A nurse employed in an acute care hospital is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which one would receive the lowest priority?
a. Lack of adequate staffing and mandatory overtime
b. Lack of control in decision making and autonomy
c. Receiving a 2.5% annual raise because of revenue loss by the hospital
d. Frequent deaths of critically ill clients
C
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A patient who has been diagnosed with endogenous hypoglycemia most likely has:
1. taken an overdose of hypoglycemic drugs. 2. been following a very restricted fasting diet or is malnourished. 3. excessive secretion of insulin or an increase in glucose metabolism. 4. exercised unwittingly without replenishing needed fluid and nutrients.
Which would help a client establish a trusting relationship with the nurse and to develop a rapport so that feelings and thoughts could be shared?
a. Ask the most sensitive questions first to get right to client's concerns. b. Ask open-ended questions allowing time for the client to answer. c. Ask closed questions to facilitate the completion of nursing assessment. d. Meet with a client for a very short time.
Factors that may threaten autonomy in health care settings may include which of the following? Select all that apply
a. Persistent paternalistic attitude that promotes the dependent role of the patient. b. Assumptions that a patient's values and thought processes are the same as those of the health care providers. c. A focus on caring rather than technology. d. Failure to appreciate a difference in knowledge level regarding health matters. e. Patients and families who feel confident enough to share their choices with health care providers.
The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
a. Rice b. Carrots c. Spinach d. Potatoes