The nurse is caring for a 65-year-old mother of three who ...

[Garrulous]

The nurse is caring for a 65-year-old mother of three who recently underwent abdominal surgery and has a colostomy as a result.
 
  The patient has a history of multiple surgeries, including a tracheostomy after lung surgery about 20 years earlier that has since healed over. To determine how to best work with this patient, the nurse should do which of the following? a. Determine how the patient dealt with her previous surgeries.
  b. Realize that past coping mechanisms are always positive in nature.
  c. Approach care in a standard method because all patients are the same.
  d. Avoid using family input in determining the course of care.

Question 2

A nurse is using SBAR. Which information will the nurse report for the B?
 
  a. The patient had a broken right leg with a cast applied 2 days ago.
  b. The toes are cool and pale.
  c. The patient is reporting severe pain10 out of 10even after pain medication was given.
  d. The nurse requests that the primary health care provider examine the patient.

[juliaf]

Answer to Question 1

A
Your nursing assessment includes consideration of previous coping behaviors. Knowing how a patient has dealt with self-concept stressors in the past provides insight into the patient's style of coping. Not all patients address issues in the same way, but often a person uses a familiar coping pattern for newly encountered stressors. As you identify previous coping patterns, it is useful to determine whether these patterns have contributed to healthy functioning or created more problems. Exploring resources and strengths, such as availability of significant others or prior use of community resources, is important when formulating a realistic and effective plan.

Answer to Question 2

A
B stands for background. The information for the patient's background is the following: the patient had a broken right leg with a cast applied 2 days ago. Structured communication techniques used by health care teams that improve communication include: briefings or short discussions among team member; group rounds on patients; and use of Situation-Background-Assessment-Recommendation (SBAR) when sharing information. S is the situation. The patient is reporting severe pain10 out of 10even after pain medication was given. A is assessment. The patient's toes are cool and pale. R is the recommendation. The nurse requests that the primary health care provider examine the patient.

[Garrulous]

TY

[juliaf]

You're welcome