerned about the amount of work that Felicity may be doing in the provision of infant care. The nurse notices that Felicity asks for help with breastfeeding as her mother bottle fed her and is not sure what advice to give. After Felicity has finished breastfeeding, her mother asks for a bottle so they can warm it and "feed" the baby. How would the perinatal nurse best respond to Felicity's mother in a culturally sensitive way? A) Ask Felicity's mother to leave for 30 minutes to allow for some private time with Felicity to explore her learning needs privately B) Ask both Felicity and her mother about the preferred infant feeding method and assess what they already know C) Convey to Felicity and her mother an understanding of the concepts of "hot" and "cold" within their belief system D) Ask Felicity what she knows about breastfeeding and provide information to both women to support Felicity's decision
A patient is receiving intravenous voriconazole (Vfend). Shortly after the infusion starts, the patient tells the nurse, "Colors look different, and the light hurts my eyes." What will the nurse do?
a. Observe the patient closely for the development of hallucinations. b. Reassure the patient that these effects will subside in about 30 minutes. c. Stop the infusion and notify the provider of CNS toxicity. d. Tell the patient that this is an irreversible effect of the drug.