Based on urgency and risk, which hypothesis would the nurse rank as the priority? Show
Self-Care Deficit; supporting data: inability to ambulate autonomously, inability to bathe independently Hypervolemia; supporting data: coarse crackles, dyspnea, 2+ edema, hypertension, heart failure diagnosis Urinary Tract Infection; supporting data: persistent urge to urinate, foul-smelling urine, burning sensation when urinating, low-grade fever Which of the following are ANA standards of clinical nursing practice? Select all that apply A. The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights. Rationale: The nurses practice is guided by the Code for Nurses and the nurse maintains patient confidentially within legal and regulatory parameters. The nurse acts a patient advocate and assists patients in developing skills so they can advocate for themselves. The nurse delivers care in a nonjudgemental and nondiscriminatory manner that is sensitive to patient diversity. The nurse also delivers care in a manner that preserves or protects patient autonomy, dignity, and rights. Recommended textbook solutionsMyers' Psychology for AP2nd EditionDavid G Myers 900 solutions HDEV56th EditionSpencer A. Rathus 380 solutions Consumer Behavior: Buying, Having, Being13th EditionMichael R Solomon 449 solutions Cognitive Psychology3rd EditionE Bruce Goldstein, Robert Hershberger 150 solutions Talk with the patient individually about familiar family and friends. Patients with cognitive deficits, such as multi-infarct dementia, are vulnerable to agitation. When a nurse shows interest in the patient's life, the nurse establishes him- or herself as a safe, understanding person. In turn, the patient often becomes calmer and more open to redirection. As patients reminisce in this fashion, they often bring themselves into the present.
Reality orientation (providing the correct information about place, date, and current life circumstances) may be comforting, but repeatedly providing reality orientation may increase agitation and lead to aggression. Sedating medication may calm agitation, but further clouds the patient's sensorium, which makes disorientation worse and increases the risk of injury. Recommended textbook solutions
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Medical Language Accelerated2nd EditionAndrew Cavanagh, Steven Jones 568 solutions Which action would the nurse perform to provide non Judgemental care to patients with different values quizlet?What should a nurse do to help eliminate judgmental thinking and behaviors towards a patient with a different value system? -Engage in self-reflection to recognize the presence of such thinking.
Which nonverbal communication techniques will the nurse use for effective nurse client communication?Using elements of nonverbal communication—such as facial expressions, eye contact, body language, gestures, posture, and tone of voice—is also essential in creating rapport. Simply smiling can go a long way. You can also: Show interest in what the patient is saying by maintaining eye contact and nodding your head.
Which action would the nurse take when a patient offers a small handmade gift during the termination phase of the professional relationship?The nurse should consider the meaning of this gift. In this instance, the gift demonstrates a sincere expression of gratitude. Because the gift is inexpensive and given at the end of the relationship, the nurse should accept it graciously.
Which behavior indicates that the nurse may be experiencing countertransference with a client quizlet?Countertransference occurs when the nurse displaces the feelings onto the client and identifies with the nurse's past experience. In negative transference, clients avoid interaction with the nurse and get aggressive. This may happen when the clients associate the nurse with a tragic event or person.
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