Which aspect of our tradition and history in nursing may impede our movement towards future-oriented thinking?
a. Lack of confidence
b. Focus on the discipline of nursing
c. Focus on details in the everyday practice
d. Mistrust of trends and new evidence
ANS: C
Because of our history of attention to details, we may need to challenge ourselves in developing our ability for leadership. Moving from micromanaging to focusing on setting expectations for those for whom we are accountable may feel uncomfortable. However, that movement reinforces our ability to deal with longer-term issues.
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The nurse is caring for a client with major depressive disorder who was recently placed on a high-potency neuroleptic (antipsychotic) medication. The client has not been eating well, is starting to get dehydrated, and has a temperature of 101°F
The physician orders antibiotics. Six hours later, the nurse notice that the client's temperature has risen to 103°F, and the client has muscle rigidity, and a fluctuating blood pressure. The priority of action for the nurse is to: 1. Discontinue neuroleptic and report symptoms to physician immediately. 2. Chart the assessment findings and report them to the primary nurse at change of shift. 3. Discontinue the neuroleptic and document assessment findings as cause for the action. 4. Continue the medications and perform more frequent assessments of the client.
Of the following patient conditions, which patients would be at risk for experiencing a thyroid problem due to a decrease in thyroxine-binding globulin (TBG)? Select all that apply
A) A 55-year-old male with cirrhosis due to alcohol abuse B) A 47-year-old female experiencing hot flashes and excess diaphoresis related to menopause C) A 75-year-old man receiving chronic glucocorticoid therapy to treat his severe chronic obstructive pulmonary disease (COPD) D) A 18-year-old female anorexia nervosa patient weighing 78 lb and has consumed no protein for the past 3 years
The step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis is called:
a. assessment. b. planning. c. intervention. d. evaluation.
The wife of an affluent and well-known businessman is shocked and distraught at the fact that her husband has been charged with fraud and publically arrested. Which of the nurse's following statements is most therapeutic?
A) "These things have a way of working themselves out." B) "It's very understandable that you would feel betrayed and embarrassed right now." C) "Try to focus on the changes that you and husband will make to prevent this from happening again." D) "When this eventually blows over, you'll probably find it wasn't as serious as it feels right now."