A psychiatric–mental health nurse has been consistently aware of the need to adhere to standards of practice during interactions with clients and their families. What is a standard of nursing practice?
A) The body of text in the state nurse practice act
B) A document outlining minimum expectations for safe nursing practice
C) Unwritten but traditional practices that constitute safe nursing care
D) Part of the federal nurse practice act
Ans: B
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Standards of nursing practice are written documents that outline minimum expectations for safe nursing care. They are used to guide and evaluate nursing care, and courts look to them for guidance when malpractice cases are deliberated.
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A nurse is caring for a 70-year-old client undergoing antiparkinsonism drug therapy. The client is prescribed pramipexole by the physician
The nurse should monitor the client's condition for the development of which of the following adverse reactions associated with the use of this drug? A) Blurred vision B) Memory loss C) Visual hallucinations D) Muscular rigidity
A patient reports having vomitus that looks like coffee grounds. You realize this is a description of what?
a. fresh gastrointestinal blood b. blood that has had time to mix with digestive juices c. bile d. fecal matter
Which actions by the UAP would require immediate follow-up by the nurse?
a. Informing the nurse she was taking a break b. Taking her lunch break on her home floor after being pulled to another floor c. Asking the patient to let her know the next time he has a bowel movement d. Asking another UAP to obtain a urine sample for her
A draw sheet may be used to lift and move the patient.
Answer the following statement true (T) or false (F)