Immobilized patients often become depressed. A nurse can best ...

[abarnes]

Immobilized patients often become depressed. A nurse can best combat this effect of immobilization by doing which of the following? (Select all that apply.)
 
  a. Limiting visitors so the patient is not bothered
  b. Involving the patient in planning time for care and activities
  c. Placing the patient in a private room to reduce the interruptions by a roommate
  d. Encouraging the patient to comb hair, wear make-up, and/or use cologne if appropriate
  e. Having the patient in a room with another patient who is interactive.

Question 2

A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. The nurse knew this was in violation of the scope of nursing practice in her state.
 
  Which of the following organizations defines the scope of nursing's professional functions and responsibilities? a. The US Food and Drug Administration (FDA)
  b. The MedWatch program
  c. Employee assistance programs (EAP)
  d. State Nurse Practice Acts

[fur]

Answer to Question 1

B, D, E
Involve patients in their care whenever possible. For example, have the patient determine when the bed should be made. Some patients rest better during the night when fresh sheets are put on in the evening rather than in the morning. Keep hygiene and grooming articles within easy reach. Encourage patients to wear their glasses or artificial teeth and to shave or apply makeup. These are normal activities to enhance body image, thus improving the patient's outlook. If possible, place the patient in a room with others who are mobile and interactive. If a private room is required, ask staff members to visit throughout the shift to provide meaningful interaction. Limiting visitors is not beneficial.

Answer to Question 2

D
State Nurse Practice Acts have the most influence over nursing practice because they define the scope of nurses' professional functions and responsibilities. The primary intent of state Nurse Practice Acts is to protect the public from unskilled, undereducated, and unlicensed nurses. The FDA ensures that all medications on the market undergo rigorous review before allowing manufacturers to distribute them to the public. In 1993, the FDA instituted the MedWatch program. This voluntary program encourages nurses and other health care professionals to report when a medication, product, or medical event causes serious harm to a patient. Mandatory reporting is required for medication manufacturers, distributors, and packers. A wide variety of programs to help people who abuse medications are offered through an institution's employee assistance program (EAP), the State Board of Nursing, and community agencies.