Leadership BP - Exam 2

The charge nurse should intervene immediately when what observation is made?

*A nurse is documenting and the computer screen is visible to others*

A new nurse is given probationary employment in a healthcare facility under the supervision of a senior nurse. What aspects of the new nurse's behavior should the senior nurse consider during the probationary period? Select all that apply.

*Ability to get along with coworkers* *Punctuality related to work* *Minimal use of sick leave*

What should the graduate nurse consider when preparing for the National Council Licensure Examination?

*Allow ample travel time to the test venue.*

The nurse is locating material on the Internet to aid with teaching a client about an upcoming surgical procedure. What should the nurse do before using the material for this teaching?

*Check the content of the material for accuracy.*

The new graduate taking the NCLEX-PN examination receives a question asking about a client's advance directives. What category of client needs is the question addressing?

*Coordinated care*

While studying for the National Council Licensure Examination, the graduate nurse is determining the extent in which a client's goals have been achieved after care. Which phase of the nursing process is this situation measuring?

*Evaluation*

The licensed practical/vocational nurse is beginning employment at a nursing home. Which role can the nurse assume when providing client care?

*Function as a charge nurse*

During the National Council Licensure Examination, the graduate nurse is answering a question about childhood immunizations. The nurse recalls this content is within which category of client need?

*Health promotion and maintenance*

*Selfcare, retirement considerations, networking* (page 1870-1871)--*Self-Fulfillment*

Several factors contribute to the nurse's feelings of satisfaction and fulfillment, both professionally and personally. These factors include >Knowing one's self and one's values and goals >Living in the present, but having a plan for the future and working toward future goals >Being self-reliant; taking responsibility for one's own actions >Desiring to help others >Considering situations to be challenges and opportunities, not problems >Demonstrating self-direction and self-improvement >Learning how to manage money >Developing leisure time activities and friendships >Maintaining flexibility and a positive attitude

*Becoming a licensed nurse - NCLEX preparation, taking the NCLEX, permits, personal file* (page 1861-1859-1869-1870) -- *Permits*

*In some states, new nursing graduates are issued a "permit" to practice and are called "graduate nurses" or "graduate practical nurses" until they receive a license.* Other states do not issue permits; new graduates are required to practice as nursing assistants until licensed. Usually, these nurses are paid less until they prove they have passed the licensure examination. *If a nurse working under a permit does not pass the examination on the first writing, the permit is often revoked, and the person is required to work as a nursing assistant until fully licensed.* (Procedures vary among states.) In some cases, this person is allowed to continue to practice as a "graduate nurse." *Most states allow only a limited number of attempts to pass the examination (usually two); then if the graduate has not passed, he or she must take a refresher course and pay an additional fee to be allowed to take the examination again.*

A nursing student sitting for the National Council Licensure Examination (NCLEX) is to answer a question related to bereavement care. What category of client need does this question measure?

*Psychosocial integrity*

The nurse is taking a telephone order from the healthcare provider but the order is unclear to the nurse. What is the priority action by the nurse?

*Read back the order to clarify*

The nurse is preparing a personal file to use when interviewing for nursing positions. What should be included in this file? Select all that apply.

*Record of all continuing education courses and certificates awarded* *Copy of current cardiopulmonary resuscitation certification card* *Copy of original nursing license*

A new nurse graduate is driving back home after the first night shift. What action should the nurse consider to assure a safe drive?

*Sing or hum songs while driving.*

A new graduate was unsuccessful when taking the NCLEX-PN examination the first time. What can the graduate do to improve the chance of success when repeating the test?

*Take a review course*

The nurse has been notified that the license to practice nursing has been suspended. Which activities could cause a nurse's license to be suspended? Select all that apply.

*Taking money out of a client's wallet in the bedside stand* *Taking a client's medications for personal use* *Providing a client with a medication that was not prescribed*

The nurse delegates the transcription of healthcare providers' orders to the unit secretary. Who will maintain responsibility for accuracy and implementation?

