The nurse giving a patient a back massage is performing an intervention considered to be:
a semi-dependent nursing action.
an independent nursing action
a dependent nursing action
an interdependent nursing action.
The Correct Answer is B
A. A semi-dependent nursing action: This term doesn't have a standard meaning in nursing. Nursing actions are generally categorized as independent, dependent, or interdependent.
B. An independent nursing action: Independent nursing actions are activities that nurses are licensed to initiate on the basis of their knowledge and skills. These actions don't require a physician's order. Giving a back massage, in many cases, falls under the category of independent nursing actions. Nurses often assess the patient's condition and, if appropriate, can provide interventions like massages to enhance comfort and well-being without needing a specific order.
C. A dependent nursing action: Dependent nursing actions are activities that require a physician's order or another healthcare provider's directive. Nurses perform these actions under the physician's supervision or guidance. Giving a back massage might require a specific order in certain situations, for instance, if the patient has a particular condition that necessitates a tailored approach to massage.
D. An interdependent nursing action: Interdependent nursing actions are those that require collaboration with other healthcare team members. These actions involve working together with physicians, therapists, and other professionals to ensure comprehensive patient care. While collaboration is essential in healthcare, giving a back massage is generally not considered primarily interdependent; it's more about the nurse's individual skill unless there are specific medical considerations that require interprofessional collaboration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Don't worry; this pain won't last forever."
This statement dismisses the patient's concerns and does not encourage open communication about pain. It does not address the patient's current pain experience or provide a basis for effective pain management.
B. "You look pretty comfortable. Are you having any pain?"
While this statement attempts to inquire about the patient's pain, it might not encourage the patient to open up about their pain experience. The patient might downplay their pain to appear strong or not to be a bother.
C. "Is this pain the same as the pain you had yesterday?"
This question is specific and might help in assessing the consistency and nature of the pain. However, it assumes the patient had pain yesterday and does not open the conversation effectively for the patient to express their pain experience freely.
D. "Tell me about the pain you've been having."
This statement is open-ended and encourages the patient to express their pain experience in their own words. It creates a comfortable environment for the patient to discuss their pain, allowing the nurse to gather valuable information about the pain's intensity, location, quality, and factors that aggravate or alleviate it. This approach is patient-centered and allows for a comprehensive pain assessment.
Correct Answer is B
Explanation
A. Begin nursing interventions without needing an initial assessment: This option is not appropriate. A thorough assessment is crucial before any interventions are initiated. The nurse needs to understand the patient's current condition, medical history, and specific needs to provide safe and effective care.
B. Use critical thinking skills to organize care for the patient: Correct. Reviewing the nursing care plan allows the nurse to critically think about the patient's needs, plan interventions accordingly, and organize care effectively. It helps in understanding the patient's unique requirements and tailoring the care plan to meet those needs.
C. Make revisions in the plan as indicated by the shift report: This option implies that the nurse can modify the care plan based on the shift report. While shift reports are essential for continuity of care, the initial review of the care plan is more about understanding the existing plan and adapting it based on the patient's condition, not just the shift report.
D. Skip the shift report and begin with the initial assessment: This option is not appropriate. Both the shift report and the initial assessment are crucial components of patient care. The shift report provides important information from the previous nursing staff, and the initial assessment is the first step in understanding the patient's current state.
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