A novice nurse says, "I have more important things to do than play games with patients. These activities are not a worthwhile use of my time." Select the nurse manager's best response
a. "Games are part of the therapeutic milieu."
b. "Patients need a break from intensive individual therapy."
c. "Informal activities help patients develop social skills and take risks."
d. "Please review material on the psychotherapeutic management model."
C
Nurses who engage in therapeutic activities with patients recognize that each encounter with patients is part of an overall therapeutic picture. Patients discuss real problems and solutions and practice skills needed in real-life situations. These encounters offer opportunities for assessment, for patients to process feelings, and for validation and feedback, as well as for tension relief. The correct answer is the most global response. The distracters do not educate the new nurse about the purpose of informal activities.
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A nurse has been working overtime because of high hospital census and a decreased work force. The nurse is concerned about the danger of work-related burnout or compassion fatigue. To combat this risk, the nurse should:
a. increase nursing responsibilities at work. b. take control over new areas at work to reduce stress. c. strengthen relationships outside of the hospital. d. hang out with co-workers when not at work.
An older patient is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this patient's risk of aspiration?
1. Administer formulas that contain fiber. 2. Keep the head of the bed elevated at a 30 to 45 degree angle. 3. The risk of aspiration no longer exists after a permanent feeding tube has been placed. 4. Flush the tube with water before and after each medication administered through the tube.
The nurse is assessing a newly admitted patient with a pressure ulcer on the hip. Which clinical indicator does the nurse use to assess a stage II pressure ulcer?
a. Deep, open crater b. Persistent redness c. Boggy consistency d. Superficial blistering
While planning care for obese patients, two nurses are contrasting the differences between orlistat (Xenical) and other weight-loss agents
Which of the following statements best demonstrates how orlistat is different from most weight-loss drugs? a. It reduces fat absorption in the intestines. b. It suppresses the appetite center in the brain. c. It increases the metabolism to help burn calories. d. It increases serotonin levels and improves mood.