*The nurse*

*Becoming a licensed nurse - NCLEX preparation, taking the NCLEX, permits, personal file* (page 1861-1859-1869-1870) -- *Personal File*

--*A copy of the original nursing license and of each renewed license, as well as the NCLEX notification of initial licensure.* (These documents are particularly important when seeking licensure in more than one state or in another country. Each state may require a copy of the license or license number.) Keep track of the license's expiration date and make sure to renew in a timely manner. --*A record of all continuing education courses*; in some states, a copy of completion certificates must be submitted with license renewal applications. Requirements for continuing education vary among the states and provinces. Make sure you keep a file of all required information, in case you are audited. --A copy of any advanced or specialized certification received. --*Copies of immunization records* and most recent tuberculin testing (or negative chest x-ray) and rubella titer information. (Some employers require or strongly recommend hepatitis and other specialized immunizations, in addition to routine immunizations.) --*A copy of current cardiopulmonary resuscitation (CPR) certification.* Most facilities require current CPR certification for continued employment. Copies of all high school, college, and nursing school transcripts, as well as any additional education received. --A complete record of previous work experience, with dates of employment, copies of written evaluations, and name, address, and telephone number of immediate supervisor(s), and other references. (Make sure your references have agreed to be listed if you apply for employment.) --*A copy of your personal resume* (keep it updated) --*A copy of your professional liability insurance policy.* --*Birth certificate and/or passport, or resident alien card/work permit ("green card").* (These documents are required for employment in the United States and in most other countries.) Social Security card (required for employment in the United States). --*Any other pertinent information*, such as volunteer work, organizational offices held, and pertinent community activities. --Records of income and job-related professional expenses for tax purposes. (Professional expenses include malpractice insurance premium, fees and expenses for continuing education, licensure renewal fee, and costs of required uniforms and professional journals and books required for continued employment or licensure. These may be tax-deductible.) --If your license applicated is audited, you will greatly benefit from having an organized professional file.

*Differences in night shifts/day shifts, probationary period* (page 1860-1868) --*Probationary Status*

--*In most healthcare facilities, new graduates are required to practice for a certain period, often 6 months, as a "nurse intern," "orientee," or "nurse resident." This employment is considered probationary, and full employment status begins after the person satisfactorily completes probationary requirements.* --Usually, this nurse does not receive paid vacation or full benefits until the probationary requirement is met. --Each healthcare facility species criteria for removing probationary status. Many facilities require the new graduate to pass a written and skills test in medication administration and/or mathematics. --Some facilities require the nurse to pass an examination in a specialty area, such as pediatrics or obstetrics, before being allowed to work in that area. --In addition, facilities sometimes require a mentor or orientation instructor to work with and evaluate the probationary nurse on commonly performed nursing skills. --*The probationary period gives both the employer and employee an opportunity to determine if this job placement is appropriate. Such factors as punctuality, dependability, minimal use of sick leave, and ability to get along with coworkers and clients are considered, in addition to basic nursing skills.* --In most cases, an employee in the probationary period can be terminated without due process. After the new nurse has successfully passed probation, he or she is usually eligible to use vacation time and cannot be terminated without cause and without due process.

*Internet and nursing responsibilities* (page 1866-1867)

--*The Internet (World Wide Web [WWW]) is an enormous source of information about medications, diseases, or new nursing procedures.* --*Chat rooms and bulletin boards allow communication with experts who will answer questions and give additional information.* (These experts may be in countries other than the United States, providing an international perspective.) --*Interactive forums and Webinars relating to nursing and medical topics are offered. Most nursing organizations, state boards of nursing, voluntary health agencies, health promotion agencies, and health maintenance organizations (HMOs) have Websites.* --Some Websites provide abstracts of journal articles, entire articles, bibliography lists, clinical updates, and speeches from medical conferences. --Some journals, book reviews, and entire books are available online. Many useful Websites are listed in the Web Resources for this text, provided on . --Signing up for a specialty mailing list via an electronic mailing list (*Listserv*) allows one to *send and receive information related to that specialty*. The participant can communicate with individuals in the group via email. Nursing Listserv topics include home care, IV therapy, maternal-child, surgery, psychiatry, neurology, nursing education, research, and many other subjects. --The Internet is particularly valuable to students, people in rural areas, and those who do not have access to a large library. Remember too that Websites are usually updated regularly, so information may be more up-to-date than printed material. --*Continuing education programs* are offered via Internet, and applications for specialized credentials are available. A certificate of completion can usually be printed at the end of online classes. --The Internet also lists *employment opportunities* ("electronic classifieds"). In most cases, the resumé and application is submitted via the Internet. --A great deal of *client teaching information* can be downloaded from the Internet. The nurse must screen this material before giving it to the client, to ensure it is not too overwhelming or too technical. Be sure to be available to answer Questions. *Nursing Alert*: *It is important to double-check Internet information for accuracy. Although most information is accurate, errors may occur.*

LVN's role and responsibilities, limits, scope of practice (TORB, assessments, etc.) (page 1863-1865) --*Functions*

