The nurse provides information on self-administration of injectable medication to a client in 15 minute teaching increments. If equating this teaching with the nursing process in which phase is the nurse providing care?
1. Planning
2. Evaluation
3. Assessment
4. Implementation
4
Rationale 1: Planning would be when the nurse identifies the content appropriate to instruct the client.
Rationale 2: Evaluation is determining if the outcomes of instruction have been achieved.
Rationale 3: Assessment is determining what teaching the client needs.
Rationale 4: Implementation is following the teaching plan and providing instruction.
Global Rationale:Implementation is following the teaching plan and providing instruction.Planning would be when the nurse identifies the content appropriate to instruct the client. Evaluation is determining if the outcomes of instruction have been achieved. Assessment is determining what teaching the client needs.
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A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
a. Lubricate the resident's skin with moist-urizers twice daily b. Ensure that the resident has adequate nu-trition and hydration c. Bathe the resident in hot soapy water d. Avoid the use of lifting shifts when trans-ferring the resident e. Dress the resident in long sleeves and long pants to protect the extremities
Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In discussing an elevated alpha-fetoprotein screening test result with a couple, the nurse would discuss:
A) The special care needed for a Down syndrome infant B) The need for a more specific determination of the acid–base status C) The need for more definitive evaluations before making any conclusions D) The need for immediate termination of the pregnancy
A psychiatric nurse often cares for clients with somatoform disorders. Which characteristic is common to all somatoform disorders?
A) Delusions B) Pain C) Paranoia D) Physical symptoms
Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?
a. Knows all about the disease processes affecting patients b. Focuses on medication administration and treatments c. Thinks about the patients and patients' environments d. Considers nursing knowledge and medicine the same