During the assessment phase of the nursing process, data are gathered to determine a patient's state of health and to identify factors that may affect well-being. This activity includes eliciting a health history to identify previous illnesses and injuries, allergies, family health patterns, and psychosocial factors affecting health. According to the American Nurses Association (ANA), “the Standards of Professional Nursing Practice are authoritative statements of the duties that all registered nurses, regardless of role, population or specialty are expected to perform competently” (2010, p. 2).

A nurse is assessing an adult client who has been immobile for the past 3 weeks. Walking briskly b. Recommendation 3.2: Resources to support environmental health content in nursing practice should be identified and made available. Do you enjoy reading reports from the Academies online for free? “We will apply oxygen through a tube in your nose.” c. “We will ask if you have changed your mind.” d. “We will insert a breathing tube while we evaluate your condition.”, A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid-volume deficit. The HICPAC/CDC Guidelines also include recommendations for creating a Protective Environment for allogeneic HSCT patients. A nurse is admitting a client who has varicella. A nurse is caring for a client who has a prescription for wound irrigation. d. use of a single needle/syringe to administer intravenous medication to multiple patients. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007), Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings. A nurse is preparing to administer an injection of an opioid medication to a client. Sample forms for taking a comprehensive environmental health history are included in Appendix G. Three key questions to be included in all histories of adult patients are the following: Box 3.1Sentinel Health Events and Disease Clustering. free digital subscription Professions involved in addressing environmental health concerns include, but are not limited to, specialists in industrial hygiene, toxicology, safety, ergonomics, engineering, hydrogeology, medicine, and occupational health. a. “I blame medical science for not curing me.” c. “Where is my daughter at a time like this?” d. “Will I ever begin to feel in charge of my life again?”. a. The need to expand nursing's role in environmental health is not obvious to many nurses, for several reasons. The nurse knew that private wells, especially in rural areas, may be contaminated with a variety of chemicals such as pesticides, nitrates, and bacteria. As a result, nurses are not aware that certain substances are highly hazardous to human health or that certain environmental conditions are contributing significantly, although insidiously, to the morbidity and mortality of the populations they serve. a. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following actions should the nurse take first? Professional nursing associations should be encouraged to address environmental health through the development of policy recommendations, continuing education programs, codes of ethical conduct, and written standards of care.

However, this will require nurses to view such roles as integral to nursing practice. d. Initiate IV therapy in the veins of the hand. Should professionals acting as advocates aim simply to solve the current problem, or should they, in addition, try to empower patients and communities to solve similar problems for themselves in the future? Quizlet will be unavailable from 4-5 PM PT. Relationship conflict affects morale, satisfaction, patient safety, and quality of care. b. For example, migrant workers and farmers may be unwilling to jeopardize their income for issues of health and safety; likewise, residential and commercial development may be deemed more important to community leaders than the resulting noise, air, and water pollution. A nurse is caring for a child who has a prescription for a blood transfusion. Click here to buy this book in print or download it as a free PDF, if available. Which of the following strategies should the nurse implement? Attempts at improving physician-nurse communication and collaboration in the past have failed because the education failed to acknowledge that both assertiveness skills and courage are required to speak up to physicians. c. Remove the restraints every 4 hr to evaluate the client’s status. (Select all that apply.) d. Contact a spiritual support person to explain the importance of the procedure. This role can be expanded to include educating patients, families, workers, and communities about the possible adverse effects of exposure to environmental hazards and how to reduce or eliminate such exposures. Loss of skin turgor on the back of the hands b. Varicosities on the lower extremities c. Thick, discolored nails with ridges d. Bruises on the arms in various stages of healing, A nurse is caring for a client who has pharyngeal diphtheria. d. A client who is about to undergo a painful procedure receives pain medication 30 min before the procedure that the nurse promised she would give her. Water was supplied by a shallow, 28-foot standpoint well. Significant research exists to confirm the damage caused by relationship conflict in healthcare; particularly aggression, verbal abuse, and horizontal hostility. b. Nurses who report the highest degree of conflict also experience the highest degree of burnout (Hillhouse). The nurse should recognize that which of the following statements by the client's partner indicates effective coping?

Test content outlines of two examinations included environmental science: community health nurse and clinical specialist in community health nursing practice. Specifically, as the number of nurses and the percentage of RNs on staff increases, risk-adjusted hospital mortality rates decline, as does length of inpatient stay. “I will return shortly after I document this in your record.” b. Determination of the best strategy awaits the results of additional studies. Allow extra time for the client to respond to questions.

Facilitate interaction with other disciplines both within and external to the practice setting through clearly stated job expectations with the appropriate allocation of time and resources. This area focuses on environmental exposure in the workplace and the application of the nursing process to the health status of workers. Place the client in high-Fowler’s position. will need expansion to include communication with entire communities and the general public if they are to fill an essential niche in environmental health. If a staff member comes to you for help in resolving an issue, offer to role-play the conversation and provide coaching – but set the expectation that THEY will be solving the problem and that your role is supportive. Interventions in environmental health problems often require nurses and other health care professionals to assume the roles of advocate, activist, and policy planner on behalf of a single patient or population of patients.

A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficile infection. A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. A Protective Environment is designed for allogeneic HSCT patients to minimize fungal spore counts in the air and reduce the risk of invasive environmental fungal infections (see Table 5 for specifications). b. Instill 15 mL of irrigation fluid into the catheter with each flush. a. All nurses should be able to successfully complete an environmental health history, recognize potential environmental hazards and sentinel illnesses, and make appropriate referrals for conditions with probable environmental etiologies. C) Use the planning step of the nursing process to prioritize client care delivery. To accomplish this, (1) training of health professionals must put greater emphasis on developing skills for interprofessional collaboration, negotiation, critical thinking, and mutual problem solving; (2) there must be opportunities for interdisciplinary interaction throughout professional education and clinical practice; and (3) existing barriers to interdisciplinary collaboration and practice must be removed. Activity assessment is important for evaluation of the, overall status of the patient, and knowing who runs errands gives you information on who is, helping to meet the needs of the patient, but neither of these relates to decreasing the risk of, The circulating nurse in the operating room is observing the surgical technologist while, applying a sterile gown and gloves to care for a patient having an appendectomy. a. You will be subject to the destination website's privacy policy when you follow the link. ABOHN has not compiled data to substantiate the need for developing a certification examination in environmental health separate from an examination in occupational health. If this is not possible, then a mask should be worn while providing patient care. Although nurses are familiar with the concept of advocacy on behalf of individual patients, often they have not been trained in techniques of advocacy for populations or in settings other than health care facilities. “Beginning at age 60, you should have a colonoscopy.” c. “You should have a fecal occult blood test every year.” d. “The recommendation is to have a sigmoidoscopy every 10 years.”, A nurse is assessing a client who has been on bed rest for the past month.


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