Which of the following would be a nursing intervention to assist the client with a nursing diagnosis of Sleep pattern disturbance related to the loss of spouse and fear of nightmares?
a. Administer sleeping medication per order.
b. Refer the client to a psychologist or psychotherapist.
c. Have the client complete a detailed sleep-pattern assessment.
d. Sit with the client and encourage verbalization of feelings.
D
A nursing intervention to facilitate grief work is to offer the client encouragement to explore and verbalize feelings of grief. This encouragement refocuses the client on current needs and mini-mizes dysfunctional adaptation behaviours (e.g., not sleeping) by facilitating resolution of grief through problem-solving skills.
Administering sleeping medication may help the client get to sleep, but does not resolve the issue of grief. Without addressing the grief, the client may develop another dysfunctional adaptation behaviour.
It is not necessary to refer the client to a psychologist or psychotherapist at this time. The client needs to be encouraged to verbalize his or her feelings.
Having the client complete a detailed sleep-pattern assessment may help the nurse identify the number of hours of sleep the client is obtaining, but it does not address the issue causing the sleep disturbance, which is grief from the loss of the spouse.
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A nurse teaches a client who is recovering from a urography. Which instruction should the nurse include in this client's discharge teaching?
a. "Avoid direct contact with your urine for 24 hours until the radioisotope clears." b. "You may have some dribbling of urine for several weeks after this procedure." c. "Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster." d. "Your skin may become slightly yellow from the dye used in this procedure."
The Needlestick Safety and Prevention Act of 2000 was implemented to prevent health care workers from experiencing needlestick injuries. Which of the following is required to be docu-mented regarding a needlestick injury?
a. Notify the patient's physician. b. Advise the hospital risk management de-partment. c. Document the department or work area in which the exposure occurred. d. Send the injured staff person to the emer-gency room for documentation of the in-cident.
When parents are approached about their child becoming an organ donor, it is important for whom to approach the parents?
1. Anyone can approach the parents and ask for them to donate their child's organs. 2. Only physicians can approach the parents and ask for them to donate their child's organs. 3. No one should approach the parents. If they what to donate their child's organs, they will ask the staff. 4. Only staff trained in approaching should approach the parents and ask for them to donate their child's organs.
According to protocol, a nursing student is required to complete metric conversions to ensure accurate administration of medication dosage. What does this indicate?
A) A nurse must strictly follow the given medication orders. B) A nurse must possess a good understanding of pharmacology. C) A nurse must possess a basic understanding of mathematics. D) A nurse must ask for the primary care provider's assistance.