<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:blogger='http://schemas.google.com/blogger/2008' xmlns:georss='http://www.georss.org/georss' xmlns:gd="http://schemas.google.com/g/2005" xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-1666339650521725523</id><updated>2024-09-14T09:14:20.017-07:00</updated><title type='text'>nurse</title><subtitle type='html'></subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default?redirect=false'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><link rel='next' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default?start-index=26&amp;max-results=25&amp;redirect=false'/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>187</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6929538887925066609</id><published>2013-12-26T02:02:00.001-08:00</published><updated>2013-12-26T02:02:11.379-08:00</updated><title type='text'>lyriko</title><content type='html'>&lt;br /&gt;
Lyrics of The Yes Yes Show – Parokya Ni Edgar&lt;br /&gt;
*You better get ready for a big surprise&lt;br /&gt;
You think its almost over but it’s only the rise&lt;br /&gt;
Mental message via visual contact&lt;br /&gt;
Nutter than men with a sexual soundtrack&lt;br /&gt;
&lt;br /&gt;
Mo margarita for my cute seniorita&lt;br /&gt;
Triple the tequila just to hotten up the flavor&lt;br /&gt;
Joggin down on my JNB&lt;br /&gt;
While checkin up the fatso my dicks anatomy&lt;br /&gt;
Like trinity its like how with the keeps and&lt;br /&gt;
Controlling the game with my heavy duty joystick&lt;br /&gt;
[repeat *]&lt;br /&gt;
&lt;br /&gt;
Flip the tip and skip to the next trip&lt;br /&gt;
Flashin some cashin some rock star bullshit&lt;br /&gt;
Goin in for this club movin in for the killer&lt;br /&gt;
Gad ell some room and a fancy butte liam&lt;br /&gt;
We got everything we need a big bag of money&lt;br /&gt;
A big a bag of wheat and try to impress out this thoughts to endress&lt;br /&gt;
Stop the press we need to get this&lt;br /&gt;
[repeat *]&lt;br /&gt;
&lt;br /&gt;
I’d like to keep it going cause I gotta go unknown&lt;br /&gt;
But it’s gevinchi turn on the microphone so…&lt;br /&gt;
My name is gevinchi and I am neat&lt;br /&gt;
I love pretty girls and I love to eat&lt;br /&gt;
I made this rap from my mind and I am very very kind&lt;br /&gt;
I like to drive faster than fancy cars and chicks dig me like chocolate bars&lt;br /&gt;
You say I’m bad but I am good so shut up now and eat some food&lt;br /&gt;
&lt;br /&gt;
Tsong ano bang problema mo ayusin mo naman&lt;br /&gt;
Lagyan mo naman ng tono para kang nangangatwiran&lt;br /&gt;
Ano bang inaatupag mo sa bago mong apartment&lt;br /&gt;
Sampung taon kanang sikat wala ka bang ibang talent&lt;br /&gt;
Tsong ano bang sinasabi mo mali ang sinasabi mo&lt;br /&gt;
Magaling akong kumanta alam mo ba yung picha pie&lt;br /&gt;
Kung sa bagay mahusay nga naman yung picha pie&lt;br /&gt;
Gamit ang boses mong pamatay nilagyan mo ng kulay&lt;br /&gt;
Ang kanta diba kahit ikaw ang gumawa&lt;br /&gt;
Alam natin mas okay nung akoy kumanta&lt;br /&gt;
Tsong naman please lang wag ka nang magyabang&lt;br /&gt;
At alam mo naman na pang backup ka lang&lt;br /&gt;
At ilan na ba ang talagang nagawa mong kanta&lt;br /&gt;
Ilan… wala eh ano ngayon&lt;br /&gt;
&lt;br /&gt;
Alam naman nating lahat na si Vinci naman talaga dapat&lt;br /&gt;
Ang vocalist ng parokya band parokya ni edgar&lt;br /&gt;
&lt;br /&gt;
Teka lang one minute pwede bang pakiulit&lt;br /&gt;
Maaaring may lamang ka sa paligo subalit&lt;br /&gt;
Bakit mo naman nasabi na ikaw ang nararapat&lt;br /&gt;
Eh ni isang kanta man lang wala kang naisulat&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Kaleidoscope World – Francis Magalona&lt;br /&gt;
&lt;br /&gt;
So many faces, so many races&lt;br /&gt;
Different voices, different choices&lt;br /&gt;
Some are mad, while others laugh&lt;br /&gt;
Some live alone with no better half&lt;br /&gt;
Others grieve while others curse&lt;br /&gt;
And others mourn behind a big black hearse&lt;br /&gt;
Some are pure and some half-bred&lt;br /&gt;
Some are sober and some are wasted&lt;br /&gt;
Some are rich because of fate and&lt;br /&gt;
Some are poor with no food on their plate&lt;br /&gt;
Some stand out while others blend&lt;br /&gt;
Some are fat and stout while some are thin&lt;br /&gt;
Some are friends and some are foes&lt;br /&gt;
Some have some while some have most&lt;br /&gt;
Every color and every hue&lt;br /&gt;
Is represented by me and you&lt;br /&gt;
Take a slide in the slope&lt;br /&gt;
Take a look in the kaleidoscope&lt;br /&gt;
Spinnin’ round, make it twirl&lt;br /&gt;
In this kaleidoscope world&lt;br /&gt;
Some are great and some are few&lt;br /&gt;
Others lie while some tell the truth&lt;br /&gt;
Some say poems and some do sing&lt;br /&gt;
Others sing through their guitar strings&lt;br /&gt;
Some know it all while some act dumb&lt;br /&gt;
Let the bassline strum to the bang of the drum&lt;br /&gt;
Some can swim while some will sink&lt;br /&gt;
And some will find their minds and think&lt;br /&gt;
Others walk while others run&lt;br /&gt;
You can’t talk peace and have a gun&lt;br /&gt;
Some are hurt and start to cry&lt;br /&gt;
Don’t ask me how don’t ask me why&lt;br /&gt;
Some are friends and some are foes&lt;br /&gt;
Some have some while some have most&lt;br /&gt;
Every color and every hue&lt;br /&gt;
Is represented by me and you&lt;br /&gt;
Take a slide in the slope&lt;br /&gt;
Take a look in the kaleidoscope&lt;br /&gt;
Spinnin’ round, make it twirl&lt;br /&gt;
In this kaleidoscope world&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Featuring: Ebe Dancel&lt;br /&gt;
&lt;br /&gt;
Ebe:&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong sabihin nila ako ay ubod ng ganda&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong gawin nila bandera ko’y di tutumba&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Naglalakihang mga braso sa akin dumidikdik&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Sa patagalan ng paghinga, sa’kin kayo ay bibilib&lt;br /&gt;
&lt;br /&gt;
Gloc 9:&lt;br /&gt;
