An intensive care unit (ICU) nurse is preparing to assess the level of consciousness (LOC) of a patient who experienced multiple trauma injuries and is on assisted ventilation
The nurse chooses the FOUR Score Consciousness Scale for which reason? 1. This scoring system does not require verbal responses.
2. This scoring system focuses primarily on assessment of cognitive ability.
3. This scoring system requires minimal interaction on the part of the patient.
4. This scoring system is designed especially for intensive care unit patients.
1
Rationale 1: Verbal response is not a component of the FOUR Score Consciousness Scale, making it fully applicable to intubated clients.
Rationale 2: Cognitive ability is not assessed by this tool.
Rationale 3: The tool does require patient participation in evaluating its four focus components: eye, motor, brainstem, and respiration.
Rationale 4: The system is not designed for patients in specific hospital units.
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The nurse is preparing to perform a focused assessment, using inspection, of a 10-year-old client admitted with asthma. The nurse is aware that a quiet environment is best for the assessment for which of the following reasons?
1. The client might be bothered by noise and have another attack. 2. Hearing audible wheezes is an important part of inspection. 3. The child's blood pressure will rise in a noisy environment. 4. The client will not be able to hear the nurse's questions.
The nurse manager identifies a staff nurse as dissatisfied according to Herzberg's theory when what behavior is observed? (Select all that apply.)
1. The employee calls in sick frequently. 2. The employee filed multiple grievances in a few months. 3. The nurse does not contribute in a meaningful way. 4. The nurse does not make a difference in the work environment. 5. The nurse submits a letter of resignation.
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I just had an argument with my supervisor about going over budget on my project. I had strong emotions during the argument and now I and thinking about how to improve my mood at work. This thinking about my emotions is
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