What data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?
a. Teenage depression episode
b. Unexpected operative birth
c. Ambivalence during the first trimester
d. Second pregnancy in a 3-year period
ANS: A
A personal history of depression is a risk factor for postpartum depression. An operative birth, ambivalence during the first trimester, and two pregnancies in 3 years are not risk factors for postpartum depression.
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Which option is not a primary reason that documentation is important?
a. Documentation enables the team to pro-vide care to meet a resident's individual needs. b. Documentation helps defend the nurse in the event of a possible lawsuit. c. Documentation enables a patient to re-ceive consistent care from one shift to the next. d. Documentation is the basis for reim-bursement to the facility.
The PHN aims to change behaviors such as poor hand washing skills and unsafe sex practices. Which of the following best describes the role that the nurse is using?
a. Case manager b. Advocate c. Educator d. Role model
A registered nurse is responsible for overseeing the care that is provided in a long-term care facility. The skills mix at the facility includes the registered nurse, a practical nurse, and several unlicensed assistive personnel (UAP)
Which of the following statements is true of the delegation that the RN performs? A) The RN is accountable for the care that the other members of the team provide. B) The RN may only delegate tasks that are outside of her own scope of practice. C) The RN can delegate tasks that are outside the PN's or UAPs' scope of practice if she first provides adequate teaching. D) Once a task is delegated, the person who performs the tasks is solely responsible for the outcomes.
A nurse is discontinuing a patient's peripheral IV access. Which actions should the nurse take? (Select all that apply.)
a. Wear sterile gloves and a mask. b. Stop the infusion before removing the IV catheter. c. Use scissors to remove the IV site dressing and tape. d. Apply firm pressure with sterile gauze during removal. e. Keep the catheter parallel to the skin while removing it. f. Apply pressure to the site for 2 to 3 minutes after removal.