A 22-year-old nurse is working with a seriously ill 23-year-old patient who is recovering from a motor vehicle accident. The nurse recognizes having difficulty maintaining professional boundaries based on their similar ages
Which action should the nurse take initially? a. Seek guidance from another experienced nurse or the unit manager.
b. Provide excellent care, but keep conversation and contact to a minimum.
c. Arrange to have ancillary staff complete as much care as possible within their scope of practice.
d. Discuss with the nursing supervisor the possibility of having another nurse assume this patient assignment.
A
It may be challenging for the nurse to maintain professional boundaries when the age of the nurse and patient are near the same. It is advisable for the nurse to discuss the conflict with an experienced nurse or supervisor. Seeking reassignment from that patient is considered only after it becomes apparent that the issue cannot be effectively resolved.
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The nurse is providing client care with the use of a critical pathway. This client care tool is considered:
a. evidenced-based practice. b. best practice. c. the result of a study of client outcomes. d. better than an individualized client care plan.
The patient is at the center of the Nightingale model and incorporates
A. A holistic view of the person. B. Psychological, intellectual, and spiritual components. C. A unique individual filled with chattering hopes and advice. D. A & B E. All of the above.
The nurse is caring for a patient with hepatitis who states, "I look like a pumpkin, my skin is so orange." Which of the following statements by the nurse is best?
1. "Your skin is orange because of excess bilirubin in your skin. It will improve as you get better." 2. "Don't worry about it, you don't really look all that bad. I've certainly seen people look a lot worse than this." 3. "Your body can't process red blood cells, and the pigments have leeched into your skin. It may be better after you get a transfusion." 4. "Your skin pigments are affected by your high fever, making you appear that color. When your fever goes down, it will fade."
A patient diagnosed with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away." Which intervention would be most appropriate at this point?
a. Notify the health care provider of this change in the patient's behavior. b. Engage the patient in a physical activity such as exercise. c. Isolate the patient until the sensation has diminished. d. Administer a PRN dose of anti-anxiety medication.