Author Question: A new registered nurse working for a busy unit of an acute care teaching hospital begins the shift ... (Read 104 times)

jjjetplane · **on:** Jul 22, 2018

A new registered nurse working for a busy unit of an acute care teaching hospital begins the shift with four patients. Which patient should the nurse attend to first?

a. Patient who needs assistance in ambulat-ing the hall
b. Patient whose blood pressure suddenly drops and who passes out (faints)
c. Recovering stable surgical patient whose family has just arrived
d. Recovering patient who is resting quietly watching television

Question 2

A nurse is caring for a group of 6 and 7 year olds. The nurse remembers that, according to Kohlberg, moral development is a component of psychosocial development.

Moral development depends on the child's ability to do which of the following? (Select all that apply.) a. Accept social responsibility.
b. Respect the integrity and rights of others.
c. Integrate principles of justice and fairness.
d. Use symbols and objects on the way to abstract thinking.
e. Perform repetitive motion responses.

johnharpe · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
A patient's whose blood pressure drops and faints needs to be addressed first. Critical thinking and clinical decision making are complicated because nurses care for multiple patients in fast-paced and unpredictable environments. When you work in a busy setting, use criteria such as the clinical condition of a patient (stable vs. unstable), Maslow's hierarchy of needs (patient's blood pressure is an active lower need problem), the risks involved in treatment delays (if the blood pressure is not treated the patient's condition could get worse), and patients' expectations of care to decide which patients have the greatest priorities. A patient who needs assistance in ambulating the hall can be delegated to the nursing assistant personnel. The surgical patient is stable so does not need to be addressed first. The recovering patient resting quietly is not a prior-ity.

Answer to Question 2

A, B, C
Moral development depends on the child's ability to accept social responsibility and integrate personal principles of justice and fairness. In addition, the child's knowledge of right and wrong and behavioral expression of this knowledge must be founded on respect and regard for the inte-grity and rights of others. Piaget's theory, not Kohlberg's, states that as the child grows from in-fancy into adolescence, the intellectual development progresses, starting with reflex and repeti-tive motion responses, to the use of symbols and objects from the child's point of view, to logical thinking, and finally to abstract thinking.