An appropriate intervention for a patient with an identified nursing diagnosis of situa-tional low self-esteem would be:
a. Providing large muscle activities to relieve stress
b. Attempting to determine triggers to hallucinations
c. Engaging patient in activities designed to permit success
d. Encouraging verbalization of feelings in a safe environment
ANS: C
All are useful interventions for a patient with schizophrenia; however, engaging the patient in specifically designed activities is the only option that addresses improving self-esteem.
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A patient needs additional information about her heart condition. The patient states to the nurse, "What is considered the pacemaker of the heart?"
A) The AV node B) The bundle of HIS C) The Purkinje fibers D) The SA node
The nurse is admitting a patient to the medical-surgical unit from the PACU. A concern for this patient is pneumonia. What would the nurse do to help the patient clear secretions and help prevent pneumonia?
A) Encourage the patient to eat a balanced diet that is high in protein B) Encourage the patient to visit with his family in the waiting room C) Encourage the patient to take his medications as ordered D) Encourage the patient to use the incentive spirometer every 2 hours
Which of the following best explains the use of career development strategies in health care institutions?
a. Encourages nurses to move into management b. Reduces attrition c. Reduces dissatisfaction d. Reduces sick time
Management of accountable items (i.e. completing a surgical/procedural count) is done because:
a. it is a standardised approach to ensuring that all surgical items are removed from the patient. b. it is a long-standing and well-respected nursing practice. c. it is a guaranteed method to reduce the risk of injury associated with the inadvertent retention of a surgical item. d. surgeons expect OR staff to do a count and thus relieve them of the responsibility of ensuring that all surgical items are removed from the patient.