--According to the National Federation of Licensed Practical Nurses (NFLPN) Website (www.npn.org), in 2015, "the LP/VN provides client care in collaboration with a registered nurse, healthcare provider, or dentist. --They are prepared to function as a member of the healthcare team by exercising sound nursing judgment, based on preparation, knowledge, skills, understanding, and past experiences in nursing situations. --*The LP/VN participates in the planning, implementation, and evaluation of nursing care in all settings where nursing takes place. Generally, this means providing for the emotional and physical comfort and safety of clients; (and) observing, recording, and reporting to appropriate persons, changes in clients' symptoms and conditions; (and) performing more specialized nursing functions, such as administering medications and therapeutic treatments, and assisting with rehabilitation."* --The Website goes on to give examples of LV/LPN nursing functions. --The U.S. Department of Labor Website (http://www.dol.gov/) states in its Occupational Outlook Handbook, 2010-2011 Edition, that "LV/LPNs care for people who are sick, injured, convalescent, or disabled under the direction of healthcare providers and registered nurses . . . they provide basic bedside care." --*(Where the law allows), "LPNs may administer medications, start intravenous fluids, and provide care to ventilator-dependent (clients) . . . Experienced LPNs may supervise nursing assistants and aides . . . LPNs in (long-term) nursing care facilities help to evaluate residents' needs, and develop care plans . . . They can advance to become charge nurses.*

*State Board of Nursing - licensing requirements, differences from state to state and international, granting/revoking/suspending a license, reciprocity and endorsement* (page 1859-1862-1863) --*License Transfer Between States*

--After becoming licensed, a nurse may wish to move and transfer his or her licensure to another state, territory, or province. *This procedure is known by several terms, including interstate endorsement, reciprocity, or licensure without examination.* To become licensed in another state, a request must be made to the new state's licensing/regulating agency. The nurse is required to complete an application and pay a fee. Because the NCLEX examination is used in all states and territories, license transfer is usually very easy. *Most states do not require an examination, if the nursing program from which the nurse has graduated meets the new state's educational requirements and the NCLEX has been passed.* --To locate the proper agency to contact for initial licensure or transferring a license, look on the Internet for the agency, usually in the state or territory's capital city. In Canada, contact the Canadian Nurses' Association in Ottawa. The National Council of State Boards of Nursing (NCSBN) Website lists names, addresses, phone numbers, and Websites of all licensing agencies in the United States and its territories (www.NCSBN.org). (This Website also describes the NCLEX examination.) In addition, some textbooks list all state licensing agencies. Usually, the application to transfer a license can be obtained via the Internet and printed out on one's computer. *In many states and territories, the licensing agency for nurses is called the State Board of Nursing or simply the Board of Nursing.*

*Selfcare, retirement considerations, networking* (page 1870-1871)--*Financial Planning and Retirement*

--Financial security is important, so plan a personal budget. Be realistic—money never goes as far as one thinks it will. Although it is difficult for a new graduate to think of retirement, early planning is essential. Be aware that to receive Social Security payments and Medicare at retirement, a certain number of eligible quarters must be worked and entered into the system. Even if the employer has a private or employer-sponsored retirement or investment plan, it is a good idea for the employee to pay into Social Security as well, if this option is available, even if this is not required by local law. Social Security benefits continue to change. Younger workers need to be in the system longer before becoming eligible for benefits. In addition, Social Security benefits are usually not sufficient to support oneself without a supplemental source of income after retirement. --Many nurses are women and may take time off to raise children. Therefore, it is important to build up as much retirement security as possible. Some healthcare facilities, particularly those administered by governmental units, have a built-in retirement plan. If this is not the case, it is important to invest in some sort of retirement and/or annuity plan. (These plans are available to those who have other retirement plans as well.) These funds can grow quickly when an amount from each paycheck is set aside and put into the fund. Many employers provide access to funds such as 401(k), Roth IRA, or tax-sheltered annuities. These provide a convenient and secure way to build a growing fund. In addition, many nurses have access to a credit union through their employer. Credit unions provide a number of benefits to their members, including automatic payroll savings deductions, free checking accounts, and low-interest loans. --There are often employment incentives for nurses. Some employers offer a sign-on bonus, if the nurse stays for a specified length of time. These bonuses may be based on the area in which the nurse chooses to work. In addition, nurses may receive a referral bonus if they recruit another nurse to the facility or agency and that person is hired. In some areas of the country, a nursing shortage exists. Sometimes, nurses are paid a moving allowance or a monthly housing allowance if they come to work there. Some employers are willing to help new graduates pay student loans, as well as paying for additional education for employees. Some facilities pay educational costs for nursing assistants to become LV/LPNs and then go on to become RNs. (Many LV/LPNs are able to go back to school and become RNs in this way.) The Armed Forces often also financially assist persons to become nurses, if they enlist for the service after graduation

