A worker is characterized by her co-workers as "painfully shy" and lacking in self-confidence. Her co-workers say she stays in her cubicle all day, never coming out for breaks or lunch
One day after falling on the ice in the parking lot, she goes to the nurse's office, where she apologizes for falling and mentions that she hopes the company will not fire her for being so clumsy. Which nursing approach or response would be most therapeutic? a. Remain professional and a bit detached so as not to arouse suspiciousness on her part.
b. Reassure her that many others have fallen at work and not ever been criticized or fired.
c. Acknowledge her concerns in a matter-of-fact manner and provide first aid as needed.
d. Explain that an incident report about her fall will go to a manager who will contact her.
B
The patient manages anxiety by keeping a low profile at work, avoiding situations where others might have any reason to criticize her (or even be aware of her). The fall has interfered with this coping strategy. It is likely she will be highly anxious about the prospect of being criticized and fear that a disciplinary action will follow. Therefore, interventions which reduce her anxiety and help her reframe her fears so they are more realistic are desirable. The best example here is sharing that others have fallen and never been criticized or fired. This patient's presentation does not suggest an inclination to be suspicious of others, and support would be more helpful for her anxiety than detachment or behaving in a matter-of-fact manner that focuses on her physical injuries rather than her emotional concerns. Telling her about the incident report going to a manager who will respond at some unknown point in the future is likely to greatly heighten and extend her anxiety and distress.
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A woman is being dismissed after undergoing placement of a cerclage. The woman is married with a husband who travels frequently and the couple has two other children. Which action by the nurse is most helpful?
A. Arrange for the visiting nurse to administer IV antibiotics. B. Educate the woman on the need for strict bedrest. C. Enlist the services of a social worker to help her plan care for her other children. D. Teach the woman about the side effects of metachlopramide (Reglan).
The following diagram represents what type of design? Group Subject selection Measurement Treatment Measurement Experimental R M T M Comparison NR M M
a. Posttest only design b. Factorial design c. Pretest-posttest control group design d. Time series design
The practice of critical thinking empowers the nurse to recognize important cues in a given situation, and to respond to these quickly to adapt interventions to optimize their effectiveness and likelihood of producing a good outcome
This aspect of critical thinking: 1. Is similar to the way that a skilled nurse incorporates continued assessment and evaluation into practice, adapting the care plan in response to its effectiveness or change in client status. 2. Is another term for the nursing process. 3. Means that there is only one correct solution to a problem. 4. Indicates that critical thinking and the nursing process are unrelated.
When providing care for a patient with a suprapubic catheter who has acquired a UTI, which intervention is most important for the nurse to implement?
a. Using clean technique b. Securing the tube to the inner thigh c. Cleansing the insertion site in a direction toward the drain d. Promoting intake of 2200 mL of fluid per day