A patient diagnosed with schizophrenia, paranoid type, frequently gets up and walks away during interactions with a nurse. The nurse can best increase the patient's comfort level by
a. arranging the chairs side by side, about 2 feet apart.
b. sitting at eye level across the table from the patient.
c. standing a few feet away from where the patient sits.
d. talking in the patient's room with the door closed.
B
Suspicious patients require increased personal space. Sitting across the table provides that space. Being at the same eye level fosters communication. Side-by-side placement of chairs might not give the suspicious patient the ability to watch the nurse closely enough for comfort. Being in a closed room might be threatening to the patient.
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A child has the possible diagnosis of autism spectrum. While awaiting the results of further testing, which action by the nurse is the most appropriate?
A. Continue to monitor the child for late signs of autism. B. Reassure the parents that concerns are probably not valid. C. Refer the child to audiology to rule out a hearing impairment. D. Wait for results before referring the child to early intervention or a local school program.
Each of the following is a primary reason that documentation is important except which one?
a. Documentation enables the team to provide care to meet the resident's individual needs. b. Documentation helps defend the nurse in the event of a possible lawsuit. c. Documentation enables the patient to receive consistent care from one shift to the next. d. Documentation is the basis for reimbursement to the facility.
A nursing supervisor would like the nurse manager to serve as change agent for a needed revision to unit policy
Which statements would alert the supervisor that this manager is not the best choice for this assignment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Well, we don't want to rock the boat too much." 2. "Do you think we can get enough support from the nurses to make this change?" 3. "We tried making a change like this before and it didn't work out well." 4. "To make this big change, we need to start making smaller changes now." 5. "There is going to be resistance, but I think it can be overcome."
The nurse reviewing laboratory results for a patient in her care recalls that several substances are filtered from the blood by the glomerulus and excreted in the urine
The nurse identifies the presence of which substances in the urine as abnormal findings? A) Potassium and sodium B) Bicarbonate and urea C) Glucose and protein D) Creatinine and chloride