You are the nurse caring for Helen, who informs you she did not sleep a wink last night with all the noise in the hallway and everyone repeatedly coming in to take her vital signs. She states she is simply exhausted and all she needs is a few hours rest
Understanding Helen's need for rest, you inform her that you will place a note on the door for a do not disturb for the next few hours so she can rest. Should she need anything you provide her with your Spectralink number and inform the rest of the staff of the situation. This would be considered what type of MRM practice strategy:
A. Initiating the relationship
B. Establishing the mind-set
C. Creating a nurturing space
D. Facilitating the story
ANS: C
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!"
Which response made by the nurse would be most helpful? a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
An older homeless patient is admitted to the hospital. The patient has no known family, is unresponsive, and his condition is considered guarded. What should be done to ensure appropriate healthcare decisions are made for this patient?
1. The homeless shelter will provide direction. 2. The patient will be represented by the hospital social worker. 3. The hospital will make decisions for the patient's healthcare. 4. The hospital will ask a judge to appoint a guardian for the patient.
A family member has heard about the rule of threes and asks the nurse what it means. What would be the best response about the rule of threes?
A) A person can live 3 minutes without oxygen. B) A person can live 3 hours without water. C) A person can live 3 days without food. D) A person can live 3 weeks without warmth.
The nurse is caring for elderly clients in a subacute nursing care facility and institutes nursing measures to keep them safe. Which of the following is the leading cause of disability and death in nursing homes?
A) Fires B) Suffocation C) Falls D) Poisoning