A director of nursing in a long-term care facility was concerned after reading that as many as 80% of residents have untreated pain. What action by the director is best?

a. Establish protocols for routine assessment.
b. Make a "pain plan" for every resident.
c. Involve family members in treating pain.
d. Educate the staff on how to assess pain.


A
Nursing begins with assessment. The director should implement a protocol for routine assess-ments of pain in both cognitively impaired and intact residents. A "pain plan" cannot be created without this assessment data. Family members should be encouraged to provide input. The staff may or may not need to have education on assessment.

Nursing

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A nurse frequently needs to change the soiled linen and body position of a client who is confined to bed and has a decreased level of consciousness. Which of the following general principles should the nurse follow?

A) Fasten drainage tubes to the bed linen. B) Tuck in pillows and positioning devices. C) Raise the bed to the height of the nurse's elbow. D) Change the client's position every half hour.

Nursing

The nursing intervention that constitutes false imprisonment is:

a. The client is confused and combative. He insists that no one can stop him from leaving. The nurse restrains him without a physician's order, then seeks the order. b. The client has been "pesky," seeking the attention of nurses in the nurses' station much of the day. Now the nurse escorts him to his room and tells him to stay there or he'll be put into seclusion. c. A psychotic client, admitted as an involuntary patient, runs out of the psychiatric unit. The nurse runs after him and succeeds in talking the client into returning to the unit. d. A client, hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and, acting on established protocol, they prevent him from leaving.

Nursing

Handwashing with soap and water is:

a. the most effective way to reduce the number of bacteria on the nurse's hands. b. more effective than alcohol-based products for washing hands. c. necessary for hand hygiene if hands are visibly soiled. d. not necessary if the nurse wears artificial nails.

Nursing

As the nurse prepares anticipatory guidance information relative to nutrition for the parents of a 1-year-old, the nurse should consider: (Select all that apply.)

a. The knowledge level of the parents b. The economic level of the parents c. The family's cultural practices d. Infant development e. The parents' educational level

Nursing