A registered nurse is caring for a patient in the trauma unit who had been involved in a motor vehicle accident
Although the patient denied pain, during the nurse's assessment, the nurse ob-served that the patient groaned when moving and was protective of the right arm. The nurse be-lieved the patient had pain and reported it to the primary health care provider, who ordered a ra-diograph (x-ray) of the right arm. The radiograph revealed a fractured arm. Which technique did the nurse use? a. Intuition
b. Critical thinking
c. Perseverance
d. Reflection
B
The nurse used critical thinking. Critical thinking involves recognizing that an issue (e.g., patient problem) exists, analyzing information related to the issue (e.g., clinical data about a patient), evaluating information (including assumptions and evidence), and drawing conclusions. Intuition is an inner sensing or "gut feeling" that something is so. Reflection is a part of critical thinking that involves the process of purposefully thinking back or recalling a situation to discover its purpose or meaning. Perseverance means to also keep looking for additional resources until you find a successful approach.
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A 58-year-old male client is seen for a routine health check. During the visit, the client reports plans to marry a younger woman in her 20s. The client voices concern about the need to worry at this stage of life about contraceptives
The nurse plans to teach which of the following to the client? 1. "It is still possible at this time of life to father a child.". 2. "After age 50, you are considered virtually infertile.". 3. "You will only need to be concerned about fertility for another few years.". 4. "You should have a vasectomy to avoid fathering a child.".
The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states that it is common to stay up with friends several nights a week. Which nursing action should the nurse take?
a. Discuss with the adolescent's parent staying up with friends and the need for sleep. b. Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness. c. This is a normal occurrence for adolescents and action is not required. d. Explore the reason for staying up late with friends several nights a week.
The nurse is assessing the client's pain using the acronym OLDCART & ICE. Rank the questions asked by the nurse following the order of the acronym OLDCART & ICE.1: "How long have you had this pain?"2: "Would you please point to the location of your pain?"3: "How would you describe your pain? Is it sharp, dull, stabbing?"4: "Can you tell me when your pain first began?"
Fill in the blank(s) with the appropriate word(s).