A central nervous system disorder caused by HIV is:
1. AIDS dementia complex
2. Immune deficiency psychosis
3. Premature senility
4. Stress-induced neurosis
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A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional roller-coaster.". Which response by the nurse would be most appropriate?
A) "How often has this been happening to you?" B) "Maybe you need some medication to level things out.". C) "Mood swings are completely normal during pregnancy.". D) "Have you been experiencing any thoughts of harming yourself?"
A nurse is caring for a drug addicted client who states that he is experiencing postoperative pain from a cholecystectomy. The client is requesting pain medication. The nurse should take which action next?
a. Withhold pain medication due to client's drug history. b. Give client half of the physician ordered dose so that client won't become addicted again. c. Question the client to see if he really has pain or is just drug seeking. d. Assess the client and treat the client's current pain level regardless of previous history.
The unit is shifting from primary nursing to a team model in an effort to contain costs. Staff members are angry and ask for a meeting to discuss the change. After hearing their concerns related to reduction in professional autonomy and care quality, you:
a. Acknowledge the loss. b. Explain the reasons for change, emphasizing the need to reduce costs. c. Repeat the information several times, giving detailed budget overviews. d. Adjourn the meeting and provide explanation through e-mail.
Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital
The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to the mission statement, goals, and objectives. For true shared governance to be seen as part of this approach: a. It must be evident in the outcomes of the process that staff and senior executives have partnered on the decisions. b. Stakeholders must be assured of the value of their input even though final decisions rest with senior executives. c. Publications must clearly outline how staff input was solicited and obtained. d. Staff must be reassured that significant concerns will be kept in mind even if they have not been addressed in planning documents.