A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction, no one is smoking, the janitor's closet is locked, and sharp objects are used under staff supervision. These observations relate to:
a. management of milieu safety.
b. coordinating care of patients.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies.
A
Nursing staff are responsible for all aspects of milieu management. The observations mentioned in this question directly relate to the safety of the unit. The other options, although part of the nurse's concerns, are unrelated to the observations cited.
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Which of the following represents a barrier to the provision of family-focused nursing care in the acute care setting?
1. Nurse's beliefs that family members often interfere with the ability to provide quality care to the hospitalized family member 2. Family beliefs about the need to protect their hospitalized member by being involved with decisions about nursing care 3. Nurse's successful mastery of technology and electronic medical record allowing the nurse time to answer questions of family members 4. Nurse's focus on family involvement in discharge planning at the time of hospital admission
A patient who was admitted with long-standing chronic obstructive pulmonary disease (COPD) is at risk for respiratory failure
Every 4 hours, the nurse will perform a focused respiratory assessment, which includes which of the following? Select all that apply. 1. Neck vein distention 2. Color of nailbeds 3. Presence of sternal retractions 4. Temperature of extremities 5. SpO2
The nurse takes every measure to preserve the client's privacy and maintain confidentiality. Which measure should the nurse take with the client to help prevent dehumanization?
A) Develop rapport and trust with the client before delving into personal matters. B) Review the client's condition and treatment plan with family members. C) Avoid telling the client about pending invasive diagnostic tests. D) Emphasize with the client the costs associated with hospitalization.
To help the peritoneal dialysis client who is complaining of low back pain associated with increased weight in the abdomen, the nurse would suggest
a. lying down as much as possible. b. performing specified exercises. c. reducing voluntary fluid intake. d. walking on surfaces with gradual inclines.