Which nursing response would be appropriately used in the evaluation phase of the nursing process?
A. "If I were in your situation, I would not repeat a behavior that has caused problems."
B. "What do you think needs changing, and what do you want to do differently?"
C. "What exactly will it take to carry out your plan, and what else do you need to do?"
D. "It sounds like you're saying this new approach is working for you."
D
In the evaluation phase of the nursing process, the nurse and the client evaluate progress toward attainment of the expected outcomes.
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A nurse in the ICU is providing care for a patient who has been admitted with a hemorrhagic stroke
The nurse is performing frequent neurologic assessments and observes that the patient is becoming progressively more drowsy over the course of the day. What is the nurse's best response to this assessment finding? A) Report this finding to the physician as an indication of decreased metabolism. B) Provide more stimulation to the patient and monitor the patient closely. C) Recognize this as the expected clinical course of a hemorrhagic stroke. D) Report this to the physician as a possible sign of clinical deterioration.
The nurse manager holds a staff meeting to inform everyone about the unit reorganization. Which staff nurse demonstrates passive resistance to the changes? The nurse who:
a. Threatens to quit if this reorganization is put into action b. Stands up during the meeting and says, "This is stupid and won't work!" c. Listens quietly and makes suggestions for implementation d. Is quiet at the meeting but calls in sick frequently during implementation
When gemfibrozil and warfarin are used concomitantly, the concern is that:
a. the level of gemfibrozil will be increased. b. the level of gemfibrozil will be lowered. c. anticoagulant effects will be increased. d. anticoagulation effects will be decreased.
While examining an 18-year-old man, you note that his penis and testicles are more darkly pigmented than the body skin. You should consider this finding to be:
a. within normal limits. b. suggestive of a skin fungus. c. suggestive of psoriasis. d. caused by excessive progesterone.