A trusting relationship with a patient can be fostered by
a. introducing oneself and stating one's role.
b. identifying the patient by room number.
c. seeing the patient every 5 to 7 minutes.
d. making up answers when one does not know the answer.
ANS: A
Trust begins by gaining the patient's confidence through introducing oneself and stating one's role. Identifying the patient by room number depersonalizes the patient. Seeing the patient every 5 to 7 minutes would be excessive in most situations. Making up answers when one does not know the answer is dishonest.
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An older client returning to the postoperative nursing unit after a hip replacement is disoriented and restless. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply an abduction pillow to the client's legs. b. Assess the skin under the abduction pillow straps. c. Place pillows under the heels to keep them off the bed. d. Monitor cognition to determine when the client can get up. e. Take and record vital signs per unit/facility policy.
A 78-year-old patient is scheduled for a total hip replacement. Which of the factors should be considered during the preparation in the operating room?
A) The patient should be placed in Trendelenburg position. B) The patient must be firmly restrained at all times. C) Pressure points should be assessed and well padded. D) The preoperative shave should be done by the circulating nurse.
There is a very confused client on the unit, and she is wandering. Which of the following alternatives to using a restraint would be chosen to use with this client?
A) Wedge pillows against the side rails on the bed. B) Pull up all the side rails on the bed. C) Assign this client to the farthest room from the nurses' station. D) Place a rocking chair in her room.
The nurse would include which activities when planning care to increase comfort for the intubated patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Speak directly to the patient by looking into the patient's eyes. 2. Keep the patient sedated and let the patient sleep when giving care. 3. Give additional pain medication whenever restlessness is noted. 4. Establish a communication method that does not require talking. 5. Keep the family at the bedside to interpret the patient's needs.