The staff members in a long-term care facility have noted a decline in cognitive function in one of the residents; however, each time the resident is given the Short Portable Mental Status Ques-tionnaire (SPMSQ), the score does not change
What action by the nursing manager is best?
a. Provide in-service education on using this tool.
b. Conduct the assessment him- or herself
c. Switch to a different screening tool
d. Determine that no changes have occurred.
C
The SPMSQ is given orally, and because it is short, it is easy to memorize. The manager should use a different tool.
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The nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which point would the nurse want to include?
A) Limit fluid intake to reduce the need to urinate. B) Take medication prescribed for a UTI until the symptoms subside. C) Notify the physician if urinary urgency, burning, frequency, or difficulty occurs. D) Wear only nylon underwear to reduce the chance of irritation.
Inappropriate or illegal questions that should be avoided during the interview include which of the following examples (select all that apply)?
a. What are your goals for the future? b. Do you plan on having any more children? c. How do you feel about taking call on weekends? d. How does your husband feel about you working? e. Will going to church interfere with Sun-day shifts?
While examining a patient's peripheral intravenous (IV) site, the nurse observes a red streak along the length of the vein. On palpation, the vein feels hard and cordlike. What is the nurse's best action?
a. Check for a blood return and notify the prescriber. b. Discontinue the infusion and remove the IV needle. c. Apply ice packs to the vein and continue the infusion. d. Change the IV fluid to normal saline and redress the site.
The nurse is called to make an unscheduled visit to a new client in her home. The purpose of the visit is to admit the client and treat an abdominal wound. The nurse discovers that the client is from a culture unfamiliar to her
In this situation, the nurse should demonstrate cultural competence and awareness by: (Select all that apply.) A) Being open to the client's ideas and way of life B) Obtaining objective data when caring for the client C) Exhibiting respect and patience D) Being aware of your own culture E) Assuming that you have enough knowledge to get by