The nurse is collaborating with a patient to determine interventions to ensure compliance with medication administration after his pending discharge. The goals and nursing interventions would be agreed upon in the:
a. Preinteraction phase.
b. Orientation phase.
c. Working phase.
d. Termination phase.
ANS: D
Termination involves alerting the patient to impending closure of the relationship, evaluating the outcomes achieved during the interaction, and concluding the relationship and transitioning patient care to another caregiver, as needed. The Working phase involves the development of a contract or plan of care to achieve identified patient goals; implementation of the care plan or contract; collaborative work among the nurse, patient, and other health care providers, as needed; enhancement of trust and rapport between the nurse and the patient; reflection by the patient on emotional aspects of illness; and use of therapeutic communication by the nurse to keep interactions focused on the patient. In the Orientation phase or Introductory phase, introductions are made, establishing professional role boundaries (formally or informally) and expectations, and clarifying the role of the nurse. Identifying the needs and resources of the patient through observing, interviewing, and assessing the patient, followed by validation of perceptions. also occur in this phase.
You might also like to view...
Patients with Ménière's disease typically report vertigo that can last for hours. They may also experience
a. pressure behind the eyes. c. facial palsy. b. progressive hearing loss. d. increased incidence of otitis media.
A 38-week newborn is found to be small for gestational age (SGA). Which of the following nursing interventions should be a priority in the care of this newborn?
1. Monitor for feeding difficulties. 2. Assess for facial paralysis. 3. Monitor for signs of hyperglycemia. 4. Maintain a warm environment.
The perinatal nurse explains to the new nurse that prescription medications are classified in pregnancy according to risk. A Category D medication is one that has:
A) No associated fetal risk and is safe to take in pregnancy B) No associated fetal risk in animals although fetal risk in humans has not been identified C) Evidence of adverse effects in animal fetuses and the fetal risk in humans has not been identified D) Evidence of adverse effects and fetal risk in humans and the benefits and risks must be considered before prescribing to a pregnant woman
The patient has been depressed and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
1. "How much alcohol do you consume during the week?" 2. "Are you allergic to any medications?" 3. "How long have you been depressed?" 4. "Have you had any thoughts about killing yourself?"