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The nurse sees that Mr. B (bladder cancer) has received docusate for the past 2 days. Which question is the nurse most likely to ask to evaluate the effectiveness of the docusate?
- A. "Are you experiencing any burning with urination?"
- B. "Did you have a bowel movement today or yesterday?"
- C. "Has the medication helped to relieve the nausea?"
- D. "Were you able to sleep soundly the last couple of nights?"
Correct Answer: B
Rationale: The correct answer is B. Docusate is a stool softener commonly used to prevent constipation, which is a common side effect of opioid pain medications. By asking if the patient had a bowel movement today or yesterday, the nurse can evaluate the effectiveness of docusate in facilitating bowel movements. This question directly assesses the expected outcome of the medication.
A: "Are you experiencing any burning with urination?" - This question is more relevant to urinary tract infections, not related to docusate use for constipation.
C: "Has the medication helped to relieve the nausea?" - Docusate is not typically used to relieve nausea, so this question is not relevant to evaluating its effectiveness.
D: "Were you able to sleep soundly the last couple of nights?" - This question is not directly related to the expected outcome of docusate in treating constipation.
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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.
The nursing supervisor instructs a group of novice nurses about the appropriate use of self-disclosure with patients. The nursing supervisor determines that teaching was successful if the novice nurse makes which statement?
- A. "Self-disclosure provides an opportunity for the patient to understand the nurse."
- B. "It is better to disclose stories about others to maintain professional boundaries."
- C. "Self-disclosure may be used to build a trusting relationship with the patient."
- D. "A fabricated personal experience can be shared if the patient remains the main focus."
Correct Answer: C
Rationale: The correct answer is C. Self-disclosure can be used to build a trusting relationship with the patient. This is because sharing personal information appropriately can help create a connection and foster trust between the nurse and the patient. By being open and genuine, nurses can demonstrate empathy and understanding, leading to better communication and rapport.
Choice A is incorrect because while self-disclosure can help the patient understand the nurse, the primary goal is to build a therapeutic relationship. Choice B is incorrect because disclosing stories about others does not promote genuine connection and may not be relevant to the patient's care. Choice D is incorrect because fabricating personal experiences goes against the principles of honesty and authenticity in therapeutic communication.
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.
According to the Workplace Bullying Institute, nurses are also exposed to this type of behavior within their professional environment. In teaching the possibility to an incoming graduate nurse, you know that the nurse understands when he or she includes which of the following as abusive conduct? (Select all that apply)
- A. Threats
- B. Humiliation
- C. Intimidation
- D. Physical abuse
Correct Answer: A
Rationale: The correct answer is A: Threats. Threats are considered abusive conduct in the context of workplace bullying. Nurses may be subjected to threats that create a hostile work environment. Threats can instill fear and distress in the victim, affecting their well-being and performance.
Summary of why other choices are incorrect:
B: Humiliation - While humiliation is a form of abuse, the question specifically asks about abusive conduct in the context of workplace bullying for nurses.
C: Intimidation - Intimidation is another form of abusive behavior, but the question focuses on identifying abusive conduct in the workplace environment for nurses.
D: Physical abuse - While physical abuse is a serious issue, the question pertains to identifying abusive conduct within the professional environment for nurses, where physical abuse may not be as common as other forms of bullying behavior.
The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement if made by the nurse to the nursing assistant is assertive?
- A. "Would you mind helping the client with a bath when you have time? If not, I will skip my lunch and do it myself."
- B. "You never get your work done and are always on the phone. You need to help the client right now with a bath, or I will write you up."
- C. "The client needs help with bathing. I want you to assist the client now, and you can go to lunch when you are finished."
- D. "I have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished."
Correct Answer: C
Rationale: Correct Answer: C
Rationale:
1. The statement in choice C is assertive because it clearly states the task, timeline, and expectation without being aggressive or demeaning.
2. It communicates the need for assistance with the client's bath and sets a clear priority.
3. It provides a specific instruction for the nursing assistant to assist the client immediately and then take a break.
4. This approach demonstrates effective delegation and ensures the client's needs are met promptly and respectfully.
Summary:
A: This choice is not assertive as it presents a conditional statement and implies a personal sacrifice by the nurse if the task is not completed.
B: This choice is aggressive and threatening, which is not appropriate in a professional setting.
D: This choice is directive but lacks consideration for the nursing assistant's well-being and does not communicate the urgency of the task for the client.