The nurse is beginning a shift caring for a 26-year-old adult female who has just been admitted to the critical care area of a hospital with a pneumonia and respiratory failure
The nurse is told that the patient's parents are anxiously sitting in the waiting room. Which of the following statements best reflect a nurse's understanding of the communication needs of the parents? 1. "I will hurry with my assessment of your daughter so you can spend time with her after I leave."
2. "Why don't you go have a cup of coffee while I assess your daughter?"
3. "Since your daughter is an adult, I really can't share any information with you about her condition."
4. "All of this is probably frightening for you. Would you like to come with me into the room so I can explain equipment and information to you while I care for your daughter?"
4
Feedback
1 Leaving the family alone in the room with a newly admitted patient fails to take advantage of the opportunity to build a family partnership and nurse-family relationship.
2 Suggesting a family leave during a time when they are anxious does not minimize their uncertainty or address their concerns.
3 Confidentiality can be maintained while informing family members and exchanging information.
4 A nurse can anticipate distress in family members when there is an acute illness. The nurse can plan to include the family, invite the family, and explain the environment to minimize the anxiety.
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The nurse manager of the inpatient psychiatric unit is talking with the staff about the interventions to promote independent actions of clients on the chronic schizophrenia unit
Which of the following responses made by the staff indicates lack of insight into the client's illness? 1. "I want to learn more about the side effects of the medication." 2. "I know when clients hear voices they are not real." 3. "I understand that some clients are not able to put on their clothes." 4. "I believe clients sometimes need to be isolated help them feel safe."
A child who has just begun to demonstrate egocentric thinking is in which of Piaget's stages of cognitive development?
a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought
The nurse would begin discharge planning for a client having surgery:
a. in the preoperative phase. b. on admission to the surgical facility. c. after completion of the surgery. d. in the postoperative period.
A nursing instructor shows an understanding of the ways computers can enhance student learning when:
1. Allowing students to research a nursing topic either by going to the library or via an online literature search. 2. Requiring a student to remediate after a failed test by completing appropriate computer-assisted instruction modules. 3. Using PowerPoint slides to reinforce complex concepts during classroom lectures. 4. Assigning a collaborative group project to students enrolled in an online course. 5. Using computer-generated graphics to make written material less monotonous.