Which of the following is a key factor in many malpractice cases?
a. incomplete incident reports
b. inadequate documentation
c. absence of signed informed-consent forms
d. lack of nursing diagnoses for clients
B
The health care record is a legal document that describes what happens to a client; in case of a lawsuit, the record provides proof of actions taken or not taken. Nurses can protect themselves from implication in malpractice cases through accurate and concise documentation.
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The nurse observes a continual oozing of stool from the rectum of a patient who has been immobilized following surgery. The nurse recognizes that this condition most likely a result of which of the following?
a. Diarrhea b. Flatulence c. Fecal impaction d. The Valsalva maneuver
With regard to the adaptation of other family members, mainly siblings and grandparents, to the newborn, nurses should be aware that:
a. Sibling rivalry cannot be dismissed as overblown psychobabble; negative feelings and behaviors can take a long time to blow over. b. Participation in preparation classes helps both siblings and grandparents. c. In the United States paternal and maternal grandparents consider themselves of equal importance and status. d. Since 1990 the number of grandparents providing permanent care to their grand-children has been declining.
A client is talking with the nurse and states that he/she has been having trouble sleeping lately. The client asks the nurse what the complications of sleep deprivation might be
Which of the following does the nurse explain can result from sleep deprivation? 1. Development of Alzheimer's disease 2. Fatigue occurring at night 3. Visual hallucinations 4. Improved healing
A nurse has identified a coping problem in a family that recently lost their house and belongings in a fire. The nurse will next assess the family's external support systems
Which of the following would be the most appropriate diagnosis for this family? 1. Readiness for Enhanced Family Processes 2. Dysfunctional Family Processes 3. Ineffective Coping 4. Compromised Family Coping