A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?
Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.
A nurse is examining a 24-month-old child with hydrocephalus for the development of later signs of hydrocephalus.
Which of the following signs the nurse would find?
In a 24-month-old child with hydrocephalus, later signs of the condition include frontal bossing, which is the prominent, protruding forehead caused by the enlargement of the frontal bone. This is a characteristic feature of chronic hydrocephalus. Bulging fontanels, separated sutures, and dilated scalp veins are typically earlier signs of hydrocephalus seen in younger infants before the cranial sutures close. As the child ages, frontal bossing becomes more apparent due to prolonged intracranial pressure.
A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?
Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.
48-year-old male has an appointment at the primary health care setting for the screening program. The nurse recognizes that this patient had breakfast.
Which of the following is the BEST nurse's response?
Screening Programs and Fasting Requirements:
Certain screening tests, like fasting blood glucose or lipid profiles, require fasting for accurate results.
Nurse's Response:
Not Eligible: Incorrect as the patient can still participate in parts of the screening.
Come Tomorrow: Not the most efficient use of the patient's time.
No Worries: Incorrect as fasting is important for some tests.
Take History Now, Blood Test Later: The best response as it makes efficient use of the current visit for history taking and schedules the blood test for another time when fasting can be ensured.
American Diabetes Association (ADA) guidelines
While reviewing medication charts, the nurse observed that one patient received a wrong medication that was prescribed for another patient with similar first and last name.
What is the BEST nursing action for reporting the incident?
The best nursing action for reporting a medication error is to report and document the incident immediately. Prompt reporting ensures that the error is addressed quickly to prevent harm to the patient, allows for accurate documentation, and initiates the process for investigation and prevention of future errors. While assessing the patient and informing a senior nurse are also necessary steps, immediate documentation is the priority to ensure patient safety and compliance with legal and professional standards.
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