When providing care to patients, nurses make patient care decisions based on which of the fol-lowing? (Select all that apply.)
a. Resource availability
b. Nurse practice act
c. Shared governance
d. Managerial leadership style
e. Tradition
f. Clinical circumstances
ANS: B, E, F
Options B, E, and F are components relied on in making patient care decisions in nursing. Op-tions A, C, and D are not part of the nurse's decision-making process.
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A nurse is helping a pregnant woman prepare for a planned home birth. What action by the nurse takes priority?
A. Advising the woman to get a prescription for pain medication filled beforehand B. Attempting to convince the woman that giving birth at the hospital is a better choice C. Ensuring the woman has safe, rapid, and available transportation to a nearby hospital D. Giving the woman a list of local obstetricians who will assist at a home birth
The client tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse?
A. "The vaccine has side effects, which are serious and could kill many people." B. "I really do not think our country has enough vaccine to do this." C. "Don't be so concerned; if an attack comes, we will immunize people then." D. "The vaccine has some serious side effects, but this is probably a good idea."
The nurse identifies the pain described by a client whose back discomfort began after an automobile accident and has persisted for 8 months as
A) Acute B) Recurrent C) Chronic D) Malignant
A male construction worker asks the nurse if the mole on his arm is skin cancer. During assessment using the mnemonic ABCDE, which finding would the nurse identify as being suspicious of melanoma?
A) Solid, dark brown color B) Asymmetric, irregular borders C) Diameter of 3 mm D) Flat with silvery scales