A severely burn-injured client is being discharged at the end of the week. Important interventions the nurse can provide to assist the client with re-integration into society include (Select all that apply)
a. down-playing the appearance of the burned areas to prevent discouragement.
b. encouraging the client to interact with people outside the hospital setting.
c. making the client totally responsible for all physical care to improve confidence.
d. role-playing potentially difficult social interactions with the client.
B, D
During the rehabilitation phase, appropriate outcomes for the diagnosis Disturbed Personal Identity revolve around the client's improving self esteem. Role-playing social situations and encouraging the client to interact with people outside the health care setting can all increase the client's confidence about social situations. Nurses should not down-play the appearance of the client's wounds; rather they need straightforward and factual information. Forcing the client to assume all physical cares might overwhelm the client.
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A patient hospitalized after an MI is restlessly moving about in bed. Her pulse, blood pressure, and respiratory rate are elevated
In a shaky voice, she tells the nurse, "I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?" Place the nursing interventions in the order that would make them most therapeutic. A. "I want you to breathe slowly with me, counting to 3 as you breathe in and again as you breathe out. I think this will help, but if not, I'll call your doctor.". B. "You seem very anxious, which is understandable. Your vital sounds are up a bit because you are anxious, not because there is a problem with your heart.". C. "We are watching you very closely via the monitors and will be here in moments if there is a problem, so you can rest easy now, knowing we are watching over you.". D. "A heart attack can be a very frightening experience. Would you like to talk about it with me for awhile?"
Chart audits have revealed significant omissions of data that could have legal and funding guidelines ramifications
As the unit manager, you meet with the staff to discuss audit findings and to find approaches that will address the gaps in charting and achieve desired goals. This is an example of: a. Leadership. b. Management. c. Decision making. d. Vision.
When analyzing data, what would the nurse look for to identify if data were missing?
A) End point B) Gaps C) Qualitative D) Quantitative
A patient has informed the nurse that he has been conducting online research into complementary therapies for the treatment of his depression
Which of the following factors has most led to the increased use of complementary and alternative medicine? A) Dissatisfaction with Western medicine B) Low cost C) Poor coordination of traditional health care services D) Documented efficacy