The nurse is speaking with a preschool-age child whose sibling recently died. The nurse understands that preschool-age siblings might feel that the death was due to:
1. The child's being bad, and the sibling is being punished.
2. The child's having a fight with their sibling.
3. The child's having thoughts about their sibling dying.
4. Their parents' not liking that sibling.
3
Rationale 1: Preschool-age children do not have a fear of being bad and the sibling's subsequently being punished.
Rationale 2: Fighting is normal, and preschool-age children do not have those thoughts.
Rationale 3: Preschool-age children might fear that they caused their brother or sister to be injured or become ill, or they may worry that bad thoughts on their part brought on the illness.
Rationale 4: Preschool-age children are more likely to believe that they somehow were the cause of their sibling's death, not their parents.
Global Rationale:
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A nurse admits an older client to the hospital who lives at home with family. The nurse assesses that the client is malnourished. What actions by the nurse are best? (Select all that apply.)
a. Contact Adult Protective Services or hospital social work. b. Notify the provider that the client needs a tube feeding. c. Perform and document results of a Braden Scale assessment. d. Request a dietary consultation from the health care provider. e. Suggest a high-protein oral supplement between meals.
N response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?
a. "This has been a difficult year for you." b. "I don't know how anyone could handle that much stress in 1 year!" c. "What did you do to cope with the loss of both your husband and mother?" d. "That is a lot of stress; now let's go on to the next section of your history."
Which of the following conditions can potentiate digitalis toxicity?
A) hyponatremia B) hypokalemia C) hypermagnesia D) hyperthyroidism
A nursing manager is concerned about professional sanctions that might result if several near-miss episodes are reported to a Patient Safety Organization (PSO) under the Agency of Healthcare Research and Quality (AHRQ)
The chief nurse executive explains to the manager that under the Patient Safety and Quality Improvement Act of 2005, a. certain critical errors or near misses can be penalized under law. b. PSOs only provide safety initiative information data to the AHRQ. c. state legislatures are able to sanction facilities under the 2005 Act. d. this information is confidential and protected from legal action.