Simula pa no’ng bata pa ako,&lt;br /&gt;
Halata mo na kapag naglalaro&lt;br /&gt;
Kaya para lahat ay nalilito,&lt;br /&gt;
Magaling sa Chinese garter at piko&lt;br /&gt;
Mga labi ko’y pulang pulang pula,&lt;br /&gt;
Sa bubble gum na sinaba&lt;br /&gt;
Palakad lakad sa harapan ng salamin,&lt;br /&gt;
Sinasabi sa sarili “ano’ng panama nila”&lt;br /&gt;
Habang kumekembot ang bewang,&lt;br /&gt;
Mga hikaw na gumegewang&lt;br /&gt;
Gamit ang pulbos na binili kay aling bebang&lt;br /&gt;
Upang matakpan ang mga pasa sa mukha&lt;br /&gt;
Na galing sa aking ama&lt;br /&gt;
Na tila di natutuwa sa tuwing ako’y nasisilayan&lt;br /&gt;
Laging nalalatayan,&lt;br /&gt;
Sa paglipas ng panahon ay di ko namamalayan&lt;br /&gt;
Na imbes na tumigas ay tila lalong lumalambot&lt;br /&gt;
Ang puso kong mapagmahal&lt;br /&gt;
Parang pikit matang bulol.&lt;br /&gt;
&lt;br /&gt;
Ebe:&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong sabihin nila ako ay ubod ng ganda&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong gawin nila bandera ko’y di tutumba&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Naglalakihang mga braso sa akin dumidikdik&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Sa patagalan ng paghinga, sa’kin kayo ay bibilib&lt;br /&gt;
&lt;br /&gt;
Gloc 9:&lt;br /&gt;
Hanggang sa naging binata na ako&lt;br /&gt;
Teka muna mali, dalaga na pala ‘to&lt;br /&gt;
Pero bakit parang lahat ay nalilito pa rin&lt;br /&gt;
Ano bang mga problema nyo&lt;br /&gt;
Dahil ba ang mga kilos ko’y iba,&lt;br /&gt;
Sa dapat makita ng inyong mata&lt;br /&gt;
Sa tuwing nanonood ng liga laging natutulala&lt;br /&gt;
Kahit di pumasok ang bola ako’y tuwang tuwa&lt;br /&gt;
Kahit binaliw na sa tapang, kasi ganun na lamang&lt;br /&gt;
Akong paluin ng tubo kahit kinakalawang&lt;br /&gt;
“tama nanaman itay, di napo ako pasaway&lt;br /&gt;
Di ko na po isusuot ang lumang saya ni inay&lt;br /&gt;
Kapag ako’y naiiyak ay sumusugod sa ambon&lt;br /&gt;
Iniisip ko na lamang na baka ako’y ampon&lt;br /&gt;
Kasi araw araw na lamang ay walang humpay na banat&lt;br /&gt;
At inaaabot ang ganda ko papailalim ng dagat&lt;br /&gt;
&lt;br /&gt;
Ebe:&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong sabihin nila ako ay ubod ng ganda&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong gawin nila bandera ko’y di tutumba&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Naglalakihang mga braso sa akin dumidikdik&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Sa patagalan ng paghinga, sa’kin kayo ay bibilib&lt;br /&gt;
&lt;br /&gt;
Gloc 9:&lt;br /&gt;
Lumipas ang mga taon na nagsipag-asawa&lt;br /&gt;
Aking mga kapatid, lahat sila’y sumama&lt;br /&gt;
Nagpakalayo layo ni hindi makabisita&lt;br /&gt;
Kakain na po itay, nakahanda na’ng lamesita&lt;br /&gt;
Akay akay sa paglakad paisa isang hakbang&lt;br /&gt;
Ngayo’y buto’t balat ang dati matipunong katawan&lt;br /&gt;
Ngayon sa iyong kaarawan, susubukan kong palitan&lt;br /&gt;
Ang lungkot na nadarama, wag napo nating balikan&lt;br /&gt;
Kahit medyo naiinis hindi dahil sa nagka-cancer&lt;br /&gt;
Kasi dahil ang tagapag-alaga mo’y nakaduster&lt;br /&gt;
Isang gabi, akoy iyong tinawag, lumapit&lt;br /&gt;
Ako sayong tabi ikay tumangan, kumapit&lt;br /&gt;
Ka sa aking kamay kahit hirap magsalita&lt;br /&gt;
Anak, patawag sana sa lahat ng aking nagawa&lt;br /&gt;
Di sinusukat ang tapang at ang bigote sa mukha&lt;br /&gt;
Dahil kung minsa mas lalake pa sa lalake ang bakla&lt;br /&gt;
&lt;br /&gt;
Ebe:&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Naglalakihang mga braso, sa’kin dumidikdik&lt;br /&gt;
Drum na may tubig ang sinisisid&lt;br /&gt;
Sa patagalan ng paghinga sakin kayo ay bibilib&lt;br /&gt;
Ako’y isang sirena&lt;br /&gt;
Kahit anong gawin nila&lt;br /&gt;
Bandera koy di tutumba…&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6929538887925066609/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6929538887925066609' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6929538887925066609'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6929538887925066609'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2013/12/lyriko.html' title='lyriko'/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6643252470761295227</id><published>2013-07-08T02:40:00.003-07:00</published><updated>2013-07-08T02:40:28.367-07:00</updated><title type='text'>Job Interview Tips</title><content type='html'>&lt;table border=&quot;0&quot; cellpadding=&quot;0&quot; cellspacing=&quot;3&quot; class=&quot;MsoNormalTable&quot; style=&quot;background: white; mso-cellspacing: 1.5pt; mso-padding-alt: 5.25pt 5.25pt 5.25pt 5.25pt; width: 95%px;&quot;&gt;
 &lt;tbody&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Situation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Or&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h2&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Task&lt;/span&gt;&lt;/h2&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the situation that you were in or the task that you
  needed to accomplish. You must describe a specific event or situation, not a
  generalized description of what you have done in the past. Be sure to give
  enough detail for the interviewer to understand. This situation can be from a
  previous&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;job&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;, from a volunteer experience, or
  any relevant event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Action you took&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the action you took and be sure to keep the focus on
  you. Even if you are discussing a group&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;project&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;or effort, describe what you did
  -- not the efforts of the team. Don&#39;t tell what you might do, tell what you
  did.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Results you achieved&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What happened? How did the event end? What did you accomplish?
