Which statement made by a nurse manager to personnel working short-staffed best reflects an understanding of the importance of safe unit staffing?
a. "If you cannot find sufficient staff, I will have to leave this unit, because it is unsafe and someone could be hurt.".
b. "I cannot safely manage this unit with such a small staff. When can I expect you to send additional staffing to help?"
c. "If you don't provide extra staffing immediately, I will quit and report this situation to The Joint Commission (TJC).".
d. "In order to ensure unit safety I will need additional staff. I am limiting care to priority needs only until you meet that need. My written report will document my actions.".
D
An assertive nurse describes the unit situation, asks clearly for what is needed, and describes interim behavior or the consequence. TJC clearly states the staffing patterns that constitute safe standards of care.
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The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave. As described by Maslow, the basic needs that may be unmet in this case are __________ and ___________
ANS:
When teaching a client how to use a nasal inhaler, the nurse should include instructing the client to:
a. shake the inhaler well before using. b. breathe through both nostrils during administration. c. hold the inhaler between the palm and index finger. d. breath in through the mouth while discharging the inhaler.
The registered nurse (RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride). Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
a. Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg. b. Evaluate effectiveness of nitroprusside therapy on blood pressure (BP). c. Set up the automatic blood pressure machine to take BP every 15 minutes. d. Assess the patient's environment for adverse stimuli that might increase BP.
In learning about Duvall's life-cycle stages ascribed to traditional families, the nursing student recognizes that developmental tasks of each stage include which of the following? Note: Credit will be given only if all correct and no incorrect
choices are selected. Select all that apply. 1. Adjusting to new roles as mother and father 2. Working out authority and socialization roles with the school 3. Becoming a single parent with custodial responsibilities 4. Becoming a couple and dating 5. Adjusting to the loss of a spouse