In which situations would the state board of nursing have probable grounds for disciplining a nurse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. The nurse can no longer lift 30 pounds.
2. The nurse fails to report a co-worker who is working outside his scope of practice.
3. The nurse questioned a direct physician order.
4. The nurse made a false statement on the licensure application.
5. The nurse told a co-worker that she is taking antidepressant medications.
2,4
Rationale: Inability to lift 30 pounds may change where a nurse can safely work, but is not grounds for action against the license.
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Which of the following statements about the assessment of mental status is true?
A. It is not within the scope of nursing practice and should not be included in the nursing process. B. It is characterized by examination of memory, cranial nerves, and reflexes. C. It is only useful in indicating the presence or absence of neurologic disorders. D. It is often the initial step of a physical examination in the presence of neurologic disorders.
The nurse plans care for the client's wound which requires a moist-to-dry dressing. Which should the nurse use for an expected outcome one hour after applying a new dressing?
1. Client states the dressing feels cold. 2. The dressing absorbed red drainage. 3. The wound develops yeast-like odor. 4. Client states pain level is 8 out of 10.
Which strategies would the nurse utilize to promote culturally competent care for the postpartum patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Examine one's own cultural beliefs, biases, stereotypes, and prejudices. 2. Respect the values and beliefs of others. 3. Limit the alternative food choices offered patients to minimize conflicts. 4. Incorporate the family's cultural practices into the care. 5. Evaluate whether the family's cultural practices might have negative consequences.
Which of the following would the nurse identify as age-related changes in immunologic function that occur in the older adult? (Select all that apply.)
1. Accelerated phagocytic immune response 2. Altered nutrition intake 3. Failure of immune system to differentiate self from nonself 4. Increased hematuria 5. Increased adipose tissue 6. Maintenance of function of the B lymphocytes