  What did you learn?&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;/tbody&gt;&lt;/table&gt;
&lt;br /&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1. How would you describe yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Team Player – Hitting our average handling time in IB is the main problem for
my team, I initiated a team building for us discuss the challenges we have and
share our best practices, Next after that; we have manage to lower down our AHT
and able to used our best practices. I believe that team work is the key to achieve
a successful and fruitful working environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Incentive Driven –
September - December is the peak season of the year on my previous account; they
are in need of heads and offered 80-100 pesos per hour for individual who’s
willing to extend hours. I offered an extra 4-6 hours everyday and also
rendered overtime on my rest day, we are able to meet most of our client
requirements and also I was able to earn high incentives up to 50,000. By the
end of last year I was able to bought my new Suzuki Thunder Motorcycle and 32”
Samsung LED TV with home theatre speakers. That was a fruitful year for me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Friendly – Everyday will
meet different types of personality and being outgoing and friendly is one of
my greatest strength&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Flexible –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Well Driven – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Initiative –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Dedication to work – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yourself.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Situation (S): &lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;Advertising revenue was falling off for my
college newspaper, the Stetson
Reporter, and large numbers of long-term advertisers were not renewing
contracts.&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Action (A):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;I designed a new promotional packet to go with
the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;rate&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;sheet and compared the benefits of&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;Reporter&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;circulation with other ad media in the
area. I also set-up a special training session for the account executives with
a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;School&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;of Business Administration professor who
discussed competitive selling strategies.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Result (R):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;We signed contracts with 15 former advertisers
for daily ads and five for special &lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;supplements&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;. We increased our new advertisers by 20 percent [quantities
are always good] over the same period last year.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2. What specific goals, including those related
to your occupation, have you established for your life?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be working for an excellent company like yours in a job in which I am
share related experience as&amp;nbsp; call center
agent. Immediately I want to learn the process and nature of the business and
my long-range career goal is to be a team lead where in I can contribute my
leadership, interpersonal, and technical skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3. How has your college experience prepared you
for a business career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have prepared myself to transition into the work force through real-world
experience involving travel abroad, internship, and entrepreneurial
opportunities. While interning with a private organization in Ecuador, I
developed a 15-page marketing plan composed in Spanish that recommended more
effective ways the company could promote its services. I also traveled abroad
on two other occasions in which I researched the indigenous culture of the
Mayan Indians in Todos Santos, Guatemala, and participate din a total language
immersion program in Costa Rica. As you can see from my academic,
extracurricular, and experiential background, I have unconditionally committed
myself to success as a marketing professional.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;My
answers:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I have
prepared myself to transition into the work force through real-world experience
involving travelling&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/experience.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4. Please describe the ideal job for you
following graduation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (equates ideal job with job he&#39;s interviewing for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My ideal job is one that incorporates both my education and practical work
skills to be the best I can be. Namely combining my education in finance with
my working knowledge of customer service operations, entrepreneurial abilities,
computer skills, and administrative skills. I want to utilize my analytical
expertise to help people meet their financial goals. This is exactly why I am
convinced that I would be a very valuable member of the Merrill Lynch team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/ideal.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5. What influenced you to choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My past experiences have shown me that I enjoy facing and overcoming the
challenge of making a sale. Without a doubt, once I have practiced my
presentation and prepared myself for objections, I feel very confident
approaching people I don&#39;t know and convincing them that they need my product.
