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Collmarie

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The concept of knowing the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions. To know a patient means that the nurse (Select all that apply.)
 
  a. Avoids assumptions.
  b. Focuses on the patient.
  c. Engages in a caring relationship.
  d. Forms the relationship quickly.

Question 2

While the patient's lower extremity, which is in a cast, is assessed, the patient tells the nurse about an inability to rest at night.
 
  The nurse disregards this complaint, thinking that no correlation has been noted between having a leg cast and developing restless sleep. A more theoretically sound approach would be to first a. Document the sleep patterns and complaint in the patient's chart.
  b. Tell the patient you are just focused on the leg right now.
  c. Explain that a more thorough assessment will be needed next shift.
  d. Ask the patient about his usual sleep patterns and the onset of having difficulty resting.



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Kedrick2014

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Answer to Question 1

A, B, C
To know a patient means that the nurse avoids assumptions, focuses on the patient, and engages in a caring relationship with the patient that reveals information and cues that facilitate critical thinking and clinical judgments. Knowing develops over time as a nurse learns the clinical conditions within a specialty and the behaviors and physiological responses of patients.

Answer to Question 2

D
The nurse must use critical thinking skills in this situation to assess first in this situation. The best response is to gather more assessment data by asking the patient about usual sleep patterns and the onset of having difficulty resting. The nurse should assess before documenting and should not ignore the patient's complaints.





 

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