Which behavior by a new nurse will cause the nurse manager to intervene?
a. Initiates teaching of a patient
b. Uses discovery learning techniques with a patient
c. Assigns nursing assistive personnel to teach a patient
d. Implements the teach-back method to evaluate patient understanding
C
In most situations it is not appropriate to delegate educational interventions to nursing assistive personnel (NAP); therefore the nurse manager would have to intervene. Nurses should initiate teaching; that is a component of the nurse's role. Discovery is a useful technique for teaching problem-solving application and independent thinking. Regardless of the method used to teach, use the teach-back method to evaluate the patient's understanding of the material.
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A patient with an infection has not responded appreciably to antibiotic therapy, and the nurse suspects antibiotic resistance. What phenomenon is known to contribute to acquired antibiotic resistance?
A) Bacteria take on genetic material from healthy body cells, reducing antigen recognition. B) Microorganisms remain in resting (G0) phase during antibiotic treatment. C) Distribution of an antibiotic is insufficient to cause resolution of the infection. D) The strongest microorganisms survive antibiotic treatment while the weakest are eradicated.
The nurse is planning discharge education for a patient with trigeminal neuralgia. The nurse knows to include information about factors that precipitate an attack. What would the nurse be correct in teaching the patient to avoid?
A) Washing his face B) Exposing his skin to sunlight C) Using artificial tears D) Drinking large amounts of fluids
The nurse should assess the infant's umbilical cord frequently during the first few hours after birth for:
a. Pallor b. Bleeding c. Herniation d. Infection
A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body merging with the wall, then my face appears and disappears in the mirror." While listening, the nurse should:
a. sit close to the patient. b. place an arm protectively around the patient's shoulders. c. place a hand on the patient's arm and exert light pressure. d. maintain a normal social interaction distance from the patient.