Which actions violate the civil rights of a psychiatric patient? The nurse: You may select more than one answer
a. performs mouth checks after overhearing a patient say, "I've been spitting out my medication."
b. begins suicide precautions before a patient is assessed by the health care provider.
c. opens and reads a letter a patient left at the nurse's station to be mailed.
d. places a patient's expensive watch in the hospital business office safe.
e. restrains a patient who uses profanity when speaking to the nurse.
C, E
The patient has the right to send and receive mail without interference. Restraint is not indicated because a patient uses profanity; there are other less restrictive ways to deal with this behavior. The other options are examples of good nursing judgment and do not violate the patient's civil rights.
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Which is not a professional value identified by the American Association of Colleges of Nursing (AACN)?
a. Altruism b. Equality c. Education d. Honesty
During a home visit, the nurse observes children acting out, shouting, and hitting each other when taking a small amount of food out of the refrigerator
The mother sits nearby yelling for the children to shut up while reaching for a cigarette. Which should the nurse consider as being helpful for this family situation? Select all that apply. A) Suggesting ways to improve the family's financial resources B) Suggesting ways to improve the parent's behavior C) Contacting the authorities because of child abuse D) Making a list of community resources to help this family cope E) Creating a genogram
An 81-year-old woman who lives alone is in the clinic for an annual physical. She reports that she has noticed that her sense of smell is not as acute as it used to be
Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ask the patient if her kitchen stove is gas or electric. 2. Remind the patient of the need to change batteries in her smoke detectors twice a year. 3. Suggest that the patient use fewer spices when cooking. 4. Recommend that the patient limit the amount she drives her car. 5. Ask the patient if she has a cat or dog living in her house.
The client has morbid obesity and the nurse uses a blood pressure cuff that is too narrow for the client's arm. Which does the nurse encounter because of the blood pressure cuff?
1. Cannot hear the Korotkoff sounds 2. Obtains palpable blood pressure only 3. Has difficulty positioning a stethoscope 4. Obtains false high blood pressure results