Which management practice should the clinical nurse leader of a psychiatric unit institute to enhance the therapeutic environment?

a. Encourage staff efficiency and time management.
b. Emphasize timely and comprehensive documentation.
c. Prepare a comprehensive policy and procedure manual.
d. Implement positive reinforcement for upholding professional standards.


D
Institutional constraints and bureaucracy affect the caring ethic of nurses. Positive reinforcement for upholding nursing's professional standards is a management practice that supports nursing and will contribute positively to the therapeutic environment. The other options are not supportive of nursing.

Nursing

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A child suffers from absence seizures and has been prescribed acetazolamide (Diamox). The nurse should know that this medication is an adjuvant medication useful in the treatment of seizures. What is the therapeutic action of Diamox?

A) It slows the action potential of neurons. B) It slows the reuptake of acetylcholine. C) It suppresses the limbic and reticular systems. D) It controls fluid secretion in the CNS.

Nursing

A nurse is using the critical theoretical perspective in practice. Which of the following best describes how the nurse would respond when a client suggests that the physician prescribe a widely advertised medication for tension and anxiety?

(Select all that apply.) a. Can you tell me what is going on in your life right now? b. Do you know anyone else who is suffering such tension and anxiety? c. How does your family feel about you having so much tension and anxiety? d. Would you consider using the generic equivalent of this medication? e. What led you to believe this medication would be of help to you? f. What have you tried in the past to relieve tension and anxiety?

Nursing

A nurse sees a patient quietly crying in her room. The nurse enters the room, sits in the chair facing the patient, and says, "Something seems to be troubling you

" This exchange is an example of the practical application of which of the following ethical principles? a. Beneficence c. Veracity b. Autonomy d. Nonmaleficence

Nursing

A patient recovering from a liver transplant is at risk for malnutrition. What would the nurse include when planning care for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Consult with a dietician to plan for adequate energy from carbohydrates or fats. 2. Provide nutritional supplements enterally. 3. Prepare for placement of a central line for parenteral nutrition. 4. Encourage high-protein foods. 5. Restrict fruits and vegetables.

Nursing