Nurses working at a progressive health care organization participate in a decentralized decision-making framework where they are actively involved in nursing unit decisions
These nurses know that the key elements of decentralization include which of the following? Select all that apply. A. Trust
B. Standards
C. Responsibility
D. Authority
E. Accountability
C, D, E
Trust is a skill that is used in all types of nursing care delivery. Professional standards are adhered to when providing patient care. They are state or nationally recognized. Standards include care, cure, and coordination.
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A patient is receiving discharge instructions. He shares with the nurse that he intends to do a lot of traveling. Instructions for travel should include which of these points?
1. "Pack plenty of extra colostomy supplies in your checked airline luggage. Some places you might visit do not always carry those supplies you will need." 2. "Exercise caution with new foods, especially local fruits and vegetables, because they may cause diarrhea or gas." 3. "If visiting somewhere where drinking local water is not advised, it is still all right to irrigate the colostomy with the local water." 4. "Repeat back to me what we just talked about so that you will be sure and re-member carefully everything you have been taught."
Your client is female, 14 years old, well developed, and sexually active. She states that she is popular and has been dating a 16-year-old boy for the past year
She tells you that her period is late and that she is not using any contraceptives because her boyfriend doesn't approve of them. Which of the following nursing diagnoses would be most appropriate? 1. Ineffective health maintenance 2. Ineffective individual coping 3. Risk for infection 4. Delayed growth and development
A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she received when she had a total knee replacement. Which of the following should the nurse respond to this client?
1. "You don't need something that strong." 2. "That medication does not exist anymore." 3. "That medication does not last very long." 4. "It can cause you have high blood pressure."
Which opioid replacement therapy has both an agonist and antagonist effect?
A. naltrexone b. buprenorphine c. methadone d. naloxone