An experienced nurse is assigned to care for a client with severe depression and suicidal ideation,
a client with bipolar disorder who is demonstrating hypomanic behaviors, and a newly admitted client with paranoid schizophrenia who is delusional and must have a physical examination and initial nursing assessment performed. The nurse sets priorities for interventions and maps out a schedule for the day. What challenge is the nurse most likely to experience?
1. Experiencing rewards
2. Dealing with fear of clients
3. Avoiding evaluative responses
4. Practicing dynamic prioritization
ANS: 4
The nurse is assigned to clients whose needs may change from moment to moment. The nurse must see the initial plan as potentially fluid and unpredictable as client needs shift and new needs emerge and require attention. 1. The nurse will probably be too busy to be concerned about expe-riencing rewards. 2. The nurse caring for this number of acutely ill clients will probably have re-solved fears of clients. 3. An experienced nurse has probably dealt with this challenge.
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Establishing short- and long-term goals to address nursing diagnoses involves: (Select all that apply.)
a. discussion with the patient. b. exclusion of family with making patient decisions. c. collaboration with other members of health care team. d. making the health care provider as the central figure. e. coordination of care as collaborative care.
The nurse administers a drug that stimulates the parasympathetic nervous system. What physiological response would indicate the drug is working?
A) Vasoconstriction B) Increased gastrointestinal (GI) motility C) Increased heart rate D) Pupil dilation
A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which short-term interventions?
Select all that apply. A) Explore options for self-development. B) Improve quality of life by increasing self-esteem. C) Explore options for help. D) Convey safety. E) Determine immediacy of danger.
Which is an abbreviation for an x-ray of the urinary organs?
A) KUB B) IVC C) US D) DSA