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Nursing Care and Client Interaction
50 Questions
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Nursing Care and Client Interaction

Created by
@ImprovingSocialRealism4496

Questions and Answers

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?

Attempt to talk the client down.

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?

<p>A history of childhood trauma.</p> Signup and view all the answers

What comment should the nurse make upon observing a client with major depressive disorder out of bed and clean?

<p>I see that you have cleaned your clothes and combed your hair.</p> Signup and view all the answers

What should the nurse say to a client with depression who refuses to get out of bed?

<p>I will get you ready and then you can rest for activities.</p> Signup and view all the answers

Which response indicates confabulation in a client following hip surgery and experiencing acute dementia?

<p>It was good the queen of England visited me here.</p> Signup and view all the answers

What intervention should the nurse include in a care plan for a client with dementia?

<p>Limit client choice for daily activities.</p> Signup and view all the answers

What action should the nurse take for a newly admitted client with schizophrenia experiencing hallucinations?

<p>Limit the number of questions asked during an assessment.</p> Signup and view all the answers

Which response by the nurse requires intervention when a client yells, 'I am the devil, I am god, open the gates for me'?

<p>There are no gates for me to open.</p> Signup and view all the answers

What should the nurse explain to a client taking warfarin with an INR of 3.5 considering discharge?

<p>Explain the risk the client faces if she leaves the facility.</p> Signup and view all the answers

Which task should the nurse avoid assigning to an adult volunteer?

<p>Observing a postoperative client who is confused.</p> Signup and view all the answers

What is an appropriate statement for a nurse when an assistive personnel (AP) refuses a task?

<p>I need to talk to you about the unit policies regarding nursing assignments.</p> Signup and view all the answers

What ethical principle is demonstrated when discontinuing a chemotherapy medication due to rapid advancing kidney failure?

<p>Non maleficence.</p> Signup and view all the answers

What is the priority nursing action when overhearing assistive personnel discussing a client?

<p>Quietly tell the APs that it is not appropriate.</p> Signup and view all the answers

What task should the AP perform first when multiple tasks are delegated?

<p>Take the ABG specimen to the lab.</p> Signup and view all the answers

What ethical principle does the nurse violate when continuing treatment on a ventilated client who wants to discontinue it?

<p>Autonomy.</p> Signup and view all the answers

What information should be included in the 'B' step of SBAR when calling a provider?

<p>The client was found unconscious on the floor of her home.</p> Signup and view all the answers

What factor should the charge nurse consider when making assignments?

<p>Physiological status of the clients on the unit.</p> Signup and view all the answers

What should the nurse focus on during disaster protocols initiated by the incident commander?

<p>Focus on providing care that prevents life-threatening emergencies.</p> Signup and view all the answers

Which task should the nurse assign to an assistive personnel at the beginning of a shift?

<p>Monitor vitals for a client who had an appendectomy 12 hours ago.</p> Signup and view all the answers

Which entity should the nurse understand when delegating tasks to an LPN?

<p>The nurse practice act.</p> Signup and view all the answers

What does delegation permit a designated individual to do?

<p>Meet goals on your behalf.</p> Signup and view all the answers

For which client can the nurse delegate obtaining vital signs to an AP?

<p>Client who is 3 days postop following a gastric bypass surgery.</p> Signup and view all the answers

What task should the nurse plan to perform when working with an AP?

<p>Assessing a client's sacrum for edema.</p> Signup and view all the answers

Which task should the nurse tell the AP to complete first?

<p>Perform blood glucose for a patient who has a prescription for short-acting insulin prior to breakfast.</p> Signup and view all the answers

What priority goal should a nurse set for a client with anorexia nervosa?

<p>Attain a weight that is above 75% of height and weight.</p> Signup and view all the answers

What action should the charge nurse take after receiving reports of an LPN's lack of care?

<p>Talk with the clients who have reported the LPN's lack of care.</p> Signup and view all the answers

What should the nurse determine when delegating morning vitals to an AP?

<p>Determine the timeframe the AP should report the results.</p> Signup and view all the answers

Which client should the RN assume responsibility for?

<p>A client who is actively dying and requires IV pain medication.</p> Signup and view all the answers

What should the charge nurse provide before conducting a performance appraisal?

<p>Provide the staff member with a copy of the appraisal form in advance.</p> Signup and view all the answers

What delegation right is demonstrated when the nurse checks with the AP about task completion?

<p>Supervision.</p> Signup and view all the answers

Which client should the charge nurse assign to an RN from the maternal newborn unit?

<p>Client who is one day postop following a total abdominal hysterectomy.</p> Signup and view all the answers

Which client should the nurse assess first after a shift change?

<p>An infant who has pertussis and is receiving oxygen via nasal cannula.</p> Signup and view all the answers

What should the nurse do when the AP refuses to take a specimen to the lab?

<p>Ask the AP about the concerns of the assignment.</p> Signup and view all the answers

Which task should the charge nurse reassign to an LPN?

<p>Remove and clean cannula of a client with a new trach.</p> Signup and view all the answers

What is the most effective teaching strategy for ensuring the nursing staff can use a new infusion pump correctly?

<p>Demonstration.</p> Signup and view all the answers

What action should the nurse take if they find a client pulseless and the family requests a DNR but the order is not written?

<p>Call emergency response team.</p> Signup and view all the answers

For which client should the nurse delegate meal assistance to an AP?

<p>A client who had a lumbosacral spinal tumor.</p> Signup and view all the answers

What should the nurse plan to provide when delegating an activity to an AP?

<p>Provide a clear description of the task to the AP.</p> Signup and view all the answers

What kind of tort is administering an antibiotic medication to a competent client after they have refused it?

<p>Battery.</p> Signup and view all the answers

What is an example of negligence in nursing practice?

<p>A nurse identifies the absence of peripheral pulses in a Chasidic extremity in the early morning and reports it to the provider in the early afternoon.</p> Signup and view all the answers

How should a nurse respond assertively when discussing care for a client who underwent hip arthroplasty?

<p>I feel as though I met the standard of care. Would you tell me more about your concerns?</p> Signup and view all the answers

What type of conflict management is demonstrated when a charge nurse allows two arguing nurses to go to lunch together?

<p>Cooperating.</p> Signup and view all the answers

What indicates a newly licensed nurse's understanding of methods to reduce costs of client care?

<p>I should encourage clients to receive annual flu immunizations.</p> Signup and view all the answers

Who should be identified as a triage officer during a disaster?

<p>Nurses and other emergency medical personnel.</p> Signup and view all the answers

What indicates understanding requirements for disaster planning among newly hired nurses?

<p>Disaster drills should be held on a regular basis.</p> Signup and view all the answers

What statement shows an understanding of the hospital incident command system?

<p>HICS identifies facility responsibilities and channels of reporting.</p> Signup and view all the answers

What type of exposure should the ER nurse prepare for when a client is transported following exposure to a dirty bomb?

<p>Radiologic.</p> Signup and view all the answers

What action should a charge nurse take to effectively implement change in a nursing procedure?

<p>Set a target date.</p> Signup and view all the answers

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.
  • 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.

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