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A nursing philosophy explores the connection between values, truth, and ideals in nursing. Whose values, truth, and ideals are incorporated when creating a nursing program philosophy? Examine how a nursing department derives a philosophy for a nursing program?

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Tod Thiel
Tod ThielLv2
25 Aug 2018

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What are the most important factors for the RN to assess when dealing with a client who is exhibiting flashbacks from combat?

How might the RN foster therapeutic communication with this client?

List three common flashback triggers for military personnel and describe how the RN can assist to decrease the effects.

Provide two nursing diagnosis statements (each statement must include an actual nursing diagnosis, related factor and as evidenced by) that might apply to military personnel experiencing flashbacks.

Scenario: A 40-year-old woman was recently diagnosedwith Stage II breast cancer and had a right side mastectomy thismorning and is grieving the loss of her femininity. She has a13-year-old daughter who becomes over involved in her schoolactivities and wants to get all A’s on her next report card, a12-year-old son who refuses to talk about his mother’s conditionand a husband who starts attending daily religiousofferings.

Create a discussion post using the information in thescenario and the information that was read in the assignments,apply it to the scenario, and identify:

Name and explain which defense mechanism each of thefour (4) family members using to deal with the stress the family isfacing?

Include information about each family member’s stage ofgrowth and development when formulating your responses: How doesthe RN determine if the defense mechanisms are helpful orharmful.

Using nursing judgment develop a 3 part nursingdiagnosis statement for each family member which includes oneNANDA-I diagnosis, an etiology and the defining characteristics(nursing diagnosis + related to + as evidence by).

Identify the data cluster (grouping of significant datathat points to the existence of a patient health problem) used toselect the nursing diagnosis.

One (1) assessment to validate each the nursingdiagnosis

One (1) outcome statement for each (realistic,measureable and contains a time frame).

Suggest four (4) active, single and discreetinterventions, one (1) for each family member, to aid in theiradaptation to the situation. Provide an evidence based rationale tosupport each intervention.

Identify how you would communicate this information tothe health care team to coordinate care.

PLEASE ANSWER ALL THESE QUESTIONS I REALLY NEED THEM.

25. What is the most important discussion of the interdisciplinary team at regularly scheduled meetings.

A. Care access issues

B. Standard dized testing resulting

C. Risk reduction assessment

D. Complaince issues

26. What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care ?

A.stage of illness

B. Cognitive impairment

C. Weight

D. Age

27. Whicn statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use ?

A. Alternatively to physical restraints are unavailable

B. Inadequate staffing causes the need for physical restraint use.

C. Failure to restrain puts individuals at risk for legal liability

D. Risk of falls exists when restraints are used.

28. A 66 year- old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly. Which barrier to physical activity is least common for the elderly?

A. Finding safe area to walk

B. Swelling of ankles

C. Having pain from arthritis

D. Experience fatigue

29. An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17. Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers?

A. The primary risk factor is immobility.

B. The primary risk factor is a BMI < 24

C. The primary risk factor is polypharmacy

D. The primary risk factor is malnutrition

30. Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital. Which action should the nurse take to help Harriet and her family ?

A. Counsel about home safely assessments

B. Tell Harriet to become active in the local Tai Chi program

C. Discuss the rate of unintentional injuries for older aldults

D. Have Harriet and her family request a daily room check by staff

31. Sharron is a 90- year-old female who lived in Asia for most of her life and is a nonnative English speaker. She recently had emergency gallbladder surgery. Which nursing action would be best to do before discharging Sharron back to her accommodations?

A. Explore her use of alternative medicines

B. Explore English as a second language lessons

C. Explore aromatherapy for relaxation purposes

D. Explore counciling for depression options.

32. Agnes is a 77 year old who lost her husband last year and has congestive heart failure. She has a move in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He doesn't know how long she has been in the state, nor does he know the medication she should be on. What is the nursing priority?

A. Admit and stabilize the patient

B. Call Agne's daughter

C. Contact social services

D. Ask the son if he is overwhelmed

33. Duke is a 90 year old male with Alzheimer's Dementia living in a nursing home. Recently he has been experiencing sun downing. Which solutions should the nurse consider?

A. Restraining the patient in a chair in lobby area where he can see people.

B. Putting the patient in a room by himself with low light and a closed door

C. Giving the patient nonpharmacologic treatments such as putting the patient in a well lit room

D. Giving the patient Alprazolam to calm him down.

34. Ruth is a 75 year old residing in an assisted living facility and is at risk for fluid volume deficit. Which nursing action would ensure the most accurate monitoring of Ruth's fluid status in a co-created plan of care? Choose 2 answer

A. Measure and record fluid intake and output.

B. Check for crackles in the lungs every shift

C. Ask Ruth to weight each day at the same time

D. Take the vital signs assessed every 4 hours.

35. Which activity would be helpful for older adult to engage in to prevent or interrupt the course of frailty?

A. maintaining social relationships

B. Taking a medication for each chronic disease/ disorder

C. Avoiding travel D. Sleeping greater than 10 hours daily.

Q36 What

should the nurse first instruct the older adult to do when the older adult is beginning an exercise program

A Purchase new gym shoes

B work out until you sweat

C Purchase membership at nearby gym D proceed with low intensity and moderat

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