The nurse volunteering time in a free community mental health clinic is concerned about mental health disparities in pediatric patients and implements strategies to reduce health care disparities
These strategies include:
Select all answers that apply.
A) educating the community about poverty predisposing families to mental illness.
B) teaching families' ways to handle cognitive or psychosocial-related concerns.
C) taking an approach of listening and providing positive feedback to families.
D) acquiring empathy when working with families by using ethnic generalizations.
B, C
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A patient recovering from thoracic surgery is on long-term mechanical ventilation and becomes very frustrated when he tries to communicate. What intervention should the nurse perform to assist the patient?
A) Assure the patient that everything will be all right and that remaining calm is the best strategy. B) Ask a family member to interpret what the patient is trying to communicate. C) Ask the physician to wean the patient off the mechanical ventilator to allow the patient to speak freely. D) Express empathy and then encourage the patient to write, use a picture board, or spell words with an alphabet board.
The nurse is working with a paramedic who just finished assisting at the scene of a school shooting where several students were killed. Which statement by the nurse is most therapeutic?
a. "Would you like to talk about what hap-pened?" b. "Surely the department will give you the day off tomorrow." c. "At least the gunman was taken into cus-tody." d. "Let's just sit here for a while quietly."
A parent needs to leave a hospitalized toddler for a short period of time. What action should the nurse suggest to the parent to ease the separation for the toddler?
a. Bring a new toy when returning. b. Leave when the child is distracted. c. Tell the child when they will return. d. Leave a favorite article from home with the child.
The physician ordered a loading dose of medication for the patient; it is to be followed by a lower dose. When the patient receives the lower dose, she says to the nurse, "I think my doctor made a mistake; my medication dose is too low."
What is the best response by the nurse? 1. "The initial dose shortened the half-life, so the medication would work more quickly." 2. "We always give medications this way; the doctor did not make a mistake." 3. "You had a larger dose initially so that the medication would work more quickly." 4. "Giving a larger dose initially will reduce the chance of side effects."