Nurse X has a newly admitted 67-year-old male patient (Mr. Z) who has a diagnosis to rule out MI. She telephones Mr. Z's physician and tells him, "Mr. Z has a pulse of 160." Which step of Crew Resource Management did she use?
a. opening or attention getter c. state the problem as you see it
b. state your concern d. obtain agreement (or buy-in)
B
Todd Bishop, a crew resource management expert, designed a five-step process for building assertive statements that includes advocacy and inquiry steps. These five steps are: 1) opening or attention getter, 2) state your concern, 3) state the problem as you see it, 4) state a solution, and 5) obtain agreement (or buy-in). When Nurse X tells Mr. Z's physician that "Mr. Z has a pulse of 160," she has implemented the second step (state your concern).
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A group of patients with early Alzheimer's disease and their spouses approach you regarding help with the establishment of a local Alzheimer's Society for the support and education of affected individuals and their families
As a manager in an ambulatory care clinic, what suggestion or advice would you offer this group? a. Self-help groups are, by nature, directed, funded, and led by those requiring help, and therefore, the patients and families should need no help from your clinic. b. Your healthcare organization would be pleased to help as long as your organiza-tion financially takes over responsibility for direction, leadership, and management. c. Through partnership, you will provide supports, if possible, that the patients and spouses themselves identify as necessary in the establishment of the group. d. The services that the patients and spouses are proposing are likely being offered somewhere else already.
A nursing student is caring for a patient who is addicted to several drugs. The student tells the nurse that the patient "got this way on purpose." Which response by the nurse is most appropri-ate?
a. "Peer pressure and social factors deter-mine individual choices." b. "Physical dependence is necessary for ad-diction to occur." c. "Preexisting psychopathology underlies most drug abuse." d. "Some individuals are more vulnerable to drug abuse than others."
The best example of a nursing order is:
1. perform deep breathing exercises twice daily at 10 AM and 2 PM. 2. administer Tylenol every 4 hours as needed for headache. 3. skin integrity, risk for impairment. 4. the patient will perform quad setting exercises frequently.
A 37-year-old patient is being admitted with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?
a. Chronically low blood pressure b. Bronzed appearance of the skin c. Purplish streaks on the abdomen d. Decreased axillary and pubic hair