The family of a dying patient wants to help relieve the patient's progressive dyspnea. What should the nurse instruct the family to do for the patient?
1. Lower the head of the bed.
2. Raise the head of the bed.
3. Suction the patient as much as possible.
4. Perform chest physiotherapy.
Correct Answer: 2
Nursing care to improve respirations includes raising, not lowering, the head of the bed. Suctioning and chest physiotherapy would be considered advanced care measures and are not indicated in the scenario.
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What is true about the use of silence in therapeutic communication? (Select all that apply.)
a. Maintaining silence is an effective therapeutic communication technique. b. Maintaining silence is generally overused in therapeutic communication. c. The sender often becomes uncomfortable when using silence. d. The ability to use silence effectively requires skill and timing. e. Prolonged periods of misunderstood silence can cause tension. f. Purposeful use of silence often conveys lack of respect.
Back loading of some pre-existing data must be completed for the system to create accurate medication administration records and billing charges. How is this best accomplished?
1. Selected data from client records are loaded into the system by data entry specialists. 2. Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live. 3. When the system goes live, data from clients' medication administration records since admission are inputted for all clients. 4. A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live.
Why is operational reasoning necessary for research?
a. Abstract concepts are of no use to nursing. b. Standard interventions are obtained from operational reasoning. c. It allows the researcher to measure the concepts studied. d. It facilitates the researcher's rapport with families.
Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?
a. Never pray with patients or share readings that can have a religious connection. b. Inform patients of the prevalent religious beliefs that exist in the locale where they are being treated. c. Consider patients' religious beliefs when planning care. d. Reassure patients that they should not blame God for their illness.