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The home health nurse is visiting the home of a client that has been diagnosed with a brain tumor. The family states that the client has been having more frequent seizures. What nursing care should be provided? (Found in ...

The home health nurse is visiting the home of a client that has been diagnosed with a brain tumor. The family states that the client has been having more frequent seizures. What nursing care should be provided? (Found in Adult Med Surg Review Module) • Maintain airway (monitor oxygen levels, administer oxygen as needed, monitor lung sounds). • Monitor neurological status — in particular, assessing for changes in level of consciousness, neurological deficits, and occurrence of seizures. • Maintain client safety. (Assist with transfers and ambulation, provide assistive devices as needed.) • Implement seizure precautions. • Administer medications as prescribed. The nurse is collaborating with the health care team to create a plan of care for a client following a stroke. Explain the nurse’s role in continuity of care. The nurse role in continuity care is a coordinator, documentation, communication, consultations, referrals, transfer and discharge planning. An elderly client is being discharged from the hospital to home following a long hospitalization. What are some community resources that the nurse should initiate referrals for this client? • Specialized equipment (cane, walker, wheelchair, grab bars in bathroom) • Specialized therapists (physical, occupational, speech) • Care providers (home health nurse, hospice nurse, home health aide What behaviors would indicate to the charge nurse that one of the nurses could be experiencing countertransference? (Found in the Mental Health Review Module) • Nurse overly identifies with client • Nurse competes with client • Nurse argues with client List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain their importance. 1. PATIENT-CENTERED CARE: The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values. 2. TEAMWORK AND COLLABORATION: The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes. 3. EVIDENCE-BASED PRACTICE: The use of current knowledge from research and other credible sources on which to base clinical judgment and client care. 4. QUALITY IMPROVEMENT: Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs. 5. SAFETY: The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. 6. INFORMATICS: The use of information technology as a communication and information-gathering tool that supports clinical decision-making and scientifically-based nursing practice A client's wife calls the charge nurse to the room and states she is very angry with the nursing staff because her husband is "not receiving adequate nursing care". What problem solving strategies should the charge nurse use in this situation? • Conflict Management Strategies: Identify the problem – State it in objective terms, minimizing emotional overlay. • Discuss possible solutions – Brainstorming solutions as a group may stimulate new solutions to old problems. Encourage individuals to "think outside the box. "Analyze identified solutions – The potential pros and cons of each possible solution should be discussed in an attempt to narrow down the number of viable solutions. Select a solution – Based on this analysis, select a solution for implementation. Implement the selected solution – A procedure and timeline for implementation should accompany the implementation of the selected solution. Evaluate the solution's ability to resolve the original problem – The outcomes surrounding the new solution should be evaluated according to the predetermined timeline. The solution should be given adequate time to become established as a new routine before it is evaluated. If the solution is deemed unsuccessful, the problem-solving process will need to be reinstituted and the problem discussed again.