The nurse is teaching a patient from a general teaching plan that has been set up for all patients with type 2 diabetes. What should be the nurse's first consideration if this patient is unable to perform her blood glucose test without assistance?
a. The patient has not accepted her diagnosis.
b. The patient feels the test strip is wrong for testing her blood.
c. The patient is having problems understanding the process.
d. The learning objectives should be less specific for this patient.
ANS: C
Sometimes the process breaks down when a patient does not understand what to do, cannot afford the treatment plan, or loses confidence in her ability to change. Whatever the problem, the nurse must attempt to discover where the process went wrong.
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A client is having robotic surgery. The circulating nurse observes the instruments being inserted, then the surgeon appears to "break scrub" when going to the console and sitting down. What action by the nurse is best?
a. Call a "time-out" to discuss sterile procedure and scrub technique. b. Document the time the robotic portion of the procedure begins. c. Inform the surgeon that the scrub preparation has been compromised. d. Report the surgeon's actions to the charge nurse and unit manager.
What is an example of an ethnic- and gender-related difference in life expectancies?
a. Black men live longer than white men. b. White women live longer than black women. c. Black men live longer than black women. d. White men live longer than white women.
From an ethical point of view, what is the point of determining that a potential research subject is incompetent?
a. An incompetent subject must receive more extensive explanation before consenting to participate in research. b. According to HIPAA, a different level of records security must ensue. c. Inclusion of the subject necessitates a different consenting process. d. The researcher has a responsibility to exclude all incompetent persons from research participation.
The nurse cautions the Certified Nursing Assistants (CNAs) to use care when transferring or handling older adults. The nurse understands that the vascular fragility of the older adult can result in which of the following conditions?
a. Altered blood pressure b. Pressure ulcers c. Pruritus d. Senile purpura