After entering a patient's home for a visit, the nurse notes that the living room floor is littered with trash, and pet hair is on furniture and table stands. What should the nurse do to maintain a clean home-care bag? (Select all that apply.)
a. Take the bag back to the car.
b. Wear the bag as a shoulder bag.
c. Place the bag on a disposable pad.
d. Cleanse the bag after leaving the home.
e. Place the bag on the nearest un-upholstered chair.
ANS: C, D
C. D. Disposable pads can be put on the floor and the home health bag placed on these. After the visit, the nurse should disinfect the bag before the next visit. A. The nurse might need something from the bag during the visit, so taking the bag back to the car is not safe nursing care. B. Wearing the bag as a shoulder bag could limit the nurse's ability to provide safe nursing care. E. Placing the bag on an un-upholstered chair could expose the bag to environmental hazards.
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An adult female client is exhibiting behavior that the nurse interprets as anger toward another client. What is the nurse's best action?
a. Continue to monitor the client's behavior and document it as anger directed toward another client. b. Talk with the client about the observations made, and ask whether she was displaying anger toward the other client. c. Ask the other client if she felt that the client was angry with her. d. Ask the client to write in a journal the emotions she was feeling at that time.
The nurse notes that a client's tympanic membrane moves in response to air injected into the external canal. What is the nurse's best action?
a. Notify the health care provider. b. Document the finding. c. Prepare to wash the external ear canal. d. Immediately remove the otoscope.
A nursing instructor tests students on their understanding of the concept of values. Which response by a student indicates that further teaching is needed?
a. Values provide a set of rules by which to live. b. Values guide actions and decisions. c. Values hinder problem solving and give direction to life. d. Values influence how people react to others.
The committee has established the need for a sick child clinic in an impoverished neighborhood
The demographic data have been collected, and the committee is ready to meet with a group of local businesspeople who are willing to support the project financially. The plan is for the committee and group to combine to facilitate the establishment of the clinic. Using a transtheoretical model, which level of readiness has the committee achieved? A) Contemplation B) Preparation C) Action D) Relapse