LVN's role and responsibilities, limits, scope of practice (TORB, assessments, etc.) (page 1863-1865) --*Telephone or Verbal Orders*

--Ideally, all orders are "signed" by a provider on the computer or paper. In emergencies, verbal or telephone orders may be necessary. Healthcare facilities vary regarding who may legally take telephone or verbal orders. --The LV/LPN in acute care may take telephone or verbal orders only if the practice is clearly permitted by institutional policies. --(LV/LPNs usually may receive verbal/telephone orders in long-term care, the clinic, or ambulatory care.) Rationale: *Verbal/telephone orders are more subject to errors and disagreement than written or computerized orders. The nurse taking them and carrying them out must take responsibility for their accuracy. The nurse taking a verbal order must be sure the order is clearly understood and should question anything that is unclear. If an order is questioned, it cannot be carried out until it is clarified. It is important to "read back" all telephone or verbal orders.* --The order is then written or entered into the computer. TORB indicates "telephone order, read back" and VORB indicates "verbal order, read back." The nurse adds the ordering person's name and title and cosigns the order. --The provider giving a verbal or telephone order must sign or acknowledge it (no later than 24 hours after given, in acute care). *Orders, such as those for certain client safety devices/restraints, must be cosigned by the provider within 1 hour.*

*Differences in night shifts/day shifts, probationary period* (page 1860-1868) --*Working the Night Shift*

--In some instances, new graduate nurses may be required to work the night shift. Some individuals may choose to work nights because this fits their lifestyle. Working nights can be advantageous. --*Usually, there is a pay differential, traffic to and from work is less, and parking is easier and often less expensive. Days and evenings are free for other activities, for example, attending school or family activities, shopping when stores are less crowded, or walking and exercising during safer daytime hours. It is possible to make daytime appointments for services, such as dental care and car repair. Access to child care services may not be necessary, because one's partner is home at night. The work may be less physically demanding. Although typically, fewer medications and treatments are given at night, more time may be available to talk with clients, if they are awake. If a nurse is taking classes, there may be time to study or do research on the Internet.* --*There are also disadvantages to working nights, some of which have been mentioned. The work may be less interesting, and it is possible that the nurse may not be able to interact with clients, because they are sleeping. The nurse's family members may have difficulty adjusting to the routine. Managing one's sleep schedule may be challenging and may contribute to obtaining less total sleep. Nurses with specific health challenges (e.g., diabetes, seizure disorders, gastrointestinal disorders, bipolar disorder, chronic obstructive pulmonary disease, and heart disorders) may be at risk when working nights. However, many nurses work permanently at night by choice.*

*CEU's - requirements, definition* (page 1862)

--Most states require a specified number of hours or continuing education units (CEUs) for licensure renewal. --In some states, specific courses, such as infection control, are required as part of the CEU courses. --Usually, a record of the presenter's name and professional credentials, the objectives and length of the course, and the certificate of completion must be kept on file. --Other information may also be required by your licensing agency. --This information may be sent in with the license renewal or may only be needed for an audit. --The CEU requirement is an opportunity to stay updated; the goal is to improve the quality of nursing care. --Take advantage of these courses to improve skills. --Many healthcare facilities offer educational opportunities free or at a low cost. --The Internet offers a wide variety of continuing education courses for nurses. --In addition, articles providing CEUs are found in nursing journals, such as the American Journal of Nursing (AJN). --Many private companies offer continuing education courses free or for a small fee. --Satisfactory completion of a test may be necessary to obtain CEUs, if the course was taken by correspondence or on the Internet. --In many cases, CEUs can be awarded immediately on completion of the course, and the person can print out a certificate online; in other cases, a certificate of completion will be mailed. --If results are needed immediately, most educational organizations will fax the certificate for an additional fee. --*Each nurse is required to keep CEU information on file, in case it is required by the licensing agency*

Competencies tested - data collection, planning, implementation, evaluation (page 1863-1864) --*Entry Level Competencies*