Lastly, I like sales because my potential for success is limited only by how
much of myself I dedicate toward my goal. If any profession is founded on
self-determinism, it surely must be sales.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/decision-making.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6. At what point did you choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I knew that I wanted to pursue information systems technology about my
sophomore year in college. It was then that I realized that that my hobby
(computers) was taking up most of my time. My favorite courses were IT courses.
I also realized that I was doing computer-oriented work-study that I enjoyed so
much I would have done it for free.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7. What specific goals have you established for
your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My goals include becoming a Certified Financial Advisor so I can obtain a
better working knowledge of financial research analysis, which would allow me
contribute to my client base as a better financial consultant since I would
have that extra insight into the companies they are seeking to invest in. Also
this is the foundation block to advancing my career to portfolio manager or
even branch office manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8. What will it take to attain your goals, and
what steps have you taken toward attaining them?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve already done some research on other workers at Merrill Lynch to see how
they achieved similar goals. I know that Merrill Lynch encourages the pursuit
and will reimburse for tuition of a graduate degree. I plan on pursuing a MBA
to give me an even more extensive knowledge of business and financial analysis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9. What do you think it takes to be successful in
this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe successful salespeople put forth that extra effort that turns
potential clients into first-time customers. Salespeople who attend to the
details by doing whatever it takes to win over a prospective customer
distinguish themselves from the countless others who don&#39;t go to any extra
effort. Second, I think that if you label success as an attainable goal, you
will never consistently remain successful. You can only succeed if you learn
all there is to learn about your product, your competitors, and personal
selling. Since this learning process is continuous, it&#39;s an unattainable goal.
With good reason, salespeople should not consider success an attainable ending
point but an objective that will always linger slightly beyond their reach.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10. How do you determine or evaluate success?
Give me an example of one of your successful accomplishments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was hired by university&#39;s Council for Student Activities. The
group negotiates contracts of entertainers, sets up sound equipment, markets
the entertainers to students, and generally decides what kind of programming
should be done. When I got hired, I didn&#39;t know the first thing about how fill
any of those responsibilities. I decided, however, that I wasn&#39;t going to fail.
Four months later, I have become the Webmaster for the group. I also write our
campus newsletter and created Game Night, a student competition of table games.
That event yielded the biggest audience ever for a non-concert event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;11. Do you have the qualifications and personal
characteristics necessary for success in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I have a combination of qualities to be successful in this career.
