The nurse is changing an abdominal dressing on a disoriented 89-year-old man, when he grabs the nurse's breast with both hands and pulls it toward his mouth, muttering something about "Mary" (his wife). The best therapeutic response is:

1. Stereotype him as a "dirty old man" and warn the rest of the staff to stay away from him.
2. Get a doctor's order for wrist restraints when nurses go near the patient, such as for dressings, baths, and feedings.
3. Maintain eye contact with the patient and then clearly tell him, and repeat, "I am your nurse, I am coming to help you eat, bathe, and change your stomach band-age. I am not Mary."
4. "That dressing needs changing. Don't be a naughty boy with me again or I will slap your hands and call Mary to come and do all your care herself!"


3
Older, confused patients frequently confuse the nurse with close relations such as his or her spouse, whom they are accustomed to touching.

Nursing

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A child is 4 hours postoperative after a total parathyroidectomy. Which assessment takes priority?

A. Airway B. Dressing C. IV site D. Pain

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A person who marked "strongly agree" to all or most items on a Likert scale could be called a(n):

A) Reactive respondent B) Key informant C) Nay-sayer D) Yea-sayer

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The nurse is caring for a patient with burns to the hands, feet, and major joints. The nurse plans care to include which of the following? (Select all that apply.)

a. Applying splints that maintain the extremity in an extended position b. Implementing passive or active range-of-motion exercises c. Keeping the limbs as immobile as possible d. Wrapping fingers and toes individually with bandages

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Which of the following would indicate that purposive sampling was used correctly in a study that is being critiqued?

a. Sample members are determined by finding a designated number of subjects from each of several identified groups (men, women, high school graduates, etc.). b. Subjects who have knowledge about the study topic are asked to participate in the study; those who agree become the sample. c. The names of all possible subjects are put into a hat, and an adequate number are drawn out. d. Volunteers are solicited from the entire population, and those who agree become subjects in the study.

Nursing