Select the best outcome for a patient with this nursing diagnosis: Impaired social interaction related to sociocultural dissonance as evidenced by stating,
"Although I'd like to, I don't join in because I don't speak the language very well." Within 1 week, the patient will:
a. demonstrate improved social skills.
b. express a desire to interact with others.
c. become more independent in decision making.
d. select and participate in one group activity per day.
D
The outcome describes social involvement on the part of the patient. Outcomes should be clearly measurable. Neither cooperation nor independence has been an issue. The patient has already expressed a desire to interact with others.
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The nurse is instructing an elderly patient about the use of bisacodyl enteric-coated tablets for the treatment of constipation. Which of the following responses is true about this medication?
1. This medication can be chewed. 2. It is easily crushed for persons unable to swallow. 3. It should not be taken with milk. 4. Antacid will help the medication to be digested better.
The nurse setting up the environment for tracheal suction on a newly postoperative tracheostomy patient will: (Select all that apply.)
a. auscultate lungs for retained secretions. b. wash hands and open sterile suction kit. c. don clean gloves and lift out catheter and connect to suction. d. don sterile gloves and prepare solutions from kit. e. perform suction with sterile supplies.
A school nurse is assessing the interaction of a kindergarten classroom. A normal finding of social interaction at this age would be:
1. Parallel play. 2. Identified sex-role interactions. 3. Pretend play. 4. 2 and 3 would be present in a kindergarten classroom.
The RN has assigned the nursing assistant (NA) a task. The NA becomes angry and begins yelling at the RN. What is the best approach for the RN to take?
a. Tell the NA that you will let her leave early if she will do this for you. b. Ignore her and reassign the task. c. Meet with the NA to explore his or her feelings and the reason for resistance. d. Call the nursing supervisor and report the NA for insubordination.