The nurse feels ambivalent about an order to discontinue treatment for a client. Which one of the following can assist the nurse in resolving this dilemma?
a. The RNAO's Nursing Best Practice Guidelines
b. The CNO's standards of nursing practice
c. Union regulations
d. The CNA's Code of Ethics for Registered Nurses
D
The CNA's Code of Ethics for Registered Nurses defines principles and establishes ethical standards that guide nursing practice.
Best practice guidelines are guiding principles that lead to the most appropriate courses of action in certain standard practice situations. They include standards that apply to specific clinical prac-tice situations.
Nursing is a self-regulating profession, and it sets its own standards of practice. The College of Nurses of Ontario is responsible for developing the standards for nursing practice in its province.
Unions are responsible for collective bargaining.
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With regard to the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:
a. Overstimulation b. Hallucinations c. Aggressive behaviors d. Photophobia
A client will be starting treatment with the tumor necrosis factor inhibitor, adalimumab (Humira). To begin a new job, the client must receive a tetanus shot because he hasn't received one in 10 years. What should the nurse advise the client?
A) The tetanus shot may be taken at any time without regard to TNF inhibitor drug therapy. B) The client should receive the tetanus shot prior to beginning TNF inhibitor drug therapy. C) The client should receive the tetanus shot after beginning TNF inhibitor drug therapy to decrease the complications related to the tetanus. D) The client should get a note from the physician stating the tetanus shot is not able to be taken by the client.
A client with paranoid personality disorder is being treated with olanzapine (Zyprexa). When providing care for this client, the nurse should prioritize assessments for which of the following?
A) Weight gain and extrapyramidal adverse effects B) Serotonin syndrome and nausea C) Depression D) Appetite suppression and hypothermia
When differentiating alcohol abuse from alcohol dependence using DSM-IV-TR criteria, the nurse teaches that the term alcohol abuse is used when the individual does which of the following?
A) The individual experiences withdrawal symptoms and frequent intoxication. B) The individual continues to use alcohol despite knowledge of having a problem. C) The individual ingests large amounts of alcohol over a longer than intended period of time. D) The individual is unable to cut down or control the use of alcohol.