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A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
- A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
- B. ''Breathing faster will help me keep my mind off of the pain.''
- C. ''It might help me to listen to music while I'm lying in bed.''
- D. ''I don't want to walk today because I have some pain.''
Correct Answer: D
Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain.
Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain.
Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively.
Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility.
Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.
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What are the final stages of the conflict process?
- A. Antecedent conditions
- B. Perceived and felt conflict
- C. Suppression and resolution
- D. Conflict behavior
Correct Answer: C
Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.
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.
Which of the following factors contributes to conflicts in professional nursing today?
- A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
- B. Balancing state practice acts, codes of ethics, and standards of practice
- C. Advances in technology
- D. Multiple generations in the workforce
Correct Answer: D
Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork.
A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses.
B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses.
C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.
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.
Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?
- A. Focusing excessively on patient outcomes
- B. Needing to spend more time alone
- C. Juggling work, studies, and family responsibilities
- D. Awakening in the morning feeling unrested
Correct Answer: D
Rationale: The correct answer is D: Awakening in the morning feeling unrested. This behavior indicates potential poor sleep quality due to stress, impacting physical and mental well-being. Restful sleep is crucial for managing stress. A: Focusing excessively on patient outcomes may indicate dedication but not necessarily unhealthy stress management. B: Needing to spend more time alone could be a coping mechanism and not inherently unhealthy. C: Juggling work, studies, and family responsibilities may show a busy lifestyle but doesn't directly correlate with unhealthy stress management.