Immobilized patients often become depressed. A nurse can best combat this effect of immobilization by doing which of the following? (Select all that apply.)
a. Limiting visitors so the patient is not bothered
b. Involving the patient in planning time for care and activities
c. Placing the patient in a private room to reduce the interruptions by a roommate
d. Encouraging the patient to comb hair, wear make-up, and/or use cologne if appropriate
e. Having the patient in a room with another patient who is interactive.
B, D, E
Involve patients in their care whenever possible. For example, have the patient determine when the bed should be made. Some patients rest better during the night when fresh sheets are put on in the evening rather than in the morning. Keep hygiene and grooming articles within easy reach. Encourage patients to wear their glasses or artificial teeth and to shave or apply makeup. These are normal activities to enhance body image, thus improving the patient's outlook. If possible, place the patient in a room with others who are mobile and interactive. If a private room is required, ask staff members to visit throughout the shift to provide meaningful interaction. Limiting visitors is not beneficial.
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A patient, age 25, has just been admitted to the unit with a diagnosis of AIDS. The nurse's colleague says, "I'm pregnant. It is not safe for me or my baby if I am assigned to his case." The nurse's response should be
a. "This patient would not be a risk for your baby if you use standard precautions and avoid direct contact with blood or body fluids." b. "You should ask for a transfer to another unit because contact with this patient would put you and your baby at risk for AIDS." c. "Wear a mask, gown, and gloves every time you go into his room and use disposable trays, plates, and utensils to serve his meals." d. "We should recommend that this patient be transferred to an isolation unit."
The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which healthcare worker?
A) Nurse aide B) Nursing assistive personnel C) Licensed practical nurse D) Registered nurse
A nurse is organizing a round table presentation at a conference. The nurse asks the other participants for suggestions on actions that nurses can take to reduce national health disparities
Which of the following suggestions are known to be effective measures for the reduction of health disparities? Select all that apply. A. Volunteer with an international organization that supports building infrastructure in underdeveloped areas. B. Support initiatives that increase physical education classes and healthy school meals. C. Design and create research studies that address inequities and support vulnerable populations. D. Discuss social and health disparity information with coworkers to promote awareness. E. Act as advocates for patients, families, and communities in reducing inequities.
A nurse is caring for a 12-year-old inpatient with paranoid schizophrenia. The client's parents ask the nurse, "What should we say when our child tells us that she hears voices?" Which is the most appropriate response by the nurse?
A) "Tell her to stop discussing the voices or else you will conclude the visit." B) "Ignore what she is saying and attempt to talk over her." C) "Neither confirm nor deny the content, but try to focus on reality." D) "Tell her that the voices are not real to reorient her."