The nurse is preparing to receive a newly delivered patient. The patient is a young single mother who is relinquishing custody of her newborn through an open adoption. What action is most important?
1. Assign the patient a room on the GYN surgical floor instead of on the postpartum floor.
2. Prepare to complete teaching in time for discharge at 24 hours post-delivery.
3. Make an effort not to bring up the topic of the baby, and discuss the mother's health instead.
4. Ask the patient how much contact she would like with the baby, and whether she wants to feed it.
4
Rationale 1: Patients relinquishing their newborns should be given options concerning contact with the infant, including where they would feel most comfortable if they opt for contact at all.
Rationale 2: Not all patients who relinquish their infants want early discharge.
Rationale 3: It is up to the patient to decide how much she wants to talk about her birth, her newborn, or her decision to relinquish the child.
Rationale 4: Assessing the birth mother's preferences by respectfully asking questions and making no assumptions facilitates a more positive experience.
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The nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing the older adult in a long-term care facility?
a. b. 1/3 c. d. 2/3
Police bring a 63-year-old woman to the emergency room, reporting that her behavior is disorganized and disruptive, that her speech makes little sense, and that she does not seem able to take care of herself
The woman has had elective surgeries at the hospital previously and was seen in the ER last week after a fall; records show no history of similar symptoms or mental illness. The ER physician speaks with the patient but does not examine her medically, diagnoses her with schizophrenia, and orders admission to the inpatient psychiatric unit. Which response by the nurse would be most appropriate? a. Ask another physician with more of an interest in psychiatry to also take a look at this patient, explaining that you just want to be as thorough as possible. b. Suggest that a psychiatric consult be requested before admitting the patient to a psychiatric unit, to validate the diagnosis and speed the initiation of medication. c. Remind the physician that schizophrenia usually develops earlier in life, that such presentations may be caused by medical problems, and suggest a medical work-up. d. Note that the patient's blood pressure and respirations were elevated when she arrived, and suggest that they be evaluated before admitting the patient to the psychiatric unit.
A nurse researcher should be concerned about an instrument's degree of internal consistency because it means what?
a. The instrument is appropriate to use to measure a single concept. b. The instrument has low measurement error and high error variance. c. More refinement of the instrument is needed before it can be applied. d. The instrument is valid, but the reliability has yet to be determined.
The nurse is caring for a client with a ventilation/perfusion mismatch who is receiving mechanical ventilation. Which intervention is a priority for this client?
a. Administering antibiotics every 6 hours b. Positioning the client with the "good lung dependent" c. Making sure that the pilot balloon line on the endotracheal tube is deflated d. Ensuring that the client is able to speak clearly