The nurse is conducting an interview with a client at the hospital. The client has a roommate in the room. Where would the optimal place for this interview to take place?
A) In the waiting area
B) In the client's room
C) In a private treatment room
D) At the nurse's station
C
Feedback:
A private setting for the interview is essential to eliminate interruptions and maintain the client's confidentiality. The nurse should explain that information obtained during the interview helps with planning care. He or she should tell the client that all information is kept confidential, although all members of the healthcare team share the data. The other responses are not private, and information may be overheard.
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When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:
a. Assume that the patient is eager and interested in participating in the interview. b. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. c. Assume that the patient is having difficulty breathing and assist him to a supine position. d. Recognize that a tripod position is often used when a patient is having respiratory difficulties.
The nurse is providing care to clients who are considered vulnerable. What is the ultimate goal of their care?
1. Decreasing risk factors for disease. 2. Educating on healthy living. 3. Providing psychosocial support. 4. Eliminating access barriers.
The nurse assesses a client and finds that a grating sound is present when a joint is bent and straightened. Which term will the nurse use when documenting this finding in the medical record?
1. Subluxation. 2. Grinding. 3. Crepitation. 4. Joint dislocation.
A nursing school wants to invest in expensive simulation equipment. The college president resists, asking why so much money is needed for a computerized simulation mannequin and programs instead of just having students practice in the skills lab
The best response the nursing dean can offer to justify this expense is: a. "A day doing simulations can substitute for clinical when census is low." b. "Actively engaging in scenarios will improve students' ability to learn." c. "Routinely practicing skills in the lab is helpful but boring to students." d. "Because other colleges use simulations, we need them to stay competitive."