The nurse is completing the documentation on a minimum data set form. This type of documentation:
a. is used solely for documenting comprehensive assessments in certified nursing homes.
b. uses checklists to facilitate documentation by summarizing findings in abbreviated forms.
c. uses a narrative format to allow nurses flexibility in recording their findings.
d. focuses directly on assessment needs for a particular service provided.
ANS: A
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According to Maslow's hierarchy of needs, the need to know and understand information is considered
a. a high-level need. c. a physiologic need. b. a low-level need. d. not important in a critical care setting.
The family of a person with a severe hearing loss may find it difficult to deal with that family member. What is the best advice a nurse can teach the family that will help the situation?
A) Speak as loudly as possible and face the person. B) Make no frustrating efforts to communicate. C) Buy the person the best hearing aid available immediately. D) Speak in a low-frequency voice, and use sign language.
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D5W leading to occlusion of the line
Which statement by the nurse demonstrates a red herring? a. The nurse is upset and states, "I am sure I have injected this before without a problem" and the supervisor interprets this to mean the nurse often take short cuts. b. The nurse states, "You are just upset because I am certified in chemotherapy administration and you are not." c. "The nurse who started the IV didn't get a blood return but determined the IV was the patient's—that is the problem." d. "This drug always occludes the line because it is so viscous."
When planning the care of a client diagnosed with stable angina, which of the following would be considered a goal of treatment?
1. Decrease in ischemia and episodes of angina 2. Prevent myocardial infection 3. Reduction of risk factors 4. Reduction of stress by education