Two patients are at the same stage of labor. One is lying still with her eyes closed and her breathing controlled, and the other is grasping the side rails and crying out with each contraction
The nursing assistant wants to know why the second patient is not quiet like the first. The nurse's best response is:
a. "Tell her to be quiet because she is disturbing the other women."
b. "There is no reason that she may be having more pain than anyone else."
c. "People like her just like to be dramatic to get a lot of attention."
d. "Some people believe that pain should be quietly endured; others express it freely."
ANS: D
Pain expression varies with cultural background. To avoid bringing shame on the family, some women may not express pain outwardly. Others may be vocally expressive during labor and will cry out or moan with contractions.
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B and J both have Alzheimer's disease. B walks up behind J in the hall and shouts, "Move along, you're blocking the road. I'll take a stick to you."
J turns around, shakes his fist, and shouts, "I know what you're up to; you're trying to steal my car.". The best action for the nurse to take would be to: a. Reinforce reality by telling B that J can walk in the hall, and telling J that B is not trying to steal his car. b. Ask the medication nurse to give both patients an as-needed dose of neuroleptic medication. c. Separate and distract them by directing one to go to the day room and taking the other to the activities area. d. Step between them, saying "Gentlemen, please quiet down. We do not permit violence here.".
The phases of the budget process are (select all that apply):
a. preparation. b. completing the forms. c. auditing and monitoring. d. revision and submission. e. selection and evaluation.
The Nursing Minimum Data Set was designed to ____
a. Determine differences in care delivery between the holder of an associate's de-gree in nursing and a bachelor of science in nursing b. Evaluate the nursing language of NANDA, NIC, and NOC c. Provide data for leaders to make decisions about staffing patterns d. Standardize the collection of nursing data across populations
Which nursing theorist identifies the human soul as an essential part of each human being?
a. Nightingale c. Neuman b. Watson d. Orem