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Nurs 406 test 1 Questions and Answers Latest Update
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Nurs 406 test 1 Questions and Answers Latest Update
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Solution 2024/2025Pepper
Nurs 406 test 1 Questions and Answers Latest
Update 2024-2025
Patient is receiving an IV infusion of heparin and was started on warfarin
therapy the night before. which statement is most correct?
A. the patient is receiving a double dose of anticoagulants
B. the heparin therapy was ineffective, so the warfarin was started.
C. the heparin provides anticoagulation until therapeutic levels of warfarin
are reached.
D. the heparin and warfarin work together synergistically to provide
anticoagulation ANS✔✔ C. the heparin provides anticoagulation until
therapeutic levels of warfarin are reached.
coumadin (warfarin) takes a few days for therapeutic levels to be reached.
we may end up putting a pt on both of these initially to get the
anticoagulation under control, and then once the coumadin levels are okay,
the pt will come off of heparin
MASLOWS hierarchy of needs ANS✔✔ 5 levels
1 is ultimate priority
1 - physiological: oxygen, fluids, nutrition, body temperature, elimination,
shelter, sex
2 - safety and security: physical and psychological safety
3 - love and belonging needs
, Solution 2024/2025
Pepper
4 - self esteem
5 - self actualization (dreams, hopes, goals)
double bind messages ANS✔✔ Bateson and colleagues (1956) coined the
term double-bind messages.
They are characterized by two or more mutually contradictory messages
given by a person in power or someone attempting to gain or maintain
power.
Opting for either choice will result in displeasure of the person in power.
Example: Dr. Shepard asks Dr. Onori to teach one of the topics in nursing
research because she knows Dr. Onori teaches that topic very well. On the
day of the lecture, Dr. Onori just informs Dr. Shepard that he is going to the
beach with his family and thus can't teach the topic. Dr. Shepard looks into
the eyes of Dr. Onori and says, okay, that's fine, enjoy your vacation
knowing very well that she has not prepared to teach the research topic for
that day. The content from Dr. Shepard becomes contradictory to Dr. Onori.
the "miracle" question ANS✔✔ a clarifying technique (along with
paraphrasing, restating, reflecting, exploring, and projective questions)
The miracle question is a goal-setting question that helps patients to see
what the future would look like if a particular problem were to vanish.
The question should be asked deliberately and dramatically
Example: "Now, I want to ask you a strange question. Suppose that while
you are sleeping tonight...a miracle happens. The miracle is that the
problem that brought you here is solved... When you wake up tomorrow
, Solution 2024/2025
Pepper
morning, what will be different that will tell you that a miracle has
happened?"
the backbone of a nurse-client relationship is ANS✔✔ patient centered care
(gold standard)
-dignity and respect
-information sharing
-pt and family participation
-collaboration in policy and program development
social relationship ANS✔✔ primarily initiated for the purpose of friendship,
socialization, companionship, or accomplishment of a task
•Participants share ideas, feelings, and experiences during SRs to facilitate
meeting of mutual needs
•There is little emphasis on the evaluation of the interaction during SRs
•SRs do not benefit patients because the nurse unconsciously ignores the
concerns of patients
therapeutic relationship ANS✔✔ In a TR, the nurse maximizes
communication skills, understanding of human behaviors, and personal
strengths to enhance the client's growth
•Clients are more likely to engage in a relationship when the clinician's
interactions address their concerns, respect clients as partners in decision
making, and use easy-to-understand language
, Solution 2024/2025
Pepper
•In a TR, the focus should be on the client's ideas, needs, problems,
experiences, and feelings. It's all about the welfare of the client
Morally, legally, and ethically trained nurses and nursing students do not
have ______________ relationships with patients ANS✔✔ intimate
these are forbidden among nurses/students with patients/clients
You are about to initiate your first contact with Becky. Which is the most
suitable goal in establishing the therapeutic relationship?
•Establish friendship and a sense of fun
•Ensure that mutual needs will be met
•Establish clear boundaries while identifying patient needs
•Ensure two-way communication to give or ask for help ANS✔✔ •Establish
clear boundaries while identifying patient needs
A therapeutic relationship demonstrates the following qualities:
Needs of patient identified and explored
Clear boundaries established
Problem-solving approaches taken
New coping skills developed
Behavioral change encouraged
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