A successful nurse manager is mentoring a newly promoted nurse manager. Which comment by the mentor reflects the most important consideration of all nurse managers?
1. "You must work to develop your staff's competencies."
2. "Take your role on the strategic planning committee very seriously."
3. "Your most important role is to ensure client care accountability."
4. "Fiscal resource management is the most important aspect of your job."
3
Rationale 1: Developing staff competencies is very important but not the most important consideration.
Rationale 2: Strategic planning is very important but not the most important consideration.
Rationale 3: Although the nurse manager has a variety of roles and tasks, the most important role is assuring quality client care. The nurse manager is accountable for quality care.
Rationale 4: Managing fiscal resources is a very important task of the nurse manager but not the important consideration.
Global Rationale:
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A nurse is assessing pain on a confused older client who has difficulty with verbal expression. What pain assessment tool would the nurse choose for this assessment?
a. Numeric rating scale b. Verbal Descriptor Scale c. FACES Pain Scale-Revised d. Wong-Baker FACES Pain Scale
The client in labor experiences a spontaneous rupture of membranes. What information related to this event must the nurse include in the client's record?
a. Fetal heart rate b. Pain level c. Test results ensuring that the fluid is not urine d. The client's understanding of the event
The 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. How can the nurse assist the patient in improving her body image?
a. Teach her to write with her left hand. b. Place articles within easy reach of her left hand. c. Help her select colorful scarves or accessories to cover her right arm. d. Show her massage techniques to increase circulation in her right arm.
How should the nurse position Ms. Waters for palpation of the breast and axillae?
A) Supine with arms at her side B) Supine with arms over her head C) Supine with arm over her head and pillow under shoulder of side being examined D) Supine with arm over her head and a pillow under shoulder opposite side being examined