MC After receiving a report from a teacher regarding a student who was previously outgoing and doing well in the classroom but is now appearing withdrawn, the nurse assesses the student
The nurse becomes aware that there is a possibility that abuse is happening in the home and notifies the appropriate agencies. In this example, the nurse is:
A. Refusing to become involved in a domestic affair.
B. Acting outside of the scope of practice.
C. Making an appropriate referral to ensure the health and safety of the student.
D. Releasing any further obligation to the student.
C. Making an appropriate referral to ensure the health and safety of the student.
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Which best describes mentorship?
A) The intensity and duration of relationships are similar in mentorship and preceptorship. B) Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor. C) "Mentees" must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor. D) Most nurses will have the opportunity for many mentor relationships during their careers.
Which nursing interventions should be implemented to help prevent the development of multiple organ dysfunction syndrome (MODS) in a critically ill patient who is being mechanically ventilated?
1. Enforcing hand washing before and after touching a patient 2. Following an evidence-based ventilator bundle 3. Using urinary catheters to prevent perineal skin breakdown 4. Complying with turning and repositioning schedules 5. Restricting visitors to immediate family only
List three characteristics that should be used in describing a murmur
What will be an ideal response?
The school nurse is planning a presentation on pregnancy for 13- and 14-year-olds who are currently pregnant. When planning the content of this presentation, the nurse should keep in mind that these teens are:
1. Working on independence and autonomy. 2. No longer developing a sense of achievement. 3. Confident in their own identity. 4. In long-term, intimate relationships.