A patient has a history of diabetes mellitus, myocardial infarctions, and hypertension. His HgbA1c level dropped from 7.8% to 6.2% 2 months after he began a walking exercise program
The nurse case manager had provided diabetic education and suggested ways to enhance his cardiac reserve. This is an example of: a. nursing empowerment.
b. nursing knowledge.
c. patient expertise.
d. patient participation in care.
D
The scenario depicts an example of a case manager's intervention resulting in a positive clinical outcome. This is the result of the patient's participation in his own care.
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Which entry in the medical record will meet the requirement that the nurse must document with
problem-oriented charting? a. "A: Client muttering to self as though answering an unseen person. P: Sensory perceptual alteration related to internal auditory stimulation. I: Client received prn fluphenazine po at 9 AM and went to room to lie down. E: Client calmer by 9:30 AM. Returned to community room to watch TV.". b. "Agitated behavior. D: Client muttering to self as though answering an unseen person. A: Given Haldol 2 mg po and went to room to lie down. E: Client calmer. Returned to lounge to watch TV.". c. "S: Client states ‘I feel like I'm ready to blow up.' O: Pacing hall and mumbling to self as though answering an unseen person. A: Client is experiencing auditory hallucinations. P: Offered prn Haldol 2 mg po. I: 2 mg Haldol po administered. E: Client calmer. Returned to lounge and watched TV.". d. "Client seen pacing hall and muttering to self as though answering an unseen person. Haldol 2 mg po administered at 9 AM with calming effect in 30 minutes. Stated he was no longer ‘bothered by the voices.'"
The family clinic nurse reviews nutritional information with Juanita, a 15-year-old patient. Nutrition is particularly important during adolescence because of the child's ongoing growth, particularly in height
The typical increase in height for an adolescent is approximately: A) 15% B) 25% C) 30% D) 35%
A resident's hairbrush has very sharp bristles. You are concerned that it could injure the person's scalp. What should you do?
a. Ask the person's family to buy a different hairbrush. b. Throw the hairbrush away and use a comb. c. Tell the nurse about your concerns. d. Ask the person if you should continue to use the hairbrush.
The nurse manager has repeatedly tried to convince a staff nurse that changing to a new scheduling format is necessary. The staff nurse continues to be negative and argumentative about the need to change
How should the nurse manager interpret this response? Select all that apply. 1. Some staff will never be ready to change. 2. The change cannot go forward until this nurse is convinced. 3. The nurse is being negative for the sake of negativity. 4. The nurse will have to be terminated in order for the change to occur. 5. The nurse may be concerned about loss of routine in personal scheduling.