Which error in judgment would be the most serious for the nurse defendant in a legal case?
a. Discussing the case with the plaintiff
b. Tampering with the chart
c. Hiding information from the plaintiff's attorney
d. Being discourteous on the witness stand
B
The patient's chart is a legal document. Changing or tampering with the chart would be in viola-tion of the standards of practice, and the Nurse Practice Act and would not be considered "what a reasonable nurse would do.". The nurse is expected to perform as a reasonable nurse would. If your actions are not those of a reasonable nurse and this causes someone to be injured, you can be sued. Being discourteous on the witness stand may not be professional. It is also not appropriate to discuss the case with the plaintiff or hide information; however, tampering with the chart is a more serious error in judgment.
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The nurse is working with a family that has just survived a tornado. As part of the intervention, the nurse is reviewing emotions they may be experiencing that are considered normal reactions to a traumatic event
Which of the following conclusions does the nurse make? (Select all that apply.) 1. Some family members have difficulty accepting help. 2. All family members will process the experience at about the same pace. 3. Each member of the family has a different way of coping. 4. Each family member talks to the nurse openly and freely. 5. All family members will experience anxiety about self and family's safety.
Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine to:
1. Reduce the chance of tardive dyskinesia 2. Potentiate the effects of the drug 3. Reduce the tolerance that tends to occur 4. Increase central nervous system (CNS) depression
Which instruction will the nurse include when teaching a client about the proper use of metered-dose inhalers?
a. "After you inhale the medication once, repeat until you obtain relief." b. "Make sure that you puff out air repeatedly after you inhale the medication." c. "Hold your breath for 10 seconds if you can after you inhale the medication." d. "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler."
Which nursing diagnosis explains the primary reason many clients with severe and persistent mental illness attain goals while hospitalized but manifest problematic behaviors when discharged to community placements?
1. Lack of adequate supervision related to inadequate community financing 2. Noncompliance with medications related to unacceptable side effects 3. Impaired judgment related to psychiatric symptoms 4. Interrupted family processes related to fear