Maggie is a new UAP. She has been working the 7 p.m. to 7 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation
Of the following responses, which demonstrates the best example of assertive communication?
A) "You are always late; what are you going to do about this situation?"
B) "Being late is unacceptable; you need to change this behavior"
C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance"
D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem"
D
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A nurse is caring for a patient who is experiencing nausea and vomiting from chemotherapy. Which of the following would be an appropriate nursing diagnosis for this patient?
A) Infection, Risk for related to drug-induced bone marrow suppression B) Nutrition, Imbalanced: Less Than Body Requirement related to adverse effects of drug C) Poisoning, Risk for related to use of a drug with a narrow therapeutic index D) Nutrition, Imbalanced: More Than Body Requirement related to adverse effects of drug
The director of quality improvement reports that the hospital will soon be using "dashboards" as part of the quality management process. How should the staff interpret this information?
1. Surveyors are driving to clients' homes to collect data on hospital visits. 2. This electronic tool makes it easy to aggregate and display data. 3. "Dashboard" is an acronym for the topics covered in client satisfaction surveys. 4. The "dashboard" is a screen on the electronic medical record that can be accessed for quality improvement information.
A patient is admitted to the trauma unit with the diagnosis of spinal cord injury resulting from an ATV accident. The health care provider has diagnosed the patient as a paraplegic
Which of the following is one of the most important topics for patient teaching to prevent further injury to the patient? a. Reminding him that he can be injured and not feel pain below his waist b. Suggesting that his parents purchase a motorized wheelchair to prevent arm muscle strain c. Reminding the patient to decrease fluid intake due to lack of mobility d. Reminding the patient to drink plenty of fluids to maintain hydration
In planning care for the patient with pancreatitis, the nurse assigns the highest priority to:
1. patient claims satisfaction with pain control. 2. patient states understanding of medications needed on discharge. 3. patient's activity level tolerance shows an increase. 4. patient can maintain a normal bowel pattern.