A change in nursing care delivery system is being considered by hospital administrators. Which information should the nurse executive add to this discussion?
1. "There has been little change in nursing care delivery over the last few years."
2. "We must look to the nursing process for guidance in nursing care."
3. "Too much time is spent deciding on a system of care."
4. "Any system is okay, as long as the nurses follow it."
2
Rationale 1: Nursing care delivery systems are in continual revision as nurses strive to find the perfect system for providing care to clients with varying degrees of need.
Rationale 2: The nursing process reflects nursing care and consists of assessment, planning, implementation, and evaluation.
Rationale 3: A comfortable and efficient system for delivery of care is important to client outcomes.
Rationale 4: The system must be safe, efficient, and effective.
Global Rationale:
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Ms. S reports that she is concerned about her loss of appetite. During the history, you learn that her last child recently moved out of her house to go to college. Rather than infer the cause of Ms. S's loss of appetite, it would be better to:
a. defer or omit her comments. b. have her husband call you. c. quote her concerns verbatim. d. refer her for psychiatric treatment.
A child is exhibiting increasingly aggressive behavior on the inpatient unit. Why is developing a behavioral contract for this child an effective intervention? Select all that apply
A) It lets the child know what the consequences are for inappropriate behaviors. B) It provides peace of mind for staff. C) It reinforces positive behavior change. D) It offers immediate feedback. E) It teaches the child that inappropriate behaviors get punished.
Prospective nonexperimental studies move from presumed causes to presumed effects
A) True B) False
When assessing a client with dementia, a nurse identifies that the client is experiencing hallucinations. Based on the nurse's understanding of this disorder, which type of hallucination would the nurse expect as most common?
A) Auditory B) Visual C) Gustatory D) Olfactory