After analyzing assessment data, the home health care nurse determines that a change is necessary in the medical care of a patient. The nurse makes the change without consulting the physician
Under which circumstance is this a legal action by this nurse? 1. If the nurse is experienced and sure the change will not harm the patient
2. If there is a signed, standing order for the change
3. If the nurse is certain the physician will agree with the change
4. If the patient's family agrees that the action is necessary
2
Rationale: The nurse is licensed to practice nursing which does not include alteration of the medical plan of care with orders.
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The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported
Which of the following is the main cause that statistics are underreported? A) Clients do not often seek treatment for STIs. B) Only certain STIs are reported to the Centers for Disease Control and Prevention. C) Poor communication is offered between the physician offices and reporting agency. D) Reporting physicians are afraid of being sued for a breach in confidentiality.
You are caring for a patient who is scheduled for a laryngectomy. You are preparing the patient's care plan. Which nursing diagnoses should receive the highest priority for this surgery?
A) Anxiety related to diagnosis of cancer B) Altered nutrition related to swallowing difficulties C) Ineffective airway clearance related to surgical alterations in the airway D) Impaired verbal communication related to removal of the larynx
A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack) makes inappropriate sexual comments to the licensed practical nurse (LPN)
The LPN is visibly upset. The registered nurse (RN) assigned to the patient informs the patient his behavior is unacceptable and will not be tolerated. Is the RN demonstrating holistic or mechanistic nursing? ____________________ What will be an ideal response?
How is a researcher who exemplifies rigor similar to the best technical nurse on her shift in a cardiovascular intensive care unit? (Select all that apply.)
a. They are both rigid and inflexible in details such as timelines and doing things the way they want to do them. b. They are both aggressive in acquiring and recording data. c. They both strive for excellence. d. They both communicate well with others. e. They both are disciplined in the way they conduct their jobs. f. They both are passionate about accuracy and attending to details.