Common problems for supervisors include all of the following except ______________.
Answer(s): A
Facilitating the development of staff members is an important goal for a supervisor.Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.
At what point in the nurse-client relationship should termination first be addressed?
Answer(s): C
The client has a right to know the parameters of the nurse-client relationship.If the relationship is to be time limited, the client should be informed of the number of sessions.If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date.
A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape.Implementing counseling by the nurse specialist for the raped victim represents ______________.
Answer(s): B
Crisis intervention is part of the Crisis Intervention Model.Counseling by a nurse specialist at the time of a stressful event (rape) can strengthen the client’s coping. A nurse specialist in rape crisis intervention is educationally prepared in counseling and crisis intervention specific to rape victims.
The death of a beloved spouse places the surviving partner in ______________type of crisis.
Answer(s): D
A situational crisis is an unexpected, unplanned event, such as the death of a spouse.Reactive is a normal maturational crisis; reactive and nonreactive are not recognized crisis states.
The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s).The nurse is supposed to ______________.
The document dated 2003 supersedes the previous version and should be used as a basis for care direction. Choices “follow the 1998 version because it’s part of the legal chart” and “follow the 1998 version because the physician’s code order is based on it” are incorrect because the 1998 version is now outdated.Choice “follow neither until clarified by the unit manager” is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.
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