A registered nurse flown in to help with a disaster was feeling very tired, irritable, and anxious. In addition, the nurse seemed to be having difficulty concentrating and making decisions. Which of the following is the most likely cause of such feelings?
a. The close involvement in the disaster, which has traumatized the nurse as well
b. The knowledge that the nurse cannot meet all of the needs of the flood victims
c. The realization that the nurse cannot undo the damage of the flood
d. The recognition that the nurse is not adequately compensated for working this hard
ANS: A
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A patient admitted with acute respiratory failure has a nursing diagnosis of ineffective airway clearance related to thick, secretions. Which action is a priority for the nurse to include in the plan of care?
a. Encourage use of the incentive spirometer. b. Offer the patient fluids at frequent intervals. c. Teach the patient the importance of ambulation. d. Titrate oxygen level to keep O2 saturation >93%.
What is the most significant implication of caring for the practice of nursing?
A) It is the characteristic that links nursing to other health professions. B) It is an integral pact for providing holistic care. C) It is the characteristic that women bring to the profession. D) It is the hidden aspect of nursing that provides satisfaction to practitioners.
The client presents for cervical ripening in anticipation of labor induction tomorrow. What should the nurse include in her plan of care for this client?
A. Apply an internal fetal monitor. B. Allow the client to void prior to insertion of dinoprostone (Cervidil) gel. C. Withhold oral intake and start intravenous fluids. D. Place the client in a semi-Fowler's position.
The nurse is evaluating the teaching she has done with a client and family. In order to assess the level of learning, she should ask herself which of the following questions? (Select all that apply.)
A) If the teaching were to be repeated, what additional strategies should be used? B) What additional data are needed to evaluate progress toward achievement of the learning objectives? C) Were the learning objectives met? D) Was the home environment appropriate? E) How was the plan collaborative?