in cases of panic attacks, what nursing actions should be considered? SATA
give simple directions
ensure pt's safety
anxiety rituals are called _______.
compulsion
a pt who is a alcoholic withdrawal is given Clonidine. which action is appropriate for this pt?
teach the pt change position slowly
a student who has preparing for a final exam comes to a student health center sobbing and hyperventilating. he says "i haven't slept all night, i cant go on." which response is most appropriate?
"studying for finals can be very stressful. let's work on a plan that can be helpful"
when examining a nursery school child, the nurse finds multiple contusions on the body. child abuse is suspected. which are s/s? SATA
all lesions including color, shape, and location should be documented
child has multiple bruises which could not be explained
nursing action is important in the secondary violence in abuse includes...
helping participants discuss the problem, and developing alternatives that can lead to violence move to safe heaven
the following are eating disorders, except...
hypochonriasis
the following are true about normal eating, except...
it can give a feeling of guilt and anxiety
FILL-IN
________ drug-seeking behaviors that interfere with work, relationship, and normal activities.
addicition
a nurse refers a 14y/o daughter of an alcoholic. which resource is more appropriate?
alateen
the pt shouldis taking Antibuse. the nurse should give additional teaching to pt if pt claims that he is using the following product.
tylenol
the most commonly abused substance is...
nicotine
a nurse sees a pt that is a cocaine abuser picking on his skin. he claims that there are bugs crawling all over him, but the nurse doesnt see any bugs. what should the nurse do?
tell pt that she doesnt see any bugs
a drug of choice for narcotic toxcity is...
narcan (neloxone)
a friend called you crying saying good-bye, and saying that you will not see her anymore. you suspect she will commit suicide. what can be done at this time?
talk to her as long as possible while contacting 911
the nurse at the psychiatric unit is assigned to stay with a severely depressed pt. the nurse needs to go to the bathroom. what should the nurse do?
the nurse should have another staff member inform the nurse manager of the need for replacement
________ power is a kind of power where the manager may threaten undesirable schedules, denial of vactions, layoff in a employee is not complient.
coercive
write out the 5 rights of delegation.
1. right task
2. right circumstances
3. right person
4. right direction/communication
5. right supervision/evaluation
the following could be considered time wasters, except...
resource management
FILL-IN
________ system is a system that determines staffing needs, measures pt's illness, and catergories to delegate the level of care needed.
acuity system
steps in time management are the following...SATA
time to plan and establish priorities
completing highest priority task
reasses and reproritize tasks based on any changes
the following is true about nursing process...SATA
a scientific method of problem solving
forms the organizing framework for effective nursing practice
FILL-IN
________ developed the classification system for pt problem and nursing dx, student nurses with appropriate terminology
NANDA
NUMBER IN ORDER
Maslow's levels of human behavior.
1. physiological needs
2. safety and security needs
3. love and belonging need
4. esteem and self-esteem needs
5. self-actualization needs
FILL-IN
________ data is information/statement that the pt makes about what she feels
subjective data
the nurse made a nursing dx of impaired skin integrity related to immobility as manifested by which data? SATA
redness on perianal area
a becubidus of 2x3cm on coccyx area
nursing dx statement includes 3 parts, except...
evaluation
which type of nursing dx is used when a nurse identify potential problems?
possible dx
the pt is having SOB. O2 sat is getting down to 88%. the nurse hooks O2 of 2L onto the pt...the nurse's action is based on pt's needs, which is?
physiological needs
TRUE/FALSE
by law, the nurse documents all the nursing action, observation, and pt response to care...
true
FILL-IN
a step in nursing process where nurse determines pt response to care provided is called __________.
