The nurse finds himself feeling angry with a client. The nurse should
a. tell the nurse manager to assign the client to another nurse.
b. suppress the angry feelings.
c. express the anger openly.
d. discuss the anger with a clinician during a supervision session.
ANS: D
The nurse is accountable for the relationship. Objectivity is threatened by strong positive or negative
feelings toward a client. Supervision is necessary to work through negative feelings. Option A: This
is not a first-line solution. Option B: Suppression rarely results in a satisfactory outcome for client or
nurse. Option C: Open expression of anger will confuse a client who has been unaware of the
nurse's feelings.
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A client who was discharged yesterday is very upset about the quality of care received during hospitalization for gastric surgery
What options for reporting concerns does this client have? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is no mechanism for complaint as the client is no longer hospitalized. 2. The client can indicate dissatisfaction on the survey often sent to clients after discharge. 3. The client can call the hospital administration. 4. The client can make a formal complaint through the American Nursing Association. 5. The client can make a public report through the Agency for Healthcare Research and Quality.
When the patient complains about his IV lines and asks if he can have the medication by mouth, the nurse explains that the main problem related to the oral route is that:
a. it is difficult for many patients to swallow. b. medication by mouth is absorbed more slowly than by any other route. c. it takes more time for the nurse to prepare and administer medications. d. it leads to more errors because pills look alike.
Research utilization is characterized by:
a. a doctorally-prepared nurse directing a multisite study. b. complicated and sophisticated protocols for collecting empirical evidence. c. use of nursing research only by the nursing community. d. using research knowledge in practice to achieve the desired outcomes.
Which definition best describes the allopathic system or philosophy of health care?
a. A system that holds that disease is a result of nerve dysfunction b. A system that uses tiny doses of a substance which create the symptoms of disease in a healthy person to relieve those symptoms in a sick person c. A method of treating disease with remedies that produce effects different from those caused by the disease d. A system that maintains that illness is the result of falling out of balance with nature