Counseling interventions may occur in a variety of settings. The psychiatric nurse's counseling role includes which of the following? (Select all that apply.)
A) Crisis intervention
B) Assertiveness training
C) Conflict resolution
D) Prescriptive authority
E) Problem-solving skills
Ans: A, B, C, E
Counseling interventions may include crisis intervention, assertiveness training, conflict resolution, and problem-solving skills. Prescriptive authority is not a role of the psychiatric nurse counselor.
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The nurse discussing "sick day rules" with a newly diagnosed patient with type 1 diabetes is aware that the patient will require further teaching when he states:
A) "I will not take my insulin on the days when I am sick, but I will check my blood sugar every 2 hours." B) "If I cannot eat a meal, I will eat a soft food such as soup, gelatin, or pudding 6 to 8 times a day." C) "I will call the doctor if I am not able to keep liquids in my body due to vomiting or diarrhea." D) "I will call the doctor if my blood sugar is over 300 (mg/dL) or if I have ketones in my urine."
The nurse explains that skilled nursing facilities are mandated to staff their facility with:
1. one RN serving as director and one licensed nurse on duty for at least 8 hours each day. 2. RNs to provide complex care such as ostomy changes, IVs, or wound care. 3. RNs to supervise the patient care given by aides. 4. two LPNs and three aides per 10 patients at all times.
A 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which of the following is the best action for the nurse to take?
A) Do nothing because responding to the bell proves he does not have a hearing deficit. B) Immediately schedule the infant for a newborn hearing screening. C) Ask the mother to observe for signs that the infant is not hearing well. D) Screen again with the bell at the 2-month-old health supervision visit.
A newborn has just been diagnosed with a negative result from genetic testing. What should the nurse realize this finding means?
1. No further follow-up is needed. 2. There is no clinical explanation for the symptoms that are seen. 3. The baby is likely a carrier of a genetic abnormality. 4. The baby will develop symptoms of a genetic abnormality later in life.