Which of the following is not a characteristic of a crisis?
a. identifiable precipi-tating event c. overwhelming
b. sudden occurrence d. can cause mental illness
D
Characteristics common to all crises include: a sudden event, an identifiable precipitating event, is perceived as overwhelming or life-threatening, cannot be resolved with usual coping skills, and intervention is required for equilibrium to be achieved.
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Using the classical organizational theory model, what would be the most appropriate method for the nurse to voice concern over unfair client workload assignments?
1. Circulate a petition to all staff seeking support for change in assignment policy and present the signed petition to the nursing supervisor. 2. Discuss the problem with the nurse's team leader and then the charge nurse if the problem remains unsolved. 3. Invite the vice president in charge of nursing to a unit meeting. 4. Organize a unit meeting to discuss the problem on all shifts.
A nurse wants to use evidence-based practice (EBP) to develop a program aimed at preventing social isolation in older adults. The first step the nurse should take is to
A. Do an assessment. B. Develop a community diagnosis. C. Consult the literature to create a rationale for intervention. D. Begin community organizing.
A patient complains of a headache and chills during a blood transfusion. Which one of the following actions should the nurse take immediately?
a. Check the vital signs. b. Stop the blood transfusion. c. Slow the rate of blood flow. d. Notify the physician and blood bank personnel.
A woman who is 28 weeks pregnant is admitted to the high-risk OB unit with preterm premature rupture of the membranes. Four hours after admission, the nurse notes the following:
temperature: 38.5 °C (101.5 °F), maternal pulse: 122 beats/minute, and white blood cell count: 23,000 mm3. Which action by the nurse takes priority? A. Document the findings and notify the health-care provider. B. Facilitate fern testing or Nitrazine testing on vaginal fluid. C. Prepare to administer a prn dose of acetaminophen (Tylenol). D. Reassure the woman that these are expected findings.