Which of the following are examples of application of the Leadership Rounding Tool? (Select all that apply.)
a. "What is working well for you during bedside reporting?"
b. "What has not worked for you today?"
c. "Is there someone on your team who de-serves special recognition for her efforts in the implementation?"
d. "Did you have a good vacation?"
A, B, C, D
The Leadership Rounding Tool suggests establishing and maintaining rapport and asking what is working well, what was a barrier, and who should be recognized, as well as answering tough questions.
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The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss and (2) risk for impaired skin integrity related to inadequate nutrition
The major difference between the two diagnoses is that the second diagnosis: a. needs no defined nursing interventions. b. needs medical intervention. c. will not need to be evaluated. d. reflects a problem that does not yet exist.
Which client would benefit most from a symptom management group focusing on relapse
prevention? a. A middle-aged woman with chronic schizophrenia b. An elderly man with early symptoms of dementia c. A teenage boy with obsessive-compulsive disorder d. A woman experiencing rape trauma syndrome
The client is a 35-year-old African American woman who had a breast biopsy 1 year ago and was diagnosed with benign breast disease. Now, the incision site is elevated, dark, and pro-trudes beyond her breast skin
What is the nurse's interpretation of these findings? A. The client has formed a keloid, consisting of collagen and ground substance, as a result of surgical injury to the skin. B. There is a high probability that skin cancer has developed as a result of surgical injury to the skin (Koebner phenomenon). C. The benign breast disease has undergone malignant transformation to breast can-cer and become locally invasive. D. The change in the breast biopsy scar represents chronic inflammatory changes that accompany deep and persistent infection.
A nurse could appropriately respond to a patient's complaint that he awakens frequently during the night by saying:
1. "Perhaps you should try going to bed earlier." 2. "You could try watching TV. That helps me fall asleep." 3. "Drinking alcohol can cause you to wake up during the night." 4. "Exercising at night before you go to bed can enhance sleep."