The nurse asks, "I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here." This question is found at the __________ phase of the interview process
a. Summary
b. Closing
c. Body
d. Opening or introduction
ANS: D
When gathering a complete history, the nurse should give the reason for the interview during the opening or introduction phase of the interview, not during or at the end of the interview.
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In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is:
a. The largest quadrant of the breast. b. The location of most breast tumors. c. Where most of the suspensory ligaments attach. d. More prone to injury and calcifications than other locations in the breast.
After morning report, the RN held a mini conference with a team member, a licensed nurses' aide, and assigned the following duties: bathe and make beds for all your assigned patients, answer lights, ambulate all those ambulatory and turn
nonambulatory patients every 2 hours, and report complaints or needs of the patients to the RN. Periodically during the day the RN checked with the aide to determine whether the aide was having difficulty in completing the tasks. The RN was frequently in patient rooms observing and performing their own duties. What is this an example of? A) Improper delegation B) Not trusting an employee C) Effective delegation D) Micromanagement
Which is the most appropriate action for the nurse to take when sternal and intercostal retractions are noted in an infant?
A) Nothing, as this finding is normal in infants. B) Notify the physician or provider immediately. C) Assess the infant again in 15 minutes. D) Increase fluid intake.
The patient with an old knee injury says, "I think I have water on my knee again."
The nurse would prepare to conduct which tests to assess for that finding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ballottement 2. Bulge sign 3. Phalen's test 4. Thomas test 5. Heberden's sign