Your patient is in the acute phase of a burn injury. One of the nursing diagnoses on the plan of care is ineffective coping due to burn injury and altered body image. What interventions can you institute to help this patient cope more effectively?
(Mark all that apply.)
A) Promote truthful communication
B) Allowing the patient to set specific expectations
C) Assist the patient in practicing appropriate strategies
D) Stop the patient's manipulation of staff
E) Give positive reinforcement when appropriate
Ans: A, C, E
Feedback: The nurse can assist the patient to develop effective coping strategies by setting specific expectations for behavior, promoting truthful communication to build trust, helping the patient practice appropriate strategies, and giving positive reinforcement when appropriate. The nurse should set specific expectations, not the patient. Each staff member needs to stop the manipulation of the patient with the involved staff member.
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The nurse is developing nursing diagnosis for a patient. Which health concerns would be appropriate for the nurse to identify as health maintenance problems? (Select all that apply.)
A) Prescribed medication to treat prostate cancer B) Instruction needed on newly prescribed renal diet C) Importance of having pneumococcal pneumonia vaccination D) Exercises for range of motion and mobility due to arthritis E) Schedule for hemodialysis to start three times each week
When a patient plan of care has been written, it:
1. is continually reviewed and evaluated. 2. must be reviewed by the primary caregiver. 3. remains in effect until the patient is discharged. 4. can only be changed by the initiating nurse.
A patient who had a broken neck in an automobile accident and was paralyzed, but eventually went back to college, obtained a law degree, and became a practicing lawyer could be said to be demonstrating
a. adaptation. b. caring. c. self-care. d. homeostasis.
The chief nursing officer at a local hospital seeking Magnet™ status creates staff development classes about incorporating evidence-based practice in nursing. What best describes evidence-based practice?
a. Applying best research evidence to care of patients b. Using research-based information to develop practice guidelines c. Conducting a randomized control trial to determine effectiveness of handwashing techniques d. Developing standards for practice