A nurse can assist a patient who is trying to decrease anxiety by:
A) Teaching the patient systematic desensitization
B) Modeling skills that assist in facing stressful situations
C) Teaching the patient to simply avoid the unpleasant situation
D) Instructing the patient that fear can be exciting
B
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A nurse could be cited for malpractice in the event of:
a. refusing to give 60 mg of morphine as ordered. b. giving prochlorperazine (Compazine) to a patient allergic to phenothiazines. c. dragging an injured motorist off the highway and causing further injury. d. informing a visitor about a patient's condition.
An LPN student is assigned to a patient who makes homosexual remarks and asks the student to meet after discharge. The student's best response would be:
1. "I am required to report inappropriate sexual behavior to my instructor." 2. "I am uncomfortable dealing with homosexuals. Let's just forget this conversation and get on with your care as quickly as possible." 3. "I am here as your nurse to meet your treatment needs. Such provocative conver-sation is not acceptable to me as part of your care." 4. "Your chosen lifestyle makes me uncomfortable. I will be back with your medi-cation."
The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the NANDA nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:
1. Fear related to separation from support system during hospitalization. 2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment. 3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness. 4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area.
A nurse who is using population management needs to be able to work with integrated care de-livery systems. Which of the following describes the rationale for this competency?
a. Management has shifted from inpatient care to primary care providers as points of entry. b. Emphasis is on episodic illness care for individuals rather than on population management. c. Care management services and programs do not provide access and accountability, as provided by case management services. d. Assessment of the needs of the population is no longer necessary.