The client tells the nurse, "I can't stand trying to talk with my psychiatrist. She never seems to understand what I'm saying. It's obvious from her clothing and her manners that she's rich and never had experiences like the ones in my life."
The nurse assesses that the client-psychiatrist interactions have been most influenced by:
1. Environment
2. Context
3. Attitude
4. Knowledge
ANS: 3
Attitude determines how one person responds to another. It includes one's biases, past experi-ences, and openness. People of different socioeconomic backgrounds may have difficulty sur-mounting this barrier. Options 1, 2, and 4 are less influential factors in the situation described.
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Role theory has its underpinnings in management theory. Management theories influence managers' leadership styles. Which of the following theories would a nurse manager be most likely to follow when redesigning the staffing schedule?
a. Humanistic b. Productivity c. Psychological d. Quantum
The home health nurse, on a visit to administer the fifth in a series of 10 antibiotic doses, is told that the patient is now complaining about a bothersome vaginal discharge
The nurse will communicate the problem to arrange for medication and teaches the patient that this condition is probably the result of: 1. poor genital hygiene—not changing underwear often enough. 2. allergy to the soap, or soap products, used in the area. 3. superinfection response to the antibiotic. 4. sexual contact with another infected person.
The elderly client has gastrointestinal bleeding. The client says to the nurse "I don't understand this. All I did was take ibuprofen (Advil) for my arthritis." Which plan would be best as it relates to the nurse's education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs 2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol) 3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC) medications 4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)
A written planned of care for each client is required by
A) The Joint Commission on Accreditation of Healthcare Organizations B) The National Institutes of Health C) The American Association on the Accreditation of Colleges of Nursing D) The American Nurses Association