The nurse who forgets to document an element of clinical significance and recalls it later should:
a. not add this information to the chart as it will be out of sequence.
b. add this information to the original entry and initial it.
c. rewrite the original entry.
d. include this information, dating and signing the additional material.
ANS: D
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A client with severe and persistent mental illness who has just moved into a homeless shelter tells
the nurse that his "life just got out of control.". He stated that he could not depend on others, so he kept to himself. Then he added "I am like a leaf at the mercy of the wind.". The nurse adds the nursing diagnosis of powerlessness to his care plan. The outcome that should be identified as most relevant is a. hope. b. self-esteem. c. personal autonomy. d. anxiety self-control.
A long-term care nurse is organizing a depression screening program for the residents. One of the nurse's peers questions why they need to do this, stating, "We are busy enough all ready.". What is the best response by the nurse?
1. "Studies show that as many as 43% of institutionalized elderly adults show symptoms of clinical depression. Depression symptoms are often associated with chronic illness and pain.". 2. "Studies show that as many at 63% of institutionalized elderly adults show symptoms of clinical depression. Depression symptoms are often associated with chronic illness and pain.". 3. "Depression is uncommon in elderly clients, but we need to screen all of our clients to find the few that have symptoms.". 4. "Screening our clients for various diseases will show their families that we are trying to give them the best care possible.".
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or drink that may aggravate GERD include:
1. Eggs 2. Caffeine 3. Chocolate 4. Soda pop
A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?
a. Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself. b. Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself. c. Perfectionism is the only means by which we can truly improve. d. Perfectionism is a character flaw and cannot be addressed.