A patient is being seen for symptoms of insomnia and significant weight loss that has occurred during the 2 months since her husband's death. What is the purpose of the que-ry, "Describe how it has been for you since your husband died?"
a. To display an attitude of concern and sympathy to the patient
b. To learn whether the patient has a significant support system
c. To rule out factors that may interfere with diagnosing her illness
d. To determine the risk for pathologic grief and the need for grief therapy
ANS: D
The question is a common assessment question to determine the grief work that has been done. The query does not ask about support systems or specific factors, and the query is more than a display of concern.
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The nurse is providing care to an 87-year-old female with a history of osteoarthritis. The patient reports an average generalized pain score of 4 on a 0-to-10 scale wile using acetaminophen prn. Which of the following statements by the nurse is best?
a. "Research shows that acetaminophen is not really effective for osteoarthritis pain." b. "Are you satisfied with this level of pain control?" c. "Do you take a daily calcium supplement?" d. "I'm glad the acetaminophen is working for you."
The nursing director calls a meeting with one of the new unit managers. She is very concerned about a report of substance abuse on the manager's unit, and she reviews the procedures involved in dealing with chemically dependent staff
Which of the following statements would NOT be included in the discussion? "As a manager, you: a. Need to be aware of ADA issues." b. Should check with Human Resources regarding chemically dependent employees and employment practices." c. Check the nurse practice acts for the state in which the nurse resides." d. Should realize that the nurse is a professional embarrassment and should be kept out of sight of other staff."
Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system?
a. Libertarian theories c. Utilitarian theories b. Deontological theories d. Communitarian theories
A client's nasogastric tube has been discontinued and needs to be removed. Place in order the steps the nurse will perform to remove this tube
1. Place the tube in a plastic bag. 2. Ask the client to take a deep breath and to hold it. 3. Smoothly withdraw the tube. 4. Pinch the tube with the gloved hand. 5. Observe the intactness of the tube. 6. Apply clean gloves.