A nurse says to the mother of a 6-month-old infant, "Does the baby sit without assistance, and is the baby crawling?" Which process is the nurse using in this interaction?
1. Health promotion
2. Health maintenance
3. Disease surveillance
4. Developmental surveillance
4
Rationale:
1. While health promotion activities are related to developmental surveillance, this question is looking specifically at the milestones.
2. While health maintenance activities are related to developmental surveillance, this question is looking specifically at the milestones.
3. These questions are not classified as disease surveillance questions.
4. The question asked by the nurse is seeking information about developmental milestones; therefore, the nurse is involved in developmental surveillance.
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The nurse is caring for a patient who has pain following abdominal surgery. Which of the following are independent nursing interventions that can be used to make the patient more comfortable? (Select all that apply.)
a. Encourage the patient to relax and imagine that he is resting on a tropical beach. b. Provide headphones so that the patient can listen to his favorite music. c. Increase pain medication dosage if prescribed regimen is ineffective to manage pain. d. Teach the patient to take pain medication before discomfort becomes severe. e. Switch the patient from IV to oral pain medication when bowel sounds return. f. Demonstrate the use of relaxation breathing before painful procedures.
The patient has begun complaining about nausea and vomiting. What would the nurse assess to determine the need for therapy?
A) How well the patient is eating B) Color, amount, and frequency of vomiting episodes C) Number of times patient's family complains of vomiting episodes D) Number of times patient's family reports the patient is nauseated
Which of the following aspects helps the nurse to detect cerebrospinal fluid (CSF) drainage when examining a client after a significant head injury?
A) Change in the level of consciousness (LOC) B) Signs of increased intracranial pressure (IICP) C) Halo sign D) Swelling
To retain supervisory staff members, the director of nursing develops a mentoring program. The best person to be a mentor for a new supervisor in a leadership position is someone who has:
a. Been in exactly the same position and can relate to the new supervisor's problems. b. Had vast leadership opportunities and likes to talk about his or her past expe-riences. c. Leadership experience and time to spend communicating with the new supervisor about his or her experiences. d. People who can help the new supervisor get what he or she needs to make the or-ganization grow quickly and prosper in the process.