During the working phase of an interview, the nurse wants to explore the patient's perspective on an illness. Questions that the nurse will ask the patient will focus on what areas? (Select all that apply.)
A) Feelings
B) Onset
C) Ideas
D) Function
E) Location
A, C, D
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The nurse knows that the client did not adhere to a medication plan in the past due to severe side effects. What information would be most important to include in the client's teaching?
1. The need to monitor all body changes on a continuous basis 2. Hopefulness about managing side effects 3. Reassurance that side effects will not occur 4. A detailed explanation of all potential side effects
A charge nurse overhears a nursing assistive personnel (NAP) speaking harshly to a patient who has an expressive aphasia and a left hemiparesis from a stroke
When the NAP leaves the room, the charge nurse decides to speak with her. How should the nurse respond to the situation? A. "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B. "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." C. "You need to watch your tone of voice, as it sounded very harsh." D. "Perhaps you need to consider attending a training session on communication skills."
Which type of documentation makes the strongest use of flow sheets?
1. PIE charting 2. Focus charting 3. CORE charting 4. Source-oriented narrative record
When studying for the NCLEX-RN exam, the new graduate should be able to determine which tasks to delegate to which employee. Which tasks are appropriately delegated to the UAP?
a. Apical pulse on a new admission b. Post cardiac catheterization pulse oximetry c. Data collection such as vital signs and blood glucose levels d. Dressing change for a patient with an open wound that requires packing