A new nurse is caring for a woman in the transition phase of labor. The nurse attempts to engage the woman in conversation and chats even when the woman doesn't respond to these attempts. What action by the nurse's preceptor is most appropriate?
A.
Direct the nurse to attempt conversation with the support person.
B.
Encourage the nurse to keep attempting to engage the woman in conversation.
C.
Gently ask the nurse to refrain from unnecessary conversation.
D.
Tell the nurse not to take the woman's silence as a personal rejection.
ANS: C
During the more intense phases of labor, women may draw inward in an attempt to cope with the increasing demands of their labor. Also, there are cultural differences in the way people respond to silence and conversation. Because this woman appears to be concentrating on her own body and labor and not responding to the nurse, the preceptor should gently ask the new nurse to refrain from all but necessary communication. This shows respect for the work the woman is doing. It is also a good idea to let the new nurse know that this is probably not a personal rejection, but it is more important to respect the woman's need for quiet.
You might also like to view...
The perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours prior. Which measure should the nurse implement to most decrease the patient's risk of developing pulmonary emboli (PE)?
A) Early ambulation B) Increased dietary intake of protein C) Maintaining the patient in a supine position D) Administering aspirin with warfarin
A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will
" This student is obviously stressed, and the statements represent: a. awareness reduction. b. cognitive distortions. c. positive coping mechanisms. d. acceptance of reality.
You would perform hepatojugular reflux during which part of the assessment?
a. abdomen c. neck b. jugular veins d. neurological
A hospital is implementing a new electronic nurse charting system. When selecting members for the implementation committee, which colleague should be given priority?
A) Informatics nurse specialist B) Experienced consultant C) Planning committee chairperson D) Chief information officer