First, I have a strong interest, backed by a solid, well-rounded,
state-of-the-art education, especially in a career that is technically
oriented. This basic ingredient, backed by love of learning, problem-solving
skills, well-rounded interests, determination to succeed and excel, strong
communication skills, and the ability to work hard, are the most important
qualities that will help me succeed in this career. To succeed, you also need a
natural curiosity about how systems work -- the kind of curiosity I
demonstrated when I upgraded my two computers recently. Technology is
constantly changing, so you must a fast learner just to keep up or you will be
overwhelmed. All of these traits combine to create a solid team member in the
ever-changing field of information systems. I am convinced that I possess these
characteristics and am ready to be a successful team member for your firm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;12. What has been your most rewarding accomplishment?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A recent satisfying accomplishment I was sent to one of our branch banks that
was notorious for not growing their loan base. The branch had logged $75,000 in
new loans in an 18-month period prior to my arrival. Having a reputation as a
&quot;hired gun&quot; when it came to loan production I was successful in the
solicitation and booking of $700,000 in my first six months at the branch.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;13. If you could do so, how would you plan your
college career differently?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I wouldn&#39;t change anything. All that I have done was a great learning
experience that I will carry forward throughout the rest of my life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/off-wall.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;14. Are you more energized by working with data
or by collaborating with other individuals?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like the validity of information and also like the energy that comes with
working with people. The best thing about working in a group is combining the
great minds from different perspectives and coming up with something extremely
great, compared with when you&#39;re working alone. At the same time, information
can generate vitality in the project you&#39;re working on. No matter how many
heads you&#39;ve got together, without information, you can&#39;t go very far. The
perfect situation would be a combination of working with information and
people, and I&#39;m confident of my abilities in both areas.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Stacey&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/choice.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;15. How would you describe yourself in terms of
your ability to work as a member of a team?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have had many opportunities in both athletics and academics to develop my
skills as a team player. My tenure as a rower with my college&#39;s crew team
serves as a good example. I learned a great deal about teamwork while rowing
because all the rowers in the boat must act as one, which meant that we
incessantly worked to keep each movement in the boat synchronized. On an
individual basis, we still worked toward group goals through weightlifting and
land-rowing. My experience as a marketing research team leader also helped me
to learn the role of &quot;team player.&quot; I viewed my position as that of
group leader and of group member. I ensured that everyone in the group had
equal opportunity to contribute, maintained excellent communication among group
members, and coordinated their energies toward reaching our team&#39;s goal.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;16. What motivates you to put forth you greatest
effort?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You would think that because I am interested in sales, only financial
compensation would motivate me to achieve. Although monetary rewards are
important to me, I am driven to succeed internally. More than anything, I want
to be respected by my friends and coworkers for being the best at what I do.
Whether I am considered to be the best car detailer in my hometown or the best
columnist for my college newspaper, I want to be recognized as the best.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;17. Given the investment our company will make in
hiring and training you, can you give us a reason to hire you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I sincerely believe that I&#39;m the best person for the job. I realize that there
are many other college students who have the ability to do this job. I also
have that ability. But I also bring an additional quality that makes me the
very best person for the job -- my attitude for excellence. Not just giving lip
service to excellence, but putting every part of myself into achieving it. In
college and at my previous jobs, I have consistently reached for becoming the
very best I can become. I think my leadership awards from my college, and my
management positions are the result of possessing the qualities you&#39;re looking
for in an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/hire.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;18. Would you describe yourself as goal-driven?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, and I demonstrated my goal orientation as president of the local Jaycees,
a community service organization. I am very proud of the fact that I set a goal
of signing 50 new members by the end of the year, and I accomplished that.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;19. Describe what you&#39;ve accomplished toward
reaching a recent goal for yourself.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first few years in banking had me on the fast track to branch management. I
realized at some point along the way that my true passion was in offering
financial advice not limited to checking accounts and loans. It was at that
point that I made the necessary arrangements to go back to school full-time to
pursue my goal, which I am just about to achieve.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;20. What short-term goals and objectives have you
established for yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My short-term objectives are to graduate from the Professional Development
Program before the standard two years and begin developing a clientele. As an
intern, I prepared ahead of time by studying for the Series 7 and Series 64
exams that constitute a majority of a beginning financial consultant&#39;s time.
I&#39;d like to make make the company that hires me wonder what it ever did without
me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;21. Can you describe your long-range goals and
objectives?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My primary objectives are to learn as much as possible about your company&#39;s
product offering, organizational structure, and professional sales techniques
so that I may become the most productive member of your sales team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;22. What do you expect to be doing in five years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although it is hard to predict the future, I sincerely believe that I will
become a very good financial consultant. I believe that my abilities will allow
me to excel to the point that I can seek other opportunities as a portfolio
manager (the next step) and possibly even higher. My ultimate goal continues to
be -- and will always be -- to be the best at whatever level I am working at
within Merrill Lynch&#39;s corporate structure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;23. What do you see yourself doing in ten years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Ten years from now I see myself as a successful consultant for a world-class
firm like yours. I want to have developed a wonderful bond with my employer I
will have proven myself a highly competent systems analyst and will represent
my company in helping others find solutions to their information-systems needs
in a professional and timely manner.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;24. How would you evaluate your ability to deal
with conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I am quite good at handling conflict. Working in retail and in the
residence halls required that I make many unpopular decisions at times, whether
it was terminating an associate or taking judicial action on a resident. Often
the person in conflict with me would be upset and sometimes physically
outraged. I would always make sure that I fully explained the situation, the
policies behind my decision, and why those policies exist. Usually by the end
of the conversation, the person could see the other side of the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;25. Have you ever had difficulty with a
supervisor or instructor? How did you resolve the conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I had an incident with my Spanish professor. I turned in an essay that she
said was too good to be mine. I was honest with her; I told her that I had a
native speaker review the essay, but he made very few corrections. However, I
had broken the Golden Rule of Spanish Composition -- the essay must not even
touch the hands of a native speaker. To prove to her that I was capable of
producing an essay that exceeded her expectations of a non-native speaker, I
offered to re-write another essay in her office. I earned an A-minus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/conflict.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;26. Tell
me about a major problem you recently handled. Were you successful in resolving
it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While working at K-mart, I was one of three people to work in the electronics
department. One day upon arriving at work, I was told the district manager was
coming the next day to do a store inspection. The two other people who worked
in electronics were both over 55. Neither could lift heavy objects, and one
refused to work at all. As a result, the electronics department was usually
left to me to keep stocked with product and kept in order. I had about five
hours of work time to get the entire department in order. Those five hours
passed around, and there was still a substantial amount of work to be done. I
asked the store manager if I could stay and work after hours while the
overnight stockers were there. He said that because of the employment budget,
he could not let me. I was faced with bringing the entire store&#39;s rating down,
so I suggested a creative staffing solution, allowing me to work the extra
hours while temporarily reducing the hours of the other two members of the department.
