The Health Care Financing Administration (HCFA) has stated that a resident in a long-term care facility has the right to have the least restrictive treatment to promote health
Which of the following treatments would be questionable under these guidelines?
a. Taping an arm board to a resident's wrist to promote the flow of an IV that stops when the resident bends his or her wrist
b. Fastening a Velcro belt on a wheelchair-bound resident who is able to unfasten himself or herself
c. Applying a soft waist restraint on a resident who repeatedly falls after climbing over the side rails of the bed to go to the bathroom
d. Administering a sedative to a resident who has been complaining of insomnia
C
Restraining a resident who repeatedly falls is a restrictive treatment of convenience. Toileting, lowering the side rails, and ambulating the resident are less restrictive, but labor-intensive, alternatives to restraining the resident. Responses B and D imply that the resident has a choice in treatment: he or she can loosen the belt and request assistance with insomnia. An arm board used to promote IV flow is less restrictive than restraining the arm to the bed and is probably more desirable than restarting the IV.
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The patient is being discharged home from day surgery after a general anesthetic. What instruction should the patient be given prior to leaving the hospital?
A) The patient is not to drive a vehicle. B) The patient should have a glass of brandy the first night at home to help him or her sleep. C) Eat a large meal at home. D) Do not sign important papers for the first 12 hours after surgery.
A certified nurse's aide (CNA) has been reported to the nurse manager for refusing to perform hand hygiene between clients when providing morning care. Which statement by the nurse manager would be the most effective?
1. "Do you need a class on hand hygiene?" 2. "Forgetting to perform hand hygiene between clients can spread infection." 3. "Why do you refuse to perform hand hygiene?" 4. "If I hear of any more instances of you not performing hand hygiene, I will write you up."
The family of a resident in an assisted living facility contacts the director to say they are "appalled" that the resident is allowed to have pornographic magazines in the room. What re-sponse by the director is most appropriate?
a. "We will take those away immediately." b. "Your loved one has the right to have these." c. "How do you know about these maga-zines?" d. "He cannot stay here if he has these in the room."
A nurse documents the following diagnosis for a hospitalized patient: Risk for Imbalanced Nutrition: More Than Body Requirements. What is the major goal of interventions for a risk diagnosis?
A) reduce or eliminate contributing factors B) prevent the problem C) collect additional data D) promote higher-level wellness