During the shift report, a nurse describes a client as "crazy." Which approach by the nurse would be best?
1. Ask the staff what terminology they wish to use.
2. Say nothing.
3. Suggest that staff use the term "mentally ill."
4. Role model using the term "nervous breakdown."
3
Rationale: The nurse should suggest that staff use the term "mentally ill," thus, reinforcing that the client has an illness. The term "nervous breakdown" is too general and nonspecific for clinical usage. Saying nothing or asking staff what terminology to use is not implementing the client–advocate role of the professional nurse.
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The nurse knows that a young woman needs further instructions about genital herpes when she says:
1. "I will know I have it because I will get painful blisters in the genital area." 2. "I won't know for 3-7 days after intercourse whether I have genital herpes." 3. "You cannot get genital herpes with oral-genital sex." 4. "There is no cure for genital herpes."
To help parents prevent their infant from developing positional plagiocephaly, the nurse should teach the parents to:
a. alternate the infant's head position during sleep b. allow the infant to sleep in an infant carrier c. place the infant in a high Fowler's position during the day and in the tummy position for sleep d. keep the infant on an air mattress for play and sleep
Emergency medical services (EMS) brings a large number of clients to the emergency department following a mass casualty incident. The nurse identifies clients with which injuries with yellow tags? (Select all that apply.)
a. Partial-thickness burns covering both legs b. Open fractures of both legs with absent pedal pulses c. Neck injury and numbness of both legs d. Small pieces of shrapnel embedded in both eyes e. Head injury and difficult to arouse f. Bruising and pain in the right lower ab-domen
Which of the following determines the tasks you can do?
a. The doctor's orders b. The lead nursing assistant c. The person's family d. State laws