--The LV/LPN needs to demonstrate the following entry-level skills (competencies): *Data collection*: Collects data about clients' basic physical, emotional, spiritual, and sociocultural needs; uses knowledge of normal values to identify deviations; documents data collection; communicates findings. *Planning*: Contributes to development of nursing care plans; prioritizes nursing care needs; assists in review and revision of nursing care plans. *Implementation: Provides nursing care; communicates effectively; collaborates with team members; instructs clients and families.* *Evaluation*: Seeks guidance, as needed; modifies nursing approaches, based on evaluation of nursing care. *Member of the healthcare team*: The LV/LPN complies with standards of practice outlined in the nurse practice act of the state, territory, or province in which licensed; describes the role of the LV/LPN to others; maximizes educational opportunities; identifies personal potential and considers career mobility (additional education, responsibility, and status); identifies personal strengths and weaknesses; adheres to a nursing code of ethics; functions as a client advocate. *Managing/supervising*: The LV/LPN appropriately manages own actions when providing nursing care; assumes responsibility for nursing care delegated to unlicensed assistive personnel (UAP), particularly in the nursing home. *Political activism*: Is aware that as a nurse he or she affects nursing and healthcare through political, economic, and societal activities. The graduate nurse is expected to perform these skills. These skills are not isolated to one client or one situation. Rather, they are intertwined, requiring the graduate nurse to be focused, adaptable, flexible, and organized.

*Becoming a licensed nurse - NCLEX preparation, taking the NCLEX, permits, personal file* (page 1861-1859-1869-1870) -- *NCLEX Preparation/Taking the NCLEX*

--The best way to ensure success on the examination is to study throughout the entire basic nursing program. If material is mastered during the program, the student should have little difficulty passing the examination. *Try not to "cram" for the examination just before taking it.* --If desired, review and practice materials are available, including outline review books, practice questions (and answer explanations, describing why an answer is correct or not correct), and CDs with questions and answers. Computerized test banks with questions (and accompanying answers) actually simulate the test-taking experience. There are a number of ancillary materials accompanying this textbook, as well as related Websites, to assist students in preparing for the examination. --On the night before the test, relax and get plenty of sleep. On the morning of the test, eat a good breakfast and dress comfortably. *Make sure to have the agency-issued identification information and your government-issued photo ID (e.g., driver's license or passport) for admittance to the examination.* *Know beforehand how to get to the examination site and where to park; allow ample travel time.* --*If you do not pass the examination the first time, several options are available.* Maintain a positive attitude and remember you can repeat the examination. *Consider taking a review course before repeating the examination—helping recall skills in areas of concern and building your self-confidence.* Most review courses include practice tests which can help you overcome "test anxiety" and make you more comfortable when retaking the examination. (Often, a review or preparation course is required before a candidate is allowed to retake the examination. This varies among states but is usually required if the candidate needs a third attempt.)

*State Board of Nursing - licensing requirements, differences from state to state and international, granting/revoking/suspending a license, reciprocity and endorsement* (page 1859-1862-1863) -- *Licensing Revoking/Suspending*

--The state board must notify the nurse before it takes action to suspend or revoke a license. Usually this is published and the nurse and involved others have an opportunity to present their case at a formal hearing. Actions that may be taken include: denial of license renewal, denial of first license, letter of reprimand, suspension or revocation of license, or placement of the nurse on formal probation. In some cases, specific conditions for full reinstatement are set out. If the nurse is convicted of serious misconduct, willful negligence, or a felony related to nursing care, the license may be permanently revoked, with no opportunity to reinstate. However, this is rare --If a nurse's license is suspended or revoked, the nurse cannot legally practice nursing until the license is reissued. A valid license is known as an unencumbered license. *Examples of causes*: >Conviction of a felony >Conviction of other crimes, such as child or elder abuse >Substance use disorder, compulsive gambling, or other addictive behavior (until it is controlled), including several arrests for driving while intoxicated or driving under the influence of alcohol or other drugs (DWI/DUI), or arriving at work under the influence >Stealing medications, particularly "schedule" drugs >Stealing from a client >Sexual harassment of a coworker or client >Mental incompetence/uncontrolled mental illness >Fraudulent acquisition of, or renewal of, a nursing license >Violation of the state nurse practice act (e.g., practicing medicine or prescribing medications without a license) >Suspended or revoked license in another state >Willful neglect or abuse of a client >Sexual activity with, or sexual harassment of, a vulnerable client (nearly all clients are considered to be vulnerable) >Inappropriate contact with a client after discharge from the hospital, particularly those deemed to be vulnerable (e.g., children and psychiatric clients) >Proven negligence in nursing practice >Conviction as a sexual predator

*Selfcare, retirement considerations, networking* (page 1870-1871)--*Balancing of Work and Personal Responsibilities and Activities*

Although an individual will spend a great deal of time at work or thinking about work, it is important to have outside interests and hobbies. It is important to be able to relax and have fun after the busy day at work. There are many low-cost ways to do this. The new graduate will find that the flexibility of scheduling in nursing can fit very well into family and personal life. Often, the new income as a nurse helps enhance the quality of family life as well. Be sure to include physical activities in the recreational plan.

