The nurse is performing an assessment on a young adult client who is experiencing chronic back pain. During the assessment, which findings does the nurse anticipate?
Select all that apply.
1. Increased pulse rate.
2. Increased respiratory rate.
3. Normal pulse rate.
4. Normal blood pressure.
5. Diaphoresis.
Correct Answer: 3, 4
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A client with a diagnosis of AIDS has asked the nurse for information regarding the use of complementary therapies for the treatment of the disease. The nurse's response is based on the knowledge that:
1. Many HIV/AIDS clients find the complementary treatments helpful. 2. Incorporating such treatments could severely undermine the effectiveness of the current treatment plan. 3. These treatments will most likely neither help nor hurt the client physically. 4. With a terminal disease, the client deserves to make whatever choices he or she wants.
During a performance evaluation, the evaluator describes several behaviors of the nurse. Select the observations that indicate the nurse uses critical thinking. (Select all that apply.)
a. "I have noted that you base care on patient needs." b. "Your caregiving is guided by identified outcomes." c. "You use professional standards as guidelines." d. "You tailor interventions to the circumstances."
After being in labor for several hours with no progress, the patient is diagnosed with cephalopelvic disproportion (CPD) and must have a cesarean section. The patient is being prepared for a cesarean delivery in the operating room
The doctor is present. The nurse knows that the last assessment the nurse should make just prior to the patient's being draped for surgery is: 1. Maternal temperature. 2. Maternal urine output. 3. Vaginal exam. 4. Fetal heart tones.
Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?
1. Varied outcomes 2. Reinforcement 3. Self-efficacy 4. Conditioned response