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A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?
- A. Validate the client's feelings by saying, 'People in middle adulthood often find satisfaction in nurturing and guiding young people.'
- B. Encourage the client to explore the reasons behind feeling useless.
- C. Reassure the client by saying, 'You should be proud that your children are becoming independent.'
- D. Provide information by saying, 'Most people are happy when their children grow up and leave home.'
Correct Answer: A
Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported.
Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive.
Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress.
Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.
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What is the primary role of a nurse mentor?
- A. To supervise nursing staff
- B. To provide emotional support
- C. To guide new nurses in their roles
- D. To enforce policy compliance
Correct Answer: C
Rationale: The primary role of a nurse mentor is to guide new nurses in their roles (Choice C). This involves providing support, advice, and knowledge to help new nurses navigate their responsibilities and develop their skills. Mentors help new nurses adapt to the clinical environment, build confidence, and improve their clinical practice. Supervising nursing staff (Choice A) is typically the responsibility of nurse managers. Providing emotional support (Choice B) is important but not the primary role of a mentor. Enforcing policy compliance (Choice D) is important but does not encompass the full scope of a nurse mentor's role.
An RN’s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN’s teaching to the client?
- A. When a heart ceases to beat, the client is pronounced clinically dead.
- B. Physicians must write do not resuscitate (DNR) orders.
- C. A DNR order can be written after the health-care provider has discussed it with the client and family.
- D. A DNR requires a court decision.
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. In terminal cases, it's crucial for the healthcare provider to discuss DNR orders with the client and family to ensure understanding and consent.
2. The decision to implement a DNR order should always involve the client and their family to respect their wishes.
3. This statement emphasizes the importance of communication and shared decision-making in end-of-life care.
Summary:
A: Incorrect - This statement is about the clinical definition of death, not about DNR orders.
B: Incorrect - While physicians can write DNR orders, the involvement of the client and family is essential.
D: Incorrect - DNR orders do not require a court decision; they are typically based on the client's wishes and discussions with healthcare providers.
From a unit perspective, disruptive and violent patient behavior may be distracting to patients and staff. As the nurse manager, you are concerned about: (EXCEPT)
- A. Patient and staff safety.
- B. Team tension.
- C. Fear of disappointment.
- D. Stress levels.
Correct Answer: C
Rationale: The correct answer is C: Fear of disappointment. As a nurse manager, concerns should be focused on patient and staff safety (A), team tension (B), and stress levels (D) due to disruptive and violent patient behavior. Fear of disappointment is not directly related to the immediate impact on safety, team dynamics, or stress levels in this scenario. It is important to prioritize addressing safety risks, maintaining team cohesion, and managing stress levels to ensure a safe and effective healthcare environment.
An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: C
Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.
The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.