hope4ccns

I hate select all that apply! I think that every nursing student does. I select based on abcs, stability, and safety. I cross out incorrect answers and underline key words. I also google practice quizzes online. Good luck.

You are absolutely right. I did not mean to imply ALL nurses. I started by saying that I have met so many amazing nurses, they far outweigh the ones that have been difficult to work/learn from. You have helped me on this site before and your knowledge and experience is admirable. I also understand that they don't all need to "teach" but professionalism is expected. I guess my title was a bit general. I just returned from a seminar at the hospital regarding lateral violence amongst nurses as well. This is a topic that as a pre-nursing student didn't even know existed but I've seen it on the floor especially with novice nurses. My point was not to bash any nurse or the profession but recalling what being/becoming a nurse means to each individual.

I'm in my last semester of nursing school and have met so many amazing nurses in my clinical experiences. These nurses were patient and willing to take a minute in their busy day to teach or allow me observe. Of course I have also met nurses who wanted nothing to do with us students. I've had nurses roll their eyes at me when being assigned a student, nurses introduce themselves by telling me "stay outta my way", nurses that don't want me to do anything with their patients, nurses that say "your assessments don't count, you're just a student", I've had nurses say "I don't get paid to teach", nurses that have been mean and rude. Why??? Haven't these nurses been new? Students Eager to learn? So last week on Medsurge unit in our "teaching hospital" I knew I was in for a long day when I saw my assignment. I worked with this nurse once and had heard nothing but horror stories from other students. I started by introducing myself [received an eye roll], and let her know my assignment included med administration, labs (blood draw from central line), general nursing care, and of course shift assessments. Her response a sarcastic "great". I prepared my meds and discussed them with my instructor. As we headed into the room to administer the nurse was already there giving meds. "You took too long" she said. I apologized and explained I needed to do them with my instructor. She also did the blood draw. My day went on like this. Frustrated I caught her at the nurses station and asked if we could talk. I asked her "what made you want to be a nurse? Do you remember being a student?" She didn't answer. Then I said " I feel like I am an inconvenience, I want nothing more to be a great nurse and in order to do so I need to learn from someone with the same passion". I then walked away. 30 minutes later she came up to me and said that she thinks we have it easy. Computers and nclex prep courses we are just taught to pass an exam. Although I don't fully disagree I did explain that the nursing field is growing and medical advances, increasing comorbitities, and advancing technology does not make it any easier to learn. She then said "I wanted to be a nurse to take care of people, to be respected, and to make a change... I almost forgot". Aside from my end of shift report we didn't talk again. Since this day my fellow students have said she's a great nurse, willing to teach and patient. Moral of my king story -- stick up for yourself and never forget why you want to be a nurse.

Hello I am working on a careplan and need 1 more diagnosis. My problem is that I can't figure which is the right one for my patient! My patient suffers from MS and has had an acute exacerbation causing full body weakness and malaise. I have 3 Dx already but I need 1 more with, goals, 5 interventions, and rationales. While completing my assessment my patient stated that his wife walked on out on him a few months back and he's still trying to deal with it all. He wouldn't tell me why other than "she'd had enough" He explained to me that that he doesn't have much of a support system and feels alone. He has a roommate who works a lot and leaves for 4 months out of the year. He has a sister that lives an hour away and some friends that are good but "busy with their own lives". He seems to have a reasonable understanding of his disease and what triggers an exacerbation. I was hoping to find a Dx based on this info. These are the nursing diagnosis that I'm struggling with Interrupted family process - looking at the rationales and goal examples it seems that since the wife is completely out of the picture this may not be the right Dx Risk for loneliness- again looking at the book it does't seem to fit Hopelessness - I don't fel like he was hopeless just sad What I would like is risk for depression - which is not a real Dx. Maybe I'm completely off and it should be innefective coping I feel like my post makes no sense! Any advice please help! Thank you!

So I made it through my 1st semester! This sounds like a small feat but to all of you out there going through it, you know it's a milestone! I can't believe how much I have learned in one semester. From learning how to make a bed and take a blood pressure to giving injections, meds, monitoring patients, providing treatments, dressing changes, to understanding how to make an individual plan of care. It's amzing and there is so much more ahead! With that in mind I would like to thank the AN community. Not only was the help and advice I received invaluable but to have so many people going through it with me was so encouraging. Thank You!

