The nurse is serving on a committee charged with reviewing the roles and responsibilities of the nurses on the psychiatric unit. Which publication should the nurse bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric–Mental Health Nursing Standards of Practice
4
Rationale: The Psychiatric–Mental Health Nursing Standards of Practice delineates psychiatric–mental health nursing roles and functions and serves as guidelines for providing quality care. The Diagnostic and Statistical Manual of Mental Disorders is used by the mental health care team, particularly the psychiatrist, to diagnose clients with mental disorders and is not specific to nursing care issues. The Code of Ethics helps to clarify right and wrong actions by the nurse, but does not clarify roles and nursing care actions. Certification requirements outline steps toward certification that acknowledge knowledge and expertise, but do not delineate roles and responsibilities.
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A 10-year-old girl has been admitted to the ICU after she suffered a severe laceration on her arm. Due to heavy hemorrhaging, the child needs a blood transfusion
Her parents, however, who are Jehovah's Witnesses, do not believe in blood transfusions and refuse the treatment. What would be the best action for the nurse to take? A) Assist the physician in performing a blood transfusion for the girl, against her parents' wishes. B) Refuse to assist the physician in performing a blood transfusion, to respect the parents' wishes. C) Consult the hospital's risk management department before acting. D) Schedule a conference with the parents to explain why an infusion is medically necessary.
What measures might the nurse provide to encourage a patient who is having difficulty voiding?
A) Use a slipper bedpan. B) Apply a cold compress to the perineum. C) Have the patient lie in a supine position. D) Provide privacy for the patient.
You are the nurse in a pediatric clinic who is caring for a 16-year-old female client. When conducting the assessment, you note what signs that would indicate to you a possible eating disorder? (Mark all that apply.)
A) Normal skin turgor B) Eroded tooth enamel C) Weight/height WNL D) Brittle dry nails E) Decreased hair growth
A client with coronary artery disease tells you that they always look for foods that are labeled "cholesterol free.". Foods with this label may still promote heart disease if they are high in
a. monounsaturated fat and cis fat. b. polyunsaturated fat and trans fat. c. saturated fat and trans fat. d. medium chain triglycerides and cis fat.