The nurse is working in the Emergency Department, and is gathering data from the parent about the injured child. Which of the following questions would the nurse ask in a directive interview?
1. "What allergies does your child have?"
2. "What are your concerns about the child?"
3. "Is there someone I can call for you?"
4. "I see that you are upset. Can you tell me about it?"
1
Rationale: The directive interview approach is used in emergency situations when information is needed quickly in order to provide appropriate treatment. Questions are usually closed-ended and aimed at getting a concise answer that does not involve feelings and concerns.
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The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select all that apply.)
a. Pulse is equal to uncasted limb. b. Patient is aware of touch and warm and cold application. c. Limb is cool to the touch. d. Capillary refill is 5 seconds. e. Distal limb can flex and extend.
Which of these statements about informed consent and documentation is TRUE?
a. Clients who have been sedated must have the consent form witnessed by a family member. b. Clients who decline to have any specific treatment performed are not required to sign an informed consent form. c. There is no legal requirement for informed consent to be written. d. Informed consent must be obtained by a health care professional.
A nurse assessing a patient with a substance use disorder decides to use a standardized rating scale. Which scale(s) are appropriate? More than one answer is correct
a. Addiction Severity Index (ASI) b. Brief Drug Abuse Screen Test (B-DAST) c. Abnormal Involuntary Movement Scale (AIMS) d. Cognitive Capacity Screening Examination (CCSE) e. Recovery Attitude and Treatment Evaluator (RAATE)
A nurse is educating a mother about caring for a newborn baby. What should the nurse teach the client as a precautionary measure to protect the infant from burns?
A) Keep hot substances away from the baby. B) Keep hot substances on the table. C) Monitor the activities of the infant closely. D) Keep the infant away from the kitchen.