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Author Question: A patient was admitted to the emergency department in a grossly intoxicated state. The nurse has ... (Read 76 times)

laurencescou

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A patient was admitted to the emergency department in a grossly intoxicated state. The nurse has been monitoring him for withdrawal symptoms and has been medicating him with prn medications.
 
  Four days after admission, he appears much more comfortable and less tremulous. His vital signs are only slightly elevated. Which is the appropriate nursing intervention at this time?
  A) Withhold prn medications because they are potentially addictive.
  B) Increase the amount of prn medications because potentially fatal complications can occur up to 1 week after the last drink.
  C) Ask the doctor to prescribe a less potent medication to lower the chances of substitute addiction.
  D) Remain vigilant for withdrawal complications and continue to administer medications on an as-needed basis.

Question 2

A nurse is facilitating a social skills group on the inpatient unit for nursing assistants. Which comment would the nurse identify as assertive?
 
  a. I enjoy my work. I do all my own work, and so I seldom have time to help others. I would if I had the time..
  b. I love my work. I try to help others whenever they ask because on our unit it's certainly a team effort..
  c. I enjoy my work. I always try to be helpful, but I am careful not to help those who aren't willing to help others..
  d. I enjoy my work. I help others after I have spent sufficient time with my patients and feel my assistance is needed..



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voltaire123

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Answer to Question 1

D

Answer to Question 2

D
Assertive behavior involves communicating clearly and directly with others. If the assertive individual is conveying negative feelings, thoughts, or issues of concern, the positive aspects are noted in balance with the negative information, and the individual takes responsibility to state what he or she would like to have done differently or changed. Assertiveness also involves accepting positive and negative input and is used for the purposes of expressing one's feelings, wishes, or desires, but not necessarily as a means of getting one's way or winning. Nursing staff members who are unable to demonstrate appropriate assertive behavior and communications will be unsuccessful role models for their patients.





 

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