Because of this solution, in a matter of hours, the department was in tip-top
shape -- and still under budget. And the results? The electronics department
got a score of 95 out of 100.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;27. Would
you say that you can easily deal with high-pressure situations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes. My past experience as an Administrative Coordinator required me to deal
with many serious situations since I held emergency on-call duties as a
supervisor. One example was when I was called by a Resident Assistant to deal
with an attempted suicide on her residence hall floor. The situation required
that I think clearly and quickly in this life-and-death situation. I had to
weigh the many tasks that needed to be completed. I had to assign RAs to call
911, make sure that EMS could get into the locked building, while at the same
time applying first aid, and ensuring that the rest of the residents on the
floor were OK. I also had to make sure the privacy of the resident in need was
respected. I basically prioritized and dealt with each task by its importance.
I delegated responsibility to RAs for things that they were capable of handling
because I could not physically be in many places at once. Once the resident was
taken to the hospital, I was responsible for paperwork and follow up to make
sure the staff members, residents, and the resident-in-need adjusted back to
&quot;normal&quot; life. I know this is an extreme example not found in the
financial consulting field; however, it shows just how well I can deal with
extreme pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;28. What
quality or attribute do you feel will most contribute to your career success?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest strength is my flexibility. I have learned that work conditions
change from day to day and throughout the day, as well, no matter where I have
worked in the past. I also have realized that certain projects require
individual attention and others involve a teamwork approach. These are just a
few examples of the changes that happen in the financial consulting field, as
you are well aware. My flexibility to adapt to the different demands of the job
has allowed me to surpass my supervisor&#39;s expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/strengths.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;29. What
personal weakness has caused you the greatest difficulty in school or on the
job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (shows how he recognized his weakness and worked to
improve):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest weakness had been delegation. I would take it upon myself to do
many small projects throughout my shift as a manager that could have been done
by others in an attempt to improve my workers&#39; efficiency. Once I realized that
I was doing more work than the other assistant managers, and they were
achieving better results, I reevaluated what I was doing. I quickly realized
that if I assigned each person just one small project at the beginning of their
shift, clearly state expectations for the project, and then follow up that
everything would get done, and I could manage much more efficiently and
actually accomplish much more.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/weaknesses.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;30. What
were your reasons for selecting your college or university?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (tells how education specifically will benefit the
employer):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My college has always had a reputation as having an excellent accounting
department, so I knew that if I enrolled there, I would achieve first-class
preparation for my chosen career field. It is also a highly accredited school
known for satisfying employers with the preparation of its graduates -- that&#39;s
why companies like yours recruit at my school -- the school produces top
graduates. The school offers an excellent liberal-arts background, which
research shows equips graduates with numerous qualities, such as versatility
and strong critical-thinking skills. Finally, having visited the campus before
enrolling, I knew that the business school emphasized group projects. During my
four years in the school, I participated in more than 35 group projects, which
taught me invaluable teamwork, communication, and interpersonal skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/college.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&amp;nbsp;&amp;nbsp; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;31. If
you could change or improve anything about your college, what would it be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My major department had a wonderful internship program, and I was able to
complete three valuable internships with my department&#39;s guidance. Some other
departments in the business school don&#39;t have internship programs that are as
strong as my department&#39;s. I&#39;d like to see all the departments have strong
internship programs so all my school&#39;s business grads would have the same
opportunities that I had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;32. How
will the academic program and coursework you&#39;ve taken benefit your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (response is very specific to the job he is interviewing
for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As you will note on my resume, I&#39;ve taken not only the required core classes
for the finance field, I&#39;ve also gone above and beyond by double majoring in
accounting. I doubled majored since I knew that the financial consulting field
requires much knowledge of portfolio analysis and understanding of the tax
laws. I believe that my success in both areas of study have specifically
prepared me for this area. But it&#39;s not just taking the classes in these two
areas that allows me to offer Merrill Lynch clients more. I minored in Spanish
to understand the growing Hispanic clientele in the Central Florida area, which
as you are well aware is a growing source of revenue for the industry. If you
like, I can elaborate on other aspects of my education further.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;33. Which college classes or subjects did you
like best? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite classes have been the ones pertaining to my major, which is
marketing. These classes have laid the groundwork for my career in marketing.
