The nurse manager of a unit with older non-English-speaking patients notes that an unusually large number of conflicts occur between the younger nursing assistants and the patients
What should the manager identify as reasons for these conflicts? Standard Text: Select all that apply. 1. Language
2. Education
3. Birth order
4. Decade of birth
5. Generation in the United States
1,2,4,5
Rationale: Changes in the past several decades have created cultural barriers that create misunderstandings between caregivers and patients. One source of conflict is language.
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The patient is asked about the date of her last tetanus shot which, she tells the nurse, is over 10 years ago. Based on this information the patient will receive a tetanus immunization. The tetanus injection will allow for the release of what? A) An antibody B) An antigen C) A bacteria D) A virus
The nurse has instructed an overweight client to follow a 2,000-calorie diet by substituting foods considered low in calories for those higher in calories. How does the client interpret the food label to decide if a food is low in calories?
1. The product label will state "lighter" or "reduced calories." 2. The nutrition facts label will have the letter "L" located in the lower right corner. 3. Nutritional labeling on the product will indicate less than 40 calories per serving. 4. The product will contain no more than 11% fat.
A suicidal client agreed on day 2 of hospitalization to write and sign a "no self-harm contract." As a result of this contract, the health care team should plan to:
1. Discontinue suicide precautions 2. Reduce one-to-one observation to observing the client every 15 minutes 3. Reduce observation to observing the client every hour 4. Base the level of observation on staff assessment
Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should understand that:
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy.