In making rounds, the nurse meets a patient for the first time. ...

[londonang]

In making rounds, the nurse meets a patient for the first time. The nurse asks the patient when morning medications are taken, such as before breakfast, after breakfast, or during breakfast. What does knowing the patient allow the nurse to do?
 
  a. Choose the most appropriate time to give the medication.
  b. Know what information to put on the medication error report form.
  c. Explain to the patient that the medication will not be given at the usual time.
  d. Evaluate whether or not the patient is taking the medication correctly at home.

Question 2

The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, the patient says, I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family.
 
  What should the nurse do first?
  a. Assure the patient that everything will be all right.
  b. Tell the patient that there is no need to worry.
  c. Listen to the patient's concerns and fears.
  d. Inform the patient a social worker is available.

[dpost18]

Answer to Question 1

ANS: A
Knowing the patient is at the core of the process nurses use to make clinical decisions. Knowing when the patient normally takes the medication will allow the nurse to keep the patient on as near normal a schedule as possible. Nothing in this question infers that the patient will not get the medications on time or that a medication error report will need to be completed. Although the nurse can evaluate whether or not the patient is taking the medication correctly at home, the main purpose, within this scenario, is to determine the most appropriate time to administer the medication.

Answer to Question 2

ANS: C
Listening to the meaning of what a patient says helps create a mutual relationship. Assuring and telling a patient not to worry are not truly listening; these do not convey listening. Although contacting a social worker could be an appropriate measure for this patient, the nurse should first listen to what the patient is saying.

[londonang]

TY

[dpost18]

You're welcome