The patient is being admitted to the intensive care department with multiple fractures and internal bleeding. Which of the following are considered roles of the nurse in this situation? (Select all that apply.)
a. Anticipate physical and social deficits to resuming normal activities
b. Involve the family and significant others in the plan of care
c. Assist in making health care resources available to the patient
d. Identify the psychological needs of the patient
A, B, C, D
The nurse identifies patients' ongoing health care needs; anticipates physical, psychological, and social deficits that have implications for resuming normal activities; involves family and significant others in a plan of care; provides health education; and assists in making health care resources available to the patient. To separate the processes of admission and discharge is a critical error; the two are simultaneous and continuous.
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The nurse is caring for a client who has been given 6 months to live after being diagnosed with stage 4 cancer of the lung. Evidence that the client is in the bargaining stage of death and dying is demonstrated by which of the following statements?
a. "Not me." b. "Why me?" c. "Yes, me." d. "Let me."
Your unit has a number of patients who have undergone limb amputation
In working with the clients, you begin to think beyond therapies such as pharmacotherapeutics and surgery and you explore biomechanics, robotics, mind-body approaches, and cognitive behavioral therapies as possibilities in working with these clients. You begin to amass information in a number of areas with which you previously had little familiarity. According to the Wise Forecast Model©, you are a. Acting wildly. b. Learning wildly. c. Engaging in interprofessional care. d. Increasing your complexity compression.
Related to Problem Oriented Medical Record (POMR) documentation, which of the following statements made by a nurse reflects the greatest need for additional instruction on the proper management of a resolved client problem?
1. "His surgery corrected the mobility problem, so I drew a line through it and dated it." 2. "The client's problem list has several resolved problems on it; should I take them off?" 3. "The client no longer has anxiety issues so I highlighted that problem on his prob-lem list." 4. "He doesn't experience any dizziness now that we have his medication regulated, so I've erased that from his problem list."
A 32-year-old primipara who is at 8 weeks' gestation asks if she should expect any breathing changes as the pregnancy progresses. How should the nurse respond?
1. "By the third trimester, you will no longer feel as though you're short of breath." 2. "You may experience shortness of breath due to stretching of the round ligament." 3. "If you develop shortness of breath, it should improve in the last few weeks of your pregnancy, as lightening occurs." 4. "Shortness of breath is an abnormal finding during any stage of pregnancy, and it is considered a serious complication."