A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation. Which would the nurse outline? (Select all that apply.)
a. How others perceive the event
b. The number of stressors present at one time
c. Degree of change the stressors require
d. Present role assumption
e. Previous experience with a similar situation
ANS: B, C, D, E
The number of stressors present at one time, the degree of change the stressors require, present role assumption, and previous experience with a similar situation are all factors that can influence the level of anxiety experienced when faced with a stressful situation. The level of anxiety experienced is also influenced by how the event is perceived by the individual, not how the event is perceived by others.
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When would it be appropriate for the nurse to administer a cathartic laxative to the patient? (Select all that apply.)
A) Partial small-bowel obstruction B) Appendicitis C) After having a baby D) After a myocardial infarction (MI) E) After anthelmintic therapy
The charge nurse observes that a fellow charge nurse on the unit who seems impaired and unable to perform client care. Which action by the charge nurse is the most appropriate in this situation?
A) Notify security. B) Call the nurse manager of the unit. C) Discuss the situation with the nursing supervisor. D) Confront the nurse directly.
A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?
A) Administer antihistamines to the client. B) Provide adequate caffeine-rich drinks to the client. C) Assess the level of consciousness (LOC) and the pupil response of the client. D) Position the client flat for at least 3 hours.
Which of the following is not a true statement about the ANA's Code of Ethics for Nurses? The Code of Ethics for Nurses:
a. Provides a framework for ethical decision making. b. Is non-negotiable. c. Is applicable to most practice settings. d. Helps with professional self-regulation.