An older client confides feeling a loss of control over life after having a mild stroke. What would be the best action the nurse could take to support this client?
A. Explain to the client that such feelings are normal, but that he or she must have realistic expectations for rehabilitation.
B. Encourage the client to perform as many tasks as possible and to participate in decision making.
C. Further assess the client's mental status for other signs of denial.
D. Obtain an order for physical and occupational therapy.
B
Older adults can experience a number of losses that affect their sense of control over their lives, including a decrease in physical mobility. The nurse should support the client's self-esteem and increase feelings of competency by encouraging activities that assist in maintaining some degree of control, such as participation in decision making and performing tasks they can manage.
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A nurse is participating in a patient's care conference and the team is deciding between parenteral nutrition (PN) and a total nutritional admixture (TNA). What advantages are associated with providing TNA rather than PN?
A) TNA can be mixed by a certified registered nurse. B) TNA can be administered over 8 hours, while PN requires 24-hour administration. C) TNA is less costly than PN. D) TNA does not require the use of a micron filter.
What is the first step to developing an educational program for an organization?
A) Identify the resources available to meet the needs. B) Identify the desired skills or knowledge the staff should have. C) Explain to the team that human resources should be doing this work. D) Find out if the staff is willing to learn new skills.
A patient is receiving a rapid infusion of hypertonic sodium chloride solution. To guard against too much fluid being infused too rapidly, a nurse frequently assesses the patient for which of the following findings?
a. Increased urine output b. Serum potassium level of 4 mEq/L c. Crackles in the lungs upon auscultation d. Serum sodium level of 126 mg/dL
The Joint Commission has developed the following accreditation standards in an attempt to improve the management of pain. What is included in the accreditation standards in an attempt to improve the management of pain?
1 . Patients have the right to appropriate assessment and management of pain. 2 . On-going pain assessment should include the nature and intensity of pain. 3 . Responses to evaluation of pain should be recorded in a manner that promotes periodic reassessment and follow-up. 4 . Staff must be oriented and competent in assessment and management of pain. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4