The CNA reports that a patient has been caught smoking in his room for the third time this week
The behavior has been addressed with a contract indicating that further infractions will result in the patient's smoking materials being taken and locked in the nurse's station and smoking will only be possible with supervision. The nurse should say: a. "Why are you smoking in your room when you know it is not allowed?"
b. "Larry, the contract was, if you smoke in your room, you must give me your smok-ing materials. Let me have them, please."
c. "Okay, Larry, give me your cigarettes and lighter now."
d. "I am going to give you one more chance, Larry. Let's see if you can live up to the contract."
B
Reminding the patient of contract violation and the penalty attached should be done before tak-ing the cigarettes. This approach is fair and puts the blame for the consequence on the offender. Providing the patient with the opportunity to "explain" the actions does not conform to the agreed-on contract. Providing additional opportunities for compliance does not support the con-tract and may encourage manipulative behavior.
You might also like to view...
The nurse is caring for a pregnant client who has asthma. The client has a cold and has an exacerbation of asthma symptoms, including mild wheezing
To help avoid hypoxia-related complications in the fetus, which medication prescription does the nurse anticipate? A) IV corticosteroid (e.g., prednisone) B) Oral pseudoephedrine (e.g., Sudafed) C) Inhaled beta2-agonist (e.g., albuterol) D) Oral acetylsalicylic acid (e.g., aspirin)
What educational points concerning fluid intake must be covered with diuretic prescriptions?
1. Fluid should be restricted when on them. 2. Fluids should contain at least one salty item daily. 3. Fluid intake should remain near normal for optimal performance. 4. Avoidance of potassium-rich fluids is encouraged.
A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?
1. "Both the mother and the father have the sickle cell trait." 2. "The mother has the trait, but the father doesn't." 3. "The father has the trait, but the mother doesn't." 4. "The mother has sickle cell disease, but the father doesn't have the disease or the trait."
Which of the following groups have the most sensitivity to medications and increased risk of adverse medication reactions?
a. clients with psychiatric diagnoses c. infants and children b. the elderly population d. clients with a diagnosis of cancer