The nurse manager should be most careful not to hold preconceived beliefs when listening to which person?
1. The hospital administrator discussing next year's budget
2. A staff nurse the manager has worked with for 25 years
3. A newly licensed nurse who is hesitant to address the manager
4. A physician discussing prognosis with the client and family
2
Rationale 1: The manager will probably pay close attention to the hospital administrator because of the position.
Rationale 2: When there is a long-term relationship, the listener sometimes thinks they know what the other person is going to say. Careful listening is necessary in these situations.
Rationale 3: The manager would be attuned to someone who is new to the organization and who might be hesitant to speak. This is not a common situation in which the manager would have preconceived beliefs.
Rationale 4: The nurse manager will likely listen very closely to this conversation without preconceived beliefs.
Global Rationale:
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The nurse is preparing an in-service for staff on holistic nursing care. In which order should the nurse explain the four perspectives of reality?
1. Cultural 2. Systems 3. Behavioral 4. Intentional
A client is being discharged following an extensive illness
The client continues to require IV antibiotics, is not able to complete ADLs (activities of daily living) without assistance, and has no family available to assist in the recovery phase. The nurse should make a recommendation for this client to: A) Be discharged to an extended care facility. B) Remain in the hospital until the antibiotic course is completed. C) Go to a nursing home. D) Stay in the hospital until the client is fully capable of self-care.
A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially?
1. Timing of the symptoms 2. Birth control method 3. Method of breast self-examination 4. Diet history