The nursing student is caring for a seriously ill child on the pediatric unit. There are many family members present, including parents, aunts, and uncles
The student tells the primary nurse, "Every time I go into the room, everyone is shouting at each other, they shout at me, and they ask me the same questions over and over." What is the most appropriate response by the nurse?
a. "This is unacceptable and disruptive behavior. Let them know that if this behavior continues, we may need to call security."
b. "Families experience a range of emotions when caring for an ill member. Sometimes these are normal reactions, so you need not take it personally."
c. "There may be too many people in the room. You might consider limiting their visiting time."
d. "I believe this family is of Italian descent. Don't worry about it; it may just be their culture."
B
When a family member is ill or hospitalized, the other family members experience a range of emotions—especially when the illness is severe or of sudden onset. Family members may display signs of stress in a variety of ways, for example, by arguing with each other or with healthcare providers, in insisting on immediate care for their loved one, by being critical of the care provided, or by frequently asking that information be repeated. These are normal reactions; do not take them personally. Limiting visiting hours is not always beneficial, especially when dealing with children. There are times to call security if the behavior escalates and begins to affect other patients and families. In this instance, citing a cultural connection is inappropriate as it reflects stereotyping and is judgmental.
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1. The state has a family consent doctrine and a twin brother signs the form. 2. The state has a family consent doctrine and an adult sister signs the form. 3. The proposed treatment has only a minor risk of complication. 4. The state has no family consent doctrine and the patients are out of state.
A nurse economist is explaining the principle of stakeholder cooperation as part of positive-sum competition to students. The student who understands this concept would paraphrase the concept as
a. encouraging stakeholders to cooperate to allow continuous change. b. giving stakeholders options in design and output of the system. c. many entities working together to satisfy each group's needs. d. valuing each stakeholder's contribution to the system's creativity.
What is the primary purpose of incident reports?
A. Documenting that a particular nurse should not be retained at the agency B. Documenting the need to punish the caregiver who made the error C. Punishment, because the forms are long, complicated, and time-consuming to complete D. Recognizing patterns of possible problems so that corrective action in agency procedure can be implemented
The patient had been abusing cocaine for several years. Recently, the patient snorted cocaine that was much purer than was thought, resulting in an overdose. The patient died in the emergency department. What does the nurse recognize as the most likely cause of death?
1. Cardiac arrest 2. Rhabdomyolysis 3. Impurities in the cocaine 4. Bowel ischemia