Which of the following statements made by the nurse best reflects an understanding of the cli-ent's role in goal setting?
1. "He knows what he needs better than anyone else."
2. "When he sets the goals he is more likely to follow the plan."
3. "He identifies the goals and then together we create the plan of action."
4. "He is best suited to determine the level of effort he is capable of providing."
ANS: 4
Unless you set goals mutually and make a clear plan for action, clients will not follow the care plan. Clients alone are not always appropriately prepared to set and plan goals without profes-sional help. Although the other answers may be true for many clients, it is not a guarantee that the client possesses all the skills and knowledge necessary to set and plan realistic goals.
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An organization has begun using critical incidents as part of the evaluation process. The supervisor is meeting with a manager to review the manager's use of critical incidents since training last week
Which finding would concern the supervisor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Each nurse has one critical incident recorded and it is positive. 2. The manager is writing these notes in a handheld electronic device. 3. The manager's notes are all written at the same time on the same day. 4. There is no indication that the critical incidents recorded have been shared with staff. 5. One note states, "This nurse has an abrasive personality."
Which laboratory value alerts the nurse to the possibility that the client is chronically losing small amounts of blood?
A. Reticulocyte count of 7% B. Bleeding time of 3 minutes C. Hemoglobin level of 14.0 g/dL D. Negative indirect Coombs' test
The risk of choking is greater in a young adult than it is in an elderly adult.
Answer the following statement true (T) or false (F)
During an assessment of an older adult patient, the nurse observes a red rash on the palms of the hands and the soles of the feet. What should the nurse do next?
a. Notify the charge nurse. b. Float the patient's heels on a pillow. c. Apply a prescribed emollient. d. Reposition the patient on the left side.