Which of the following is a characteristic of effective shift planning?
a. getting the job done in the least amount of time
b. nobody died
c. everybody showed up for work
d. evaluation of optimal and reasonable outcomes
D
Effective shift planning involves deciding what goals or outcomes are to be achieved. Identifying optimal outcomes (best possible objectives) as well as reasonable outcomes (realistic objectives given the available resources at hand), and evaluating progress made toward these outcomes during and at the end of shift are qualities that lead to effective planning during one's shift. Often enough, nurses do not allow themselves permission to do less-than-optimal work, but sometimes, due to circumstances beyond their control (e.g., being short staffed), achieving reasonable goals is the best that can be expected.
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Parents are worried that their preschool-aged child is showing hyperaggressive behavior. What are signs of hyperaggresive behavior? (Select all that apply.)
a. Disrespect b. Noncompliance c. Infrequent impulsivity d. Occasional temper tantrums e. Unprovoked physical attacks on other children
An elderly surgical patient is having an epidural catheter inserted for pain control. The nurse tells the patient that this method of pain medication has which benefit?
1. Earlier return of bowel function 2. Faster wound healing 3. Earlier ambulation 4. Improved appetite
An adolescent, age 17, rarely expresses feelings and usually remains passive. However, when angry, her face becomes flushed and her blood pressure rises to 170/100 mm Hg. Her parents are passive and easygoing. The adolescent may be using which defense mechanism to handle anger?
A. Displacement B. Introjection C. Projection D. Sublimation
A patient diagnosed with Alzheimer's disease has a catastrophic reaction during an activ-ity involving simultaneous playing of music and working on a craft project. The patient starts shouting "no, no, no" and rushes out of the room
The nurse should: a. Discontinue the activity program since it upsets the patients. b. Follow the patient, reassure her, and redirect her to a quieter activity. c. Isolate the patient until she is calm, and then direct her back to the activity. d. Give the patient prn antianxiety medication and restrict her activity participation.