I don't see grinding as a side effect to any of her meds. She was admitted for dysphagia, secondary dx or history are GERD, 1st degree AV block, osteoarthritis, and osteopenia. Thanks!

She has Parkinson's. Could it be a manifestation of that? I don't see it as a symptom in my books but tremors increase with concentration could teeth grinding be a motor function affected by PD? She doesn't use the adaptive equipment because she believes it makes it harder. I used deficient knowledge r/ lack of information for that. I was thinking along the anxiety lines as well. Thanks all for the advice so far!

Hi I need help with my care plan! I have done all of my assessments and come up with 15 abnormal findings for my patient. We are required to have a 3 part nursing diagnosis for each finding. I am having a hard time finding a nursing diagnosis for teeth grinding. My patient is 85y/o c/o teeth grinding. She has recently (within the last month) noticed that she is grinding her teeth constantly. During my observations I noticed that the grinding was worse when she was focusing or having a hard time with a task. She has a hard time getting dressed, she has shoulder pain, tires easily, feels weak and refuses to use adaptive equipment, this is where I noticed the grinding was worst. I've already done diagnosis r/t the shoulder pain, tires easily, feels weak and refuses to use adaptive equipment. I just really don't understand what diagnosis to use for the teeth grinding. I was thinking Dressing self-care deficit r/t weakness aeb teeth grinding while dressing.Or perhaps the teeth grinding is stress induced and it should be ineffective coping r/t loss of function aeb teeth grinding during ADLs. (does that even make sense?) Or maybe it's an extrapyramidal symptom to a med? I am so confused! Help is greatly appreciated!

Thank you! This will be very helpful!

Hello I'm doing a culture paper on Mexican Americans and healthcare in the US. In addition to barriers such as utilization, diet/exercise, etc I am looking for info on Mal de Ojo (Evil Eye). I know about this only through Mexicans that I have spoken to and Wikipedia(which does not reference it's info). I know that many cultures have their own beliefs with the Evil Eye but I am looking for information that I can count as credible. Does anyone know of any websites, articles, or books that may be helpful?

I LOVE my MacBook! I've had also had a Dell and Hp...the Mac is by far the best I've had and lasted the longest so far. It's a little more but well worth it.

So true! I am a mother, work, and go to school full time. I haven't slept since September! Everyone has something going on...there's a girl in my group who gets all A's on her exams and thinks she knows everything (although she struggles in the clinical setting). No one wants to work with her because she belittles everyone, the other day I was discussing the exam with another classmate (87% score) and she says "You guys are younger than me there's no reason why you shouldn't have more time to study as much, if you just study more you an get A's" She's maybe 10 years older than me tops (I'm 30)..what does age have to do with anything (and since when is 30 so young?). But she's also told other students that they are fat so she can't hear their apical pulse, or they are shaky and she doesn't think they should inject. Some people are just like this...

Yikes! I will say first that being prepared is key. I also think this is so unsafe...not only did we have to practice injections on pads, but we had to give each other(students) injections before we were allowed to give flu shots. As for moving patients we check the patients chart to see how much assistance they need and we add 1 (since it's 1st semester). So if it's 1 assist we get another student or CNA to help us. Find out if your school has open lab or if there are any 2nd year students willing to help you. I agree with the other posts...if your school isn't accredited I would try to get out...even if they are up for accreditation soon it doesn't seem like you are getting the education you need.

Social life? Who has time? I'm in my first semester and I'm seeing my "friends" quickly drifting away! My friends don't undertand how difficult this program is.... or why I don't have time. When I do see my friends I feel like I'm out of the loop since I have no clue whats going on with who!My priorities have also shifted and I've met some great people in the program...so instead of friday night drinking and dancing with the "girls" it's friday night library study group!

Blood pressure cuff, clipboard, recorder(if you like listening again) , index cards (flashcards are very helpful) , Stickie notes (very handy), calculator, stapler, hole punch! Highlighters and good pens. Good luck!