A nurse case manager meets with a family who is caring for the wife's elderly father who is diagnosed with advanced dementia. The wife remarks, "It's getting harder and harder to keep him safe without tying him up
I get so frustrated when he doesn't even know who I am and fights me." Which response would BEST use commendation to encourage and reinforce the wife's strengths? a. "You have provided excellent care to him every day for several years; let's see how we can help you take care of yourself so he continues to be well cared for."
b. "It's your turn to be taken care of; you deserve a medal for dealing with the situation this long."
c. "It will be difficult to find someone who can take care of him as well as you have, but let's see what we can come up with."
d. "I don't know how you have put up with those behaviors as long as you have; I would have given up long before this."
A
The most therapeutic response by the case manager would be to acknowledge the wife's efforts and offer to explore with the family strategies so that the elder will continue to be cared for effectively. In addition, the case manager acknowledges the caregiver role strain that is occurring and the need to explore strategies for the caregiver to obtain respite and address her own needs. The nurse is demonstrating empathy and effective listening when she is able to address the concerns of the family.
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The nursing student develops a plan of care based on a recently published article describing the effects of bedrest on a patient's calcium blood levels. In creating the plan of care, the nursing student has the obligation to:
a. Critically appraise the evidence and determine validity. b. Ensure that the plan of care does not alter current practice. c. Change the process even when there is no problem identified. d. Maintain the plan of care regardless of initial outcome.
The nurse suggests that a patient start a journal. How should the nurse explain the difference between journaling and life stories?
A) Life stories are factual reports. Journals are limited to the search for insights. B) Life stories are the reminiscences of the elderly. Journals are the diaries of the young. C) Journaling examines activities and thoughts in the present. Life stories are accounts from the past. D) Life stories are fictional accounts loosely based on real life. Journals are accurate, factual accounts.
Which actions would the charge nurse evaluate as indicating "alarm fatigue" in a nurse who works in an intensive care unit (ICU)?
1. The nurse completes measuring a patient's urine before responding to a ventilator alarm in the next cubicle. 2. The nurse says, "Would you check this patient's IV? The controller alarm keeps sounding." 3. The manager discovers deactivation of a heart rate alarm in the rooms of two patients assigned to the nurse. 4. The nurse responds to the wrong cubicle when a ventilator alarm sounds. 5. The nurse responds to an alarm while saying, "I wish this patient would stop moving his arm around. It makes his IV alarm sound."
A nurse is preparing to admit a child with possible obstructive uropathy. The nurse should expect to draw which lab on this child?
1. Platelet count 2. BUN and creatinine 3. Partial thromboplastin time (PTT) 4. Blood culture