A home health nurse who is visiting a family for the first time asks, "Could we review your extended family and other persons or groups with whom you interact each week?"
Which of the following provides the best rationale for the nurse asking this question?
a. To assess the family's environment and social resources and risks
b. To communicate with relevant others as needed
c. To determine financial assets available to the family in case of serious need
d. To understand the extended family relationships
ANS: A
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During the holidays, the nurse is making a home health visit for a patient who previously lived with her sister for more than 20 years. Although it has been over than a year since her sister died, she tells the nurse,
"It's no worse now than any other time; I never feel any relief from this overwhelming sadness. I still can't sleep a full night through. I know the house is a mess; I feel too tired to do anything, even to take a bath. You know, though, sometimes at night, she comes to me and I can see her plain as can be." The nurse observed the patient's clothing is not clean and that her hair is not combed. The patient is apparently not eating adequately. What can the nurse conclude? The patient is probably 1) Grieving longer than usual because of the closeness of the relationship with her sister. 2) Experiencing a depressive disorder rather than simply grieving the loss of her sister. 3) Feeling guilt and worthlessness because her sister died and she is still alive. 4) Interpreting the holiday as a trigger event, which is causing her to hallucinate.
The nurse is assessing a patient who is demonstrating dyspnea, orthopnea, cyanosis, clammy skin, crackles, and a productive cough with pink, frothy sputum. The nurse realizes that the patient likely has which condition?
1. Chronic heart failure 2. Pulmonary edema 3. Endocarditis 4. Angina
Which of the following would confirm that the nurse's advocacy has been truly successful or effective?
a. Audiences agree with the nurse who is serving as advocate. b. Legislators discuss appropriate legislation to better allocate resources. c. People verbalize that the disenfranchised should be better treated. d. Systematic social changes are made to improve quality of life.
The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role?
1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." 2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 3. "Give your best nurses extra attention and rewards for their help." 4. "Never get into a disagreement with a staff member."