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The nurse has implemented a plan to improve expression of warmth to other nurses. It is most important for the nurse to include which evaluation method?
- A. Self-monitor interactions with colleagues for feelings of relaxation and caring.
- B. Ask patients for their perception of the interactions that occur among nurses.
- C. Invite a supervisor to evaluate interactions and provide suggestions for improvement.
- D. Seek nominations for an award at the organizational level or from an association.
Correct Answer: A
Rationale: The correct answer is A because self-monitoring interactions with colleagues allows for personal reflection and assessment of warmth expression. This method promotes self-awareness and self-improvement. Asking patients (B) is not relevant for evaluating interactions among nurses. Inviting a supervisor (C) may introduce bias and may not accurately reflect warmth expression. Seeking nominations for an award (D) focuses on recognition rather than genuine improvement. Therefore, A is the most suitable method for evaluating the nurse's plan.
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In order to safeguard patient information when using a computer, the nurse should:
- A. only use the computer located in the nurse's station.
- B. wait until the end of the shift and document all information at one time.
- C. use personal code words and abbreviations to disguise information.
- D. change the computer password frequently. Computerized patient information requires extra vigilance by the nurse to safeguard confidentiality. Changing personal passwords frequently helps safeguard information. When using the computer at a health care facility, the nurse must remember not to leave a computer screen open when he or she is finished. The nurse should always log out so that someone else cannot access information using his or her password and must not share his or her password with others. Computers in the nurse's station are not as convenient as those at the bedside or in the hall. Personal codes and abbreviations are not useful.
Correct Answer: D
Rationale: The correct answer is D: change the computer password frequently. This is essential to safeguard patient information on a computer. Changing passwords regularly enhances security by reducing the risk of unauthorized access. By doing so, the nurse ensures that even if someone gains access to their password, it will soon be outdated. This practice aligns with best practices for maintaining confidentiality and data security.
Now, let's analyze the other choices:
A: Using only the computer at the nurse's station limits flexibility and convenience for accessing patient information.
B: Waiting until the end of the shift to document information increases the risk of errors and delays in updating patient records.
C: Using personal code words and abbreviations may lead to misinterpretation of information and compromise patient confidentiality.
In summary, changing the computer password frequently is the most effective measure to safeguard patient information on a computer, while the other options do not provide the same level of security and confidentiality.
Behaviors that indicate to the patient that the nurse is inattentive to the patient's concerns are such activities as: (Select all that apply.)
- A. turning back to straighten the bedside table while the patient is talking.
- B. tapping feet or fingers.
- C. sitting down in a chair near the bed with arms crossed.
- D. leaving a hand on the door to go out.
Correct Answer: A
Rationale: The correct answer, A, is turning back to straighten the bedside table while the patient is talking. This behavior indicates the nurse is not fully engaged in the conversation and prioritizing a task over the patient. Tapping feet or fingers (B) could just be a habit and may not necessarily indicate inattentiveness. Sitting down with arms crossed (C) could be a sign of being defensive but not necessarily inattentive. Leaving a hand on the door (D) could be a signal of readiness to leave but not a direct indicator of inattentiveness.
The nurse is providing care to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self-care behavior?
- A. Authoritative, honest, and outright communication
- B. Assertive, responsible, and caring communication
- C. Aggressive, sympathetic, and realistic communication
- D. Positive, expert, and focused communication
Correct Answer: B
Rationale: The correct answer is B: Assertive, responsible, and caring communication.
Rationale:
1. Assertive communication is important to clearly express expectations and boundaries.
2. Being responsible conveys accountability and encourages the patient to take ownership of their care.
3. Caring communication fosters trust and empathy, crucial for building a therapeutic relationship.
Summary:
A: Authoritative communication may come across as controlling and may not promote patient cooperation.
C: Aggressive communication can be intimidating and may lead to resistance rather than cooperation.
D: Positive communication is beneficial, but being an expert alone may not address the patient's underlying issues or barriers to self-care.
A patient reports to the nurse, "My doctor is not doing anything about my pain." Which response by the nurse is assertive and expresses warmth?
- A. "If I were you, I would see a different doctor."
- B. "What you really mean is you do not like your doctor."
- C. "It is wrong for you to blame your doctor."
- D. "You seem frustrated with your doctor."
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's feelings without judgment and expresses empathy. The nurse reflects the patient's emotions by stating, "You seem frustrated with your doctor," showing understanding. Option A is dismissive, suggesting the patient change doctors. Option B assumes the patient's feelings and could come off as confrontational. Option C is accusatory and could make the patient defensive. Overall, option D is assertive, warm, and empathetic, making it the best response in this situation.
The nurse makes a home visit to a client with chronic kidney disease. The client asks the nurse to make the decision about whether or not to start dialysis. Which action by the nurse is most appropriate?
- A. Encourage the client to appoint a durable power of attorney.
- B. Invite the client to make a decision after reviewing options.
- C. Direct the client to have the physician make a decision.
- D. Have the client visit with an individual receiving dialysis.
Correct Answer: B
Rationale: Step 1: The nurse should respect the client's autonomy and involve them in decision-making.
Step 2: By inviting the client to make a decision after reviewing options, the nurse promotes client-centered care.
Step 3: This approach empowers the client to participate actively in their healthcare decisions.
Step 4: It aligns with ethical principles of beneficence and nonmaleficence.
Summary:
Choice B is correct as it respects the client's autonomy and promotes shared decision-making. Choice A is not appropriate as it bypasses the client's involvement. Choice C is not ideal as the client should be actively involved. Choice D may provide information but doesn't involve the client in decision-making.