The psychiatric–mental health nurse reflecting on professional role activities is referred to the standards of professional performance by a colleague. To which organization should the nurse look for guidance?
1. North American Nursing Diagnosis Association
2. American Nurses Credentialing Center
3. National League for Nursing
4. American Nurses Association
4
Rationale: The American Nurses Association will be the best resource as professional performance is addressed in standards 7–15 of ANA's Psychiatric–Mental Health Nursing Standards of Practice. The National League for Nursing primarily addresses nursing education, while the American Nurses Association Credentialing Center focuses on certification. The North American Nursing Diagnosis Association develops a classification system for nursing diagnoses.
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When making rounds on the night shift, the nurse observes her patient to be in deep sleep. His muscles are very relaxed. When he arouses as the nurse changes the IV tubing, he is confused. What stage of sleep was the patient most likely experiencing?
1) Stage V 2) Stage IV 3) Stage III 4) REM
The patient whose lower extremities were crushed in a motor vehicle accident is likely experiencing "fight-or-flight." Which finding would the nurse attribute to that neuroendocrine response?
1. Heart rate is 78. 2. Bowel sounds are diminished. 3. The patient has very little bleeding from the injury. 4. The patient has decreased level of consciousness.
A nurse is teaching a patient who is about to undergo direct-current (DC) cardioversion to treat atrial flutter
The patient has been taking verapamil and warfarin for 6 months. Which statement by the patient indicates understanding of the teaching? a. "I may need long-term therapy with another cardiac medication after the procedure." b. "I should stop taking warfarin a few days before the procedure." c. "I will need to take a beta blocker after the procedure to prevent recurrence of atrial flutter." d. "I will not have to take antidysrhythmia medications after the procedure."
The nurse is preparing a teaching tool on sleep disorders. Which disorder should the nurse include that is most likely to cause significant disruption to a patient's employment?
1. Insomnia 2. Narcolepsy 3. Restless legs syndrome 4. Breathing-related sleep disorders