A nurse is working with a patient and realizes that it is almost one year since the death of the patient's spouse. What should the nurse do?
1. Ignore it unless the patient mentions it.
2. Tell the patient to visit the spouse's grave that day.
3. Suggest that the patient make plans to go away that day.
4. Prepare the patient for a possible anniversary reaction and help the patient plan for it.
Answer: 4
Explanation: Anniversaries of loss may trigger increased sadness and anxiety. Nurses can teach the patient and family to prepare for an anniversary so they can take an active part in coping with a difficult time. Ignoring the anniversary will not help the patient develop coping strategies. Patients should not be told what rituals or activities would be most helpful to them.
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The nurse working in a plastic surgeon's office admits a client for a consult about possible liposuction. The client states, "I am so sick of dieting. It would be much easier to just have this fat surgically removed
" The nurse responds most accurately by saying: 1. "Liposuction should not be considered a replacement for dieting, because remaining fat cells can expand if excess calories are taken in." 2. "Now you will be able to eat what you want so long as you don't eat excessive numbers of calories." 3. "While liposuction will reduce the need for dieting, it will not fully eliminate it." 4. "You will need to diet even more carefully after liposuction, because you will be at greater risk for fat cell production."
The nurse is caring for a patient from a different cultural background. What action by the nurse best demonstrates cultural maintenance?
a. Assist the patient with a healing ritual. b. Teach the patient a heart healthy diet. c. Instruct the patient on monitoring blood glucose. d. Discuss what self-care activities the patient is willing to do.
Which task could be safely delegated by the nurse to the unlicensed assistive personnel (UAP)?
1. Caring of the client with the newly placed cast 2. Explaining to the client how to respond to itching under the cast 3. Caring of the insertion site for Crutchfield tongs 4. Caring of the client with a stable cast
Which of the following is considered to be the most serious recommendation from a Joint Commission survey?
a. Requirements for improvement c. Sentinel events b. Supplemental rec-ommendations d. Near misses