When examining a nursery school child, the nurse finds multiple contusions on the body. Child abuse is suspected which are s/s:
All leasions including color, shape and location should be documented
Child has multiple bruise which could not be explained
Nursing action 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:
Hypochrondriasis
The following are true about normal eating except:
It can give a feeling of guilt and anxiety
__________ drug seeking behaviors that interfere w/ work, relationship and normal activities
Addiction
A nurse refers a 14 y/o daughter of an alcoholic which resource is more appropriate?
Alateen
The pt. is taking anti-buse, the nurse should give additional teaching to pt. if pt. claims that he is using the following products:
Tylenol
The most common abused substance is?
Nicotine
A nurse see's a client who is a cocaine user picking on his skin the client says theres a bug crawling on him the nurse should:
Tell the client that she doesn't see bugs
A drug of choice for narcotic toxicity is?
Narcan (Naloxone)
A friend called you crying and saying "goodbye", saying that you will not see her anymore you suspect that she will commit suicide what can be done at this time?
Talk to your friend as long as possible while contacting 911
The nurse on a psychiatric unit is assigned to stay w/ a severe depressed client the nurse needs to go to the laboratory how should the nurse managed the situation?
The nurse should have another staff member inform the nurse manager of the need of replacement
_________is a kind of power where the manager may threaten undesirable schedules, denial of vacation, layoff if an employee is not compliant
Coercive or punishment powers
The five rights of delegation (FILL IN)
Right task
Right circumstances
Right person
Right direction/ communication
Right supervision/ evaluation
The following could be considered time wasters except:
Resource management
_________ is a system to determine staffing needs, measures client's illness and use categories to designate the level of care needed
Acuity system
Steps and time management are the following (SATA)
Time to plan and establish priorities
Completing highest priority task
Reassess and reprioritize tasks based on any changes
The following is true about nursing process? (SATA)
Its a scientific method of problem solving
Forms an organized frame work for effective nursing practice
________ Develop the classification system for pt problem and nursing diagnosis student nurses with appropriate termenology
NANDA
__________ data is information or statements that the pt. makes how she feels
Subjective
The nurse made a nursing diagnosis of impaired nurse activity related to immobility as manifested by ________which of the following data
redness on the perinatial area
a decubites 2x3 diminer (ulcers)
Nursing diagnosis statement includes three parts except?
Evaluation
Which of the following types of nursing diagnosis is used when a nurse identifies potential problems?
Possible diagnosis
The pt is having shortness of breath (SOB) O2 saturation is getting down to 88% the nurse hooks O2 2LT. the nursing action is based
Physiciological needs
By law the nurse documents all nursing action observation communicates care.
TRUE
______ a step in the nursing process where the nurse determines pt response to care provaited is called
Evaluation
Author
lovely_nat
ID
76010
Card Set
Psychology Supervision leadership & Nursing Process