Podcast
Questions and Answers
What is the plan of care for a nurse working with a client who demonstrates manipulative behavior?
What is the plan of care for a nurse working with a client who demonstrates manipulative behavior?
Look into the institute's consequences for manipulative behavior.
What should the nurse do first when a client suddenly becomes angry and throws a chair?
What should the nurse do first when a client suddenly becomes angry and throws a chair?
Attempt to talk the client down.
Which action should the nurse plan for a client who has dependent personality disorder?
Which action should the nurse plan for a client who has dependent personality disorder?
Give positive feedback when clients become assertive.
What is a primary risk factor for depression?
What is a primary risk factor for depression?
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What comment should the nurse make upon observing a client with major depressive disorder out of bed and clean?
What comment should the nurse make upon observing a client with major depressive disorder out of bed and clean?
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What should the nurse say to a client with depression who refuses to get out of bed?
What should the nurse say to a client with depression who refuses to get out of bed?
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Which response indicates confabulation in a client following hip surgery and experiencing acute dementia?
Which response indicates confabulation in a client following hip surgery and experiencing acute dementia?
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What intervention should the nurse include in a care plan for a client with dementia?
What intervention should the nurse include in a care plan for a client with dementia?
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What action should the nurse take for a newly admitted client with schizophrenia experiencing hallucinations?
What action should the nurse take for a newly admitted client with schizophrenia experiencing hallucinations?
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Which response by the nurse requires intervention when a client yells, 'I am the devil, I am god, open the gates for me'?
Which response by the nurse requires intervention when a client yells, 'I am the devil, I am god, open the gates for me'?
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What should the nurse explain to a client taking warfarin with an INR of 3.5 considering discharge?
What should the nurse explain to a client taking warfarin with an INR of 3.5 considering discharge?
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Which task should the nurse avoid assigning to an adult volunteer?
Which task should the nurse avoid assigning to an adult volunteer?
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What is an appropriate statement for a nurse when an assistive personnel (AP) refuses a task?
What is an appropriate statement for a nurse when an assistive personnel (AP) refuses a task?
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What ethical principle is demonstrated when discontinuing a chemotherapy medication due to rapid advancing kidney failure?
What ethical principle is demonstrated when discontinuing a chemotherapy medication due to rapid advancing kidney failure?
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What is the priority nursing action when overhearing assistive personnel discussing a client?
What is the priority nursing action when overhearing assistive personnel discussing a client?
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What task should the AP perform first when multiple tasks are delegated?
What task should the AP perform first when multiple tasks are delegated?
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What ethical principle does the nurse violate when continuing treatment on a ventilated client who wants to discontinue it?
What ethical principle does the nurse violate when continuing treatment on a ventilated client who wants to discontinue it?
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What information should be included in the 'B' step of SBAR when calling a provider?
What information should be included in the 'B' step of SBAR when calling a provider?
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What factor should the charge nurse consider when making assignments?
What factor should the charge nurse consider when making assignments?
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What should the nurse focus on during disaster protocols initiated by the incident commander?
What should the nurse focus on during disaster protocols initiated by the incident commander?
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Which task should the nurse assign to an assistive personnel at the beginning of a shift?
Which task should the nurse assign to an assistive personnel at the beginning of a shift?
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Which entity should the nurse understand when delegating tasks to an LPN?
Which entity should the nurse understand when delegating tasks to an LPN?
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What does delegation permit a designated individual to do?
What does delegation permit a designated individual to do?
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For which client can the nurse delegate obtaining vital signs to an AP?
For which client can the nurse delegate obtaining vital signs to an AP?
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What task should the nurse plan to perform when working with an AP?
What task should the nurse plan to perform when working with an AP?
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Which task should the nurse tell the AP to complete first?
Which task should the nurse tell the AP to complete first?
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What priority goal should a nurse set for a client with anorexia nervosa?
What priority goal should a nurse set for a client with anorexia nervosa?
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What action should the charge nurse take after receiving reports of an LPN's lack of care?
What action should the charge nurse take after receiving reports of an LPN's lack of care?
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What should the nurse determine when delegating morning vitals to an AP?
What should the nurse determine when delegating morning vitals to an AP?
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Which client should the RN assume responsibility for?
Which client should the RN assume responsibility for?
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What should the charge nurse provide before conducting a performance appraisal?
What should the charge nurse provide before conducting a performance appraisal?
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What delegation right is demonstrated when the nurse checks with the AP about task completion?
What delegation right is demonstrated when the nurse checks with the AP about task completion?
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Which client should the charge nurse assign to an RN from the maternal newborn unit?
Which client should the charge nurse assign to an RN from the maternal newborn unit?
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Which client should the nurse assess first after a shift change?
Which client should the nurse assess first after a shift change?
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What should the nurse do when the AP refuses to take a specimen to the lab?