*Selfcare, retirement considerations, networking* (page 1870-1871)--*Personal Life*

One's work life is interrelated with one's personal life. Be sure to have regular health, dental, and eye examinations. Maintain current immunizations and tests such as purified protein derivative (PPD), mammograms, or prostate-specific antigen (PSA) determination. (Most employers have health, dental, disability, and life insurance plans available at low cost to the employee and sometimes to his or her family.) All these factors help to ensure a safer and happier life

*State Board of Nursing - licensing requirements, differences from state to state and international, granting/revoking/suspending a license, reciprocity and endorsement* (page 1859-1862-1863)

Licensing requirements include completion of a basic nursing program and passing of the NCLEX exam.

*Selfcare, retirement considerations, networking* (page 1870-1871)--*Networking: Personal and Professional Contacts*

The term networking refers to a person's personal and professional connectedness. The electronic address book, BlackBerry, Facebook, email, chat rooms, and other Internet sources are invaluable tools in *finding employment, learning about new opportunities and classes, and learning about new developments in medicine and nursing*. This is a person's professional network, which usually contains a number of contacts, many of which may be superficial and related only to work. Keep this network up-to-date for future reference. The personal network, which includes family and close friends, is more close-knit and involves interdependence with a smaller number of people. This is marked by closer interaction. Both types of networking involve contact with other people, either in person, by mail, or electronically. The difference lies in the depth and intimacy of the contacts. The new nurse will find that keeping track of contacts throughout a career can prove very beneficial—both for the nurse and for the other people. It is impossible to predict when a question or concern will surface that can be addressed by one of the people in one's network of contacts.

*Category of client needs - health promotion, psychosocial integrity and 2 others* (page 1860, 1861)--*Safe, effective care environment*

collaboration with healthcare team, to facilitate effective client care assignments and rights, management, confidentiality, continuity of care, priorities, ethics, informed consent, legalities, quality assurance, and referrals) environmental hazards (including: accident/error prevention, hazardous materials, safety, disaster plans, asepsis, incident reporting, variances, precautions, and safety devices)

*Category of client needs - health promotion, psychosocial integrity and 2 others* (page 1860, 1861)--*Health promotion and maintenance*

growth and development; prevention/early detection of health problems (including: aging, ante/intra/postpartum/newborn care, developmental stages, disease prevention, body image changes, family interaction, family planning, risk behaviors, sexuality, immunizations, and self-care)

*Category of client needs - health promotion, psychosocial integrity and 2 others* (page 1860, 1861)--*Psychosocial integrity*

promotion/support of emotional, mental, and social well-being (including: abuse/neglect, behavioral/crisis intervention, coping, cultural awareness, end-of-life, grief/loss, religious/spiritual influences, sensory/perceptual alterations, stress management, substance-related disorders, disruptions in mental health, suicide, therapeutic communication, and body image changes)

*Category of client needs - health promotion, psychosocial integrity and 2 others* (page 1860, 1861)--*Physiologic integrity*

reducing clients' risk potential; assisting with management of health alterations, considering all body systems >*Basic care and comfort*: assistance with daily living (ADLs) (including: assistive devices, elimination, mobility, nonpharmacologic interventions, nutrition/hydration, palliative/comfort care, hygiene, and rest/sleep) >*Pharmacologic therapies*: administering prescribed medications; monitoring of clients receiving parenteral therapies (including: pharmacologic agents/administration/actions; therapeutic effects, and unwanted side effects) >*Reduction of risk potential*: reduces potential for clients to develop complications/health problems related to treatments, procedures, or existing condition (including: diagnostic tests/treatments/procedures/surgery, laboratory values, therapeutic procedures, and vital signs) >*Physiologic adaptation*: providing care for clients with acute, chronic, or life-threatening physical conditions (including: alterations in body systems, pathophysiology, fluid/electrolyte imbalances, emergencies, and unexpected response to therapies)