A nursing unit has adopted the Four P strategy to reduce fall rates. Which components of patient care will this plan emphasize? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Position
2. Pain assessment
3. Personal needs
4. Prevention
5. Placement
1,2,3,5
Rationale 1: Frequent repositioning of the patient is important for comfort. It also allows frequent observation of the patient and assessment for changes in skin integrity, pain level, mental status, and physical status.
Rationale 2: Pain is a frequent reason that patients fall, and pain management medications may increase the risk of falling.
Rationale 3: If personal needs are taken care of, it is less likely the patient will attempt to get out of bed alone and fall. Nearly half of falls that occur in hospitals are related to toileting.
Rationale 4: The entire plan is preventive; prevention is not a separate component of the Four P's.
Rationale 5: Checking for placement of frequently used items such as telephones, call bells, and the television remote can help reduce falls.
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A staff nurse frequently is providing positive comments to get the manager in a good mood before asking about additional vacation time. This influence tactic is known as:
a. consultation. b. ingratiation. c. inspiration appeals. d. rational persuasion.
The nurse reminds a healthy 51-year-old woman that her life expectancy is extended to the age of:
1. 78. 2. 86. 3. 91. 4. 94.
The clinic nurse develops critical thinking skills by:
Select all answers that apply: A) Practicing new skills B) Gaining experience with literature searching C) Remaining nonobjective in patient encounters D) Seeking new and current information