The nurse has been assigned the same patients for the past 3 days. Two of the patients demand a great deal of attention, so the nurse feels anxious and angry about being given this assignment again. How can the nurse cope with this patient care assignment?

Correct Answer: C

Rationale: Step 1: Prioritizing the patients' needs allows the nurse to manage time effectively. Step 2: Identifying a specific time period for care for each patient helps in allocating attention appropriately. Step 3: By organizing care in this manner, the nurse can address demanding patients while still attending to all patients. Step 4: This approach can help reduce anxiety and anger by providing a structured plan for patient care. Summary: A: Sharing complaints with the nurse manager may not directly address the issue of coping with the assignment. B: Talking with patients about personal attention may not be appropriate and could lead to conflict. D: Trading assignments may not solve the underlying issue and could create confusion among staff.

Correct Answer: B

Rationale: The correct answer is B: Call the HCP to discuss the order. First, the nurse should verify the order and confirm the discrepancy. Calling the HCP allows for clarification and potential adjustment if necessary. Informing the nursing supervisor (A) may delay necessary action. Giving the drug as ordered by the HCP (C) could lead to potential harm due to the higher dose. Giving the standard dose (D) without clarification may not address the issue of the incorrect dosage. Therefore, option B is the most appropriate course of action to ensure patient safety and adherence to best practices.

Correct Answer: A

Rationale: 1. **Establish rapport with the client**: Building trust and a therapeutic relationship is crucial in addressing disturbed body image. 2. **Role model appropriate behavior**: While important, this may not directly address the client's body image concerns. 3. **Encourage client to make positive self-statements**: This can be helpful, but establishing rapport is more foundational. 4. **Assist the client in accepting responsibility for own actions**: This is important but not directly related to addressing body image concerns.

Correct Answer: B

Rationale: The correct answer is B: Planning. In the nursing process, planning involves setting long-term goals and short-term expectations based on the assessment data gathered. This step determines the best course of action to achieve desired outcomes. Assessment (A) involves collecting data, not goal-setting. Implementation (C) is carrying out the plan, not goal-setting. Evaluation (D) is assessing the effectiveness of the plan, not goal-setting. Therefore, B is the correct choice for setting goals and expectations in the nursing process.

Correct Answer: D

Rationale: The correct answer is D because the client's refusal to use the prescribed walker indicates a problem with daily functioning. Using a walker is crucial for mobility, safety, and independence in a SNF setting. Not using the walker can lead to increased risk of falls and potential injuries, affecting the client's ability to perform daily activities. A: Eating 80% of meals shows adequate nutrition intake. B: Watching TV with others is a social activity. C: Wanting to wear one's own clothing is a personal preference and does not directly impact daily functioning.