What should the nurse do when the AP refuses to take a specimen to the lab?
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Which task should the charge nurse reassign to an LPN?
Which task should the charge nurse reassign to an LPN?
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What is the most effective teaching strategy for ensuring the nursing staff can use a new infusion pump correctly?
What is the most effective teaching strategy for ensuring the nursing staff can use a new infusion pump correctly?
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What action should the nurse take if they find a client pulseless and the family requests a DNR but the order is not written?
What action should the nurse take if they find a client pulseless and the family requests a DNR but the order is not written?
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For which client should the nurse delegate meal assistance to an AP?
For which client should the nurse delegate meal assistance to an AP?
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What should the nurse plan to provide when delegating an activity to an AP?
What should the nurse plan to provide when delegating an activity to an AP?
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What kind of tort is administering an antibiotic medication to a competent client after they have refused it?
What kind of tort is administering an antibiotic medication to a competent client after they have refused it?
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What is an example of negligence in nursing practice?
What is an example of negligence in nursing practice?
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How should a nurse respond assertively when discussing care for a client who underwent hip arthroplasty?
How should a nurse respond assertively when discussing care for a client who underwent hip arthroplasty?
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What type of conflict management is demonstrated when a charge nurse allows two arguing nurses to go to lunch together?
What type of conflict management is demonstrated when a charge nurse allows two arguing nurses to go to lunch together?
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What indicates a newly licensed nurse's understanding of methods to reduce costs of client care?
What indicates a newly licensed nurse's understanding of methods to reduce costs of client care?
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Who should be identified as a triage officer during a disaster?
Who should be identified as a triage officer during a disaster?
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What indicates understanding requirements for disaster planning among newly hired nurses?
What indicates understanding requirements for disaster planning among newly hired nurses?
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What statement shows an understanding of the hospital incident command system?
What statement shows an understanding of the hospital incident command system?
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What type of exposure should the ER nurse prepare for when a client is transported following exposure to a dirty bomb?
What type of exposure should the ER nurse prepare for when a client is transported following exposure to a dirty bomb?
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What action should a charge nurse take to effectively implement change in a nursing procedure?
What action should a charge nurse take to effectively implement change in a nursing procedure?
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Study Notes
Nursing Care and Client Interaction
- Address manipulative behavior by referencing institution policies regarding consequences.
- In case of client agitation, prioritize verbal de-escalation techniques before physical interventions.
- For clients with dependent personality disorder, reinforce assertive behaviors with positive feedback.
- History of childhood trauma is a significant risk factor for developing depression.
- Acknowledge clients' achievements in self-care, such as dressing and grooming after depressive episodes.
- Encourage participation in activities by offering support to prepare for them without pressure.
Assessments and Client Responses
- Confabulation in dementia clients may lead to non-factual statements, like imaginary visits from public figures.
- Tailor care for dementia clients by limiting choices to reduce confusion.
- During the assessment of clients with schizophrenia, avoid overwhelming them with excessive questions.
- Use supportive language when responding to clients experiencing delusions.
Ethical Principles and Standards
- Non-maleficence is demonstrated by discontinuing harmful treatments when adverse effects arise.
- Respect client autonomy, especially in decision-making regarding life-sustaining treatments.
- Maintaining confidentiality in discussions about clients is critical to uphold ethical standards.
Delegation and Task Assignments
- Avoid delegating observation tasks for confused postoperative clients to non-licensed personnel.
- Discuss unit policies with assistive personnel (AP) who refuse assigned tasks.
- Understand the nurse practice act when delegating responsibilities to licensed practical nurses (LPN).
- Ensure clarity in task descriptions when delegating to AP, establishing expectations for timely reporting.
Triage and Disaster Response
- Factors like clients' physiological status must be considered for assignment decisions during shift transitions.
- In disaster scenarios, focus initial efforts on preventing life-threatening emergencies.
- Hold regular disaster drills to ensure staff readiness and understanding of emergency protocols.
- Familiarize staff with the Hospital Incident Command System (HICS) to clarify responsibilities during crises.
Legal and Professional Conduct
- Administering medication against client wishes may constitute battery, highlighting the importance of informed consent.
- Reporting missed assessments in a timely manner is essential to prevent negligence claims against nursing staff.
- Assertive communication fosters accountability and encourages dialogue about care standards among team members.
Client Care Prioritization
- During emergencies, prioritize assessing clients with critical conditions, like infants requiring oxygen.
- Monitor vital signs and glucose levels promptly to meet patient care needs effectively.
- Develop care plans that include specific weight goals for clients with anorexia nervosa to promote recovery.
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Description
This quiz covers essential nursing care strategies, particularly in client communication and interaction. It addresses handling manipulative behavior, techniques for managing agitation, and the challenges presented by conditions such as dementia and schizophrenia. Enhance your knowledge on providing effective and supportive nursing care.
