Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders conti-nuously. Lately, she has fallen twice, and the family demands that she be restrained. As the unit manager, you have initiated a least restraint practice
An appropriate action in this situation would be: a. Setting up a nursing team meeting to re-view practices.
b. Calling the family to inform them of the practice.
c. Initiating a multidisciplinary and family meeting to focus on Mary's needs.
d. Restraining Mary to satisfy the family's wishes.
C
Crossing the Quality Chasm emphasizes the importance of rendering care with the client (client-centered) rather than to the client. In this situation, the patient includes family in transpa-rent discussions about quality needs and takes a team approach that involves healthcare profes-sionals, the family, Mary's needs, and evidence associated with safe practice.
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A child is being sent home from the doctor's office with a prescription for azithromycin (Zithromax) for presumed cat-scratch disease. Which instruction to the parents is most important?
A. "Be sure to treat your cat for fleas." B. "Don't take this unless the scratch gets infected." C. "Make sure he takes all of this antibiotic." D. "You should not have cats around small children."
The purpose of state-required newborn screening is to:
a. Keep the state records updated. b. Allow for accurate statistical information. c. Document the number of births. d. Recognize and treat newborn disorders early.
Most persons with diabetes are insulin dependent, or type I
Indicate whether the statement is true or false.
A 40-year-old adult living with parents states, "I'm happy but I don't socialize much. My work is routine. When new things come up, my boss explains them a few times to make sure I understand. At home, my parents make decisions for me, and I go along with them." A nurse should identify interventions to improve this patient's:
a. self-concept. b. overall happiness. c. appraisal of reality. d. control over behavior.