They have also taught me skills that I can bring to my employer, ranging from
communication skills to interacting with others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;34. Are you the type of student for whom
conducting independent research has been a positive experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I love it. I thoroughly enjoyed my senior research in college while many
others in my class were miserable. I was never tired of learning more about my
topic and found it exhilarating to be researching something that had not been
studied before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;35. Describe the type of professor that has
created the most beneficial learning experience for you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite professors were the ones who gave me hands-on learning experiences
that I can apply to my career. Any person can make you memorize the quadratic
equation, but someone who can show you how to use it, and why, were the
professors I liked. I liked teachers who realized that sometimes there is more
then one answer and everyone thinks differently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;36. Do you think that your grades are an
indication of your academic achievement?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have focused much of my energy on work and obtaining real-world experience. I
commend my classmates who have earned high GPAs, but I also feel it&#39;s important
to be well-rounded. In addition to work experience, I participated in sports
and extracurricular activities in school. These activities taught me
leadership, communication, and teamwork skills. Sometimes my heavy load has not
allowed me to keep up with some of my studies, but I have learned an enormous
amount that I can apply in my future industry. As you will discover if you talk
to my supervisors, my ability to work effectively is much more reflective of my
future potential than is my GPA.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/GPA.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;37. What plans do you have for continued study?
An advanced degree?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I plan to continue my education for the rest of my life. In any
technology-related field, keeping up to date through continuing education is of
the utmost importance. Continuing education can include on-the-job training,
courses sponsored by the employer, and courses taken in new technologies as
they emerge. I plan to be not only a career employee but a career student so
that I can be the best information systems analyst I can be. I will ensure,
however, that any education I pursue not only doesn&#39;t interfere with my job or
the company&#39;s policies, but will enhance my value as an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;38. Before you can make a productive contribution
to the company, what degree of training do you feel you will require?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My background has been focused on preparing me for the financial consulting
industry, so I can be productive right away. I already have obtained the
educational credentials and skills to allow me to become an immediate asset to
Merrill Lynch. After interning for a semester, I am well aware of the shared
beliefs of the organization and its corporate values. I already have a very
good working knowledge of the financial consulting business. I am confident of
my ability to get up to speed quickly in any assignment with which I&#39;m not
familiar.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/training.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;39. Describe the characteristics of a successful
manager.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A successful manager should have the vision and capabilities to formulate
strategies to reach his or her objectives and communicate these ideas to his or
her team members. In addition to serving as a positive role model for
co-workers, successful managers must also be capable of inspiring others to
recognize, develop, and apply their talents to their utmost potential to reach
a common goal. These are the traits I hope to demonstrate when I&#39;m a manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/manager.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;40. Why did you decide to seek a position in this
field?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work in the marketing and PR industry because ever since I took my
first marketing course in college, I have felt very passionate toward the
industry and cannot imagine myself doing anything else.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;41. Tell me what you know about our company.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You&#39;re large and respected worldwide. You&#39;re both a clinical and teaching
hospital. Over the last 60 to 70 years you&#39;ve produced award-winning research.
In reviewing your Web site, I&#39;ve familiarized myself with many of your
corporate goals and objectives.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Judy&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;42. Why did you decide to seek a position in this
company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am convinced that there would be no better place to work than Accenture. You
are the top consulting firm in the United States. You provide your employees
with the tools they need to stay competitive and sharpen their skills while
working in an open, team-based environment. I am also aware that you provide a
mentor for all new employees, and I would embrace any opportunity to work with
a mentor and eventually become one myself.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;43. Do you have a geographic preference?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I would prefer to stay in the Mid-Atlantic area, I would not rule out
other possibilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;44. Why do you think you might like to live in
the community in which our company is located?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Just a few weeks ago, I had the opportunity to spend several days in your
community, and I fell in love with it. I love the fact that you have a thriving
riverfront. I&#39;m impressed with the many cultural opportunities here -- opera,
theater, art, and independent films. I&#39;ve also already become a fan of the
Saints and the other sports teams based here. I have conducted significant
Internet research on this city, so I am quite comfortable with your location.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;45. Would it be a problem for you to relocate?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;m open to opportunities within the company; if those opportunities involve
relocation, I would certainly consider it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;46. To what extent would you be willing to travel
for the job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am more than willing to travel. I understand the importance of going above
and beyond the call of duty to satisfy customer requests is sometimes required
and that Merrill Lynch&#39;s customer focus belief means that travel is expected in
some circumstances. I am willing to make this commitment to do whatever it
takes to develop that long-term relationship with a small business or client.
