A nurse manager notices that a staff member spends minimal time with a patient who is terminally ill with AIDS. The patient says, "I'm having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned."
The nurse manager can correctly hypothesize that the most likely reason for the staff member's avoidance is:
a. high risk for infection transmission.
b. feelings of inadequacy in dealing with complex emotional needs.
c. knowledge that the patient needs time alone with family and friends.
d. belief that the patient's former lifestyle included high-risk behaviors.
ANS: B
Many nurses tend to be more comfortable with meeting physical needs than in focusing on emotional needs. Standard precautions are necessary for all patients. The patient's lifestyle is irrelevant.
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Every time the nurse enters the room of a postpartum client who gave birth three hours ago, the client asks something else about her birth experience. The nurse would:
1. Answer questions quickly and try to divert her attention to other subjects. 2. Review documentation of the birth experience and discuss it with her. 3. Contact the physician to warn him the client might want to file a lawsuit due to her preoccupation with her birth experience. 4. Submit a referral to Social Services because you are concerned about obsessive behavior.
When completing a health history on a client, the nurse needs to include which of the following? (Select all that apply.)
a. date of birth d. last bowel movement b. religious preferences e. herbal use c. blood pressure f. home environment
The nurse educator is conducting an in-service to a group of new nurses regarding the use of ostomy appliances. When discussing the characteristics of ostomy appliances, which statements are appropriate for the educator to include in the presentation?
Select all that apply. 1. The ostomy appliance comes in a three-piece set. 2. The ostomy appliance should protect the skin near the stoma. 3. The ostomy appliance should collect both stool and urine. 4. The ostomy appliance controls odor. 5. All ostomy appliances can only be used once.
Tetracyclines are not considered "first-line" antimicrobial agents because of:
a. their narrow spectrum. b. the increased incidence of peptic ulcer disease. c. the absence of oral formulations. d. emerging resistance.