When communicating with a patient with a cognitive deficit, what is the best way for the nurse to respond?
a. "You managed all of your medications very well today."
b. "Your family should really take over the cooking. It's too hard for you to do."
c. "I don't see how you will be able to shop for yourself anymore. Someone will have to do it for you."
d. "This schedule will be too difficult for you to remember. I better write it all down."
A
Focus on the patient's abilities rather than disabilities; this retains the patient's autonomy and sense of self-worth.
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A 23-year-old patient in the clinic appears anxious. Her speech is rapid, and she is fidgety and in constant motion. Which of these questions or statements would be most appropriate for the nurse to use in this situation to assess attention span?
a. "How do you usually feel? Is this normal behavior for you?" b. "I am going to say four words. In a few minutes, I will ask you to recall them." c. "Describe the meaning of the phrase, 'Looking through rose-colored glasses.'" d. "Pick up the pencil in your left hand, move it to your right hand, and place it on the table."
A nurse administered the wrong dose of insulin to an assigned patient after bypassing the facility policy to have insulin doses double checked
The patient's blood glucose level remained within normal limits afterward, and the physician was notified per protocol. The patient and family were extremely upset and demanded to be moved to another floor. Later, the patient filed a malpractice suit against the hospital. The nurse lawyer reviewing the case would conclude that a. malpractice occurred because the patient had emotional distress. b. malpractice occurred because the nurse didn't follow the policy. c. no malpractice occurred because most nurses don't verify insulin. d. no malpractice occurred because there were no actual damages.
The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow's hierarchy of needs?
1. Self-esteem 2. Love and belonging 3. Safety 4. Self-actualization
Good skin and stomal integrity is a goal included in the care plan of a client with a colostomy. The evaluation parameters best suited for this goal includes: Select all that apply
1. Stoma pink and moist. 2. No excoriation noted on skin surrounding stoma. 3. Client shows understanding of importance of preventing fecal leakage. 4. Client demonstrates ability to apply collecting appliance properly. 5. Stomal area is free of pain.