The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients."
The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of _____ skills.
a. organizational
b. communication
c. interpersonal
d. clinical
ANS: A
Correct: The novice nurse lacks proficiency, which may be exaggerated by feelings of being overwhelmed by the new environment, causing him or her to not get the facts before asking for help.
Incorrect:
b. The novice nurse was able to communicate her need for help but lacked justification.
c. The novice nurse was able to interact with the supervisor and was not required to interact with other members of the health care team.
d. Feeling incompetent or lacking skills may lead to the feeling of being overwhelmed; however, the novice nurse was disorganized and had not accurately assessed the needs of the unit.
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The nurse, using the RYB wound classification system, would document that a client has a black wound when the wound:
a. is a traumatic wound soiled with dirt and grime. b. contains necrotic tissue. c. is in the proliferative phase of wound repair. d. is infected with purulent exudates.
A nurse working with mentally ill patients recognizes which factor as having the greatest impact on a patient's tendency to seek treatment?
a. Social stigma b. Financial burden c. Lack of support services d. Ineffective family support
Which of the following entries documenting a skilled nursing visit will best promote timely and complete reimbursement?
1. A skilled nursing visit was conducted to monitor the client's response to daily dressing changes and to prevent further complications. 2. A skilled nursing visit was conducted to assess the client's ability to perform insulin injections and to evaluate blood glucose levels. 3. Previous education was reinforced and the nurse observed that the client was taking her medication as ordered. 4. Options for long-term care were discussed with the client and caregivers, and they recognize that multiple sclerosis is a chronic, degenerative condition.
Sexually transmitted diseases may be spread by all of the following EXCEPT:
A) sexual intercourse B) shaking hands C) exposure to body fluids D) blood transfusions