Doing a task that is not within the scope of practice or that the nurse assistant has never been trained to do can create a harmful situation for the patient and result in disciplinary action for the nurse assistant
The
nurse assistant should explain that she or he cannot perform this task and
go to her or his supervisor.
Indicate whether the statement is true or false.
F
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After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
The nurse is obtaining a health history from a patient who has come to the local health clinic and is having abdominal pain. The best question to elicit the probable reason for the visit and identify the chief complaint is:
A) "Why do you think your abdomen is painful?" B) "Where is your abdominal pain and when did it start?" C) "What brings you to the clinic today?" D) "What is the problem today?"
Morphine Sulphate 2 mg IV q.2h p.r.n., pain
What will be an ideal response?
After having been diagnosed with endometriosis, Janice, aged 41, comes to the nurse to seek advice on possible endometriosis treatments. Which of the following decisions can the nurse help Janice make regarding her problem?
A) Practices adopted to regularize the menstrual cycle B) Methods adopted to reduce menstruation C) Medical or surgical treatment of endometriosis before natural menopause D) Methods used to ensure perineal care