While gathering a baseline history about a patient, a nurse is told by a team social worker that the patient "acts weird and has bad hygiene.". The nurse's responsibility is to:
a. accept the data without question.
b. form impressions based on data personally gathered.
c. document the impression of the team social worker.
d. discuss the social worker's impression with the patient.
B
In using information from secondary sources, nurses should not simply accept the assessment of another health care team member; instead, they should apply the information they obtain to their nursing framework for data collection and formulate their own impressions and diagnoses. This brings another perspective to the work of the health care team and promotes an unbiased receptivity to patients and their problems.
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What framework does the establishment of priorities of care during the planning phase of the nursing process often use?
a. Erikson's developmental tasks b. Piaget's cognitive table c. Maslow's hierarchy of needs d. Freud's classifications
A client who is a victim of a penetrating trauma has bowel loops protruding through the abdominal wall. Which of these actions should the nurse take FIRST?
a. Administer narcotics if indicated by pain level expressed by the client. b. Cover the exposed intestine with saline-soaked gauze. c. Insert a large-bore intravenous (IV) access. d. Prepare the client for a peritoneal lavage procedure.
The nurse is caring for a patient who is experiencing dyspnea. Which of the following positions would be most effective if incorporated into the patient's care?
1) Supine 2) Head of bed elevated 80° 3) Head of bed elevated 30° 4) Lying on left side
What are the nursing implications on the Genetics and Health Care Scenario when the plausible future approach is used as it relates to teaching?
A) Nurses assume the key role of helping persons understand the results of genetic testing. B) Genetic testing will be performed only with voluntary consent. C) Pharmaceutical companies use human genetic research to find treatments for illness. D) All persons with familial tendencies for particular diseases will be offered genetic testing.