It is only through this relationship that loyalty can be maintained and
financial gains and growth can occur for both the client and Merrill Lynch. It
is my understanding from other financial consultants that I have interviewed at
Merrill Lynch that this occurs maybe one or two times a month.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;47. Which is more important to you, the job
itself or your salary?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A salary commensurate with my experience and skills is important, but it&#39;s only
one piece of the package. Many other elements go into making up a compensation
package, but more importantly, it&#39;s critical to me to enjoy what I&#39;m doing, fit
into the corporate culture, and feel I&#39;m making a genuine contribution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;48. What level of compensation would it take to
make you happy?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am not depending on money to make me happy. What makes me happy is having a
satisfying job that provides challenge and new situations daily.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;49. Tell me about the salary range you&#39;re
seeking.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am sure that I am the candidate you are looking for. If you feel the same,
the I&#39;m sure your offer will be fair and commensurate with the value I can
bring the company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;50. Describe a situation in which you were able
to use persuasion to successfully convince someone to see things your way?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently my company asked for bids on a phone system for our new college
campus. Two companies came in very close with their bids, and most of my
department wanted to go with a vendor that we have used in the past. After I
looked over the proposals, it was clear that this was the wrong decision. So, I
talked individually with each member of our staff and was able to change their
minds and get the best product that would save money and provide the highest
quality.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;51. Describe an instance when you had to think on
your feet to extricate yourself from a difficult situation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was a resident assistant at my college, a student I did not know asked
me if he could use my phone to call another room. Although I did not know the
student, I allowed him into my room. He used the phone and in the course of his
conversation, he stated that he had just come from a fraternity party and was
high from taking some drugs. Well after his conversation, I had to enforce the
student conduct code by writing him up. He became very hostile towards me and
would not give me any identification or information. I stood in the doorway to
prevent him from leaving. I noted the serial numbers on his keys, so when the
situation got to the point where I felt unsafe, I allowed him to leave. I still
preformed my job without jeopardizing my or his physical welfare.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;52. Give me a specific example of a time when you
used good judgment and logic in solving a problem.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a client come into the bank where I worked and request a $5,000 personal
loan to &quot;pay off some bills.&quot; In the customary review process, I
determined that what was really needed was a $25,000 debt-consolidation loan.
Rather than giving the customer a &quot;quick-fix&quot; to the problem, I
logically solved the problem in a way that was in the best interest of both the
bank and the client.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;53. By providing examples, convince me that you
can adapt to a wide variety of people, situations and environments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve shown my ability to adapt by successfully working in several very
different jobs. For example, I lived with a native family in Costa Rica. I
worked as a nanny for a famous writer in Cape Cod. I was responsible for
dealing with Drug Court participants. And I catered to elite country-club
clientele. I did it all well and had no trouble adapting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;54. Describe a time when you were faced with
problems or stresses that tested your coping skills.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Arriving at the language school I was attending in Costa Rica in the middle of
the night with very minimal Spanish-language skills, I found my way to a very
small town with no street addresses or names and found my temporary residence.
I was scared, but I handled the situation very well, very calmly. In very
stressful situations, I am always the one in the group to stay calm and
focused. My friends, family, and professors have always said that I am an oasis
of calm in a storm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;55. Give an example of a time in which you had to
be relatively quick in coming to a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
This happens often in the IT industry, but one recent example was when we had a
core backbone switch die. It died at the worst possible time -- during exams --
as they always seem to do, and I needed to get it back up and running quickly.
I analyzed the logs and system status, and using my previous experience, I made
some quick decisions that rectified problem and got the equipment back up only
minutes later.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;56. Describe a time when you had to use your
written communication skills to get an important point across.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As an Administrative Coordinator, I had a staff of 27 students. Having such a
large student staffs all working different shifts and having varying class
schedules meant that meetings could not be held with everyone at one time. I
needed to communicate with everyone about important policies and information
often, so I came up with the idea of designing a Web page for my staff with
written announcements. Each Desk Assistant was required to check the Web page
daily at the beginning of his/her shift. I also sent email communications by a
distribution list that allowed each Desk Assistant to keep informed about
anything. The one situation that stands out in my mind is a last-minute summer
camp that decided to come in a day early with only one day&#39;s notice. I had no
staff scheduled to check in the camps or to organize the keys. I posted an
update to the Web page and sent an email. Within four hours, I had the
following day completely staffed and desk assistants there to organize room
keys for the campers that night.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;57. Give me a specific occasion in which you
conformed to a policy with which you did not agree.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked at Home Depot as an assistant manager, I was always looking for
way to boost my employees&#39; morale. Unloading trucks is a very routine and
physical job and can become very boring and exhausting, so to improve the
unloaders&#39; attitude toward their duties and make the best of the situation, I
put a radio in the receiving dock. It worked; however, the district manager did
not approve of the radio in the workplace even though it did not interfere with
any set policy of company objectives. The radio was also out of any areas where
customers would hear the music. I did not agree with my DMs decision to remove
the radio; however, I understood his point of view once he explained it to me
and promptly complied with his request. The employees were not happy that their
radio was gone, so I found an alternative method of reward and morale boosting
by implementing a program in which we provided lunch for the unloaders from any
restaurant of their choice if they unloaded the trucks faster than normal. This
program succeeded by increasing their unloading time from 2 1/2 hours to only 1
1/2, a savings in payroll of 8 percent of sales for that shift.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;58. Give me an example of an important goal which
you had set in the past and tell me about your success in reaching it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a senior in high school, my goal was to attend college and play college
golf. But I was nowhere near the player I needed to be to play or even get on
the team. So over that summer I worked on my golf game to the point where I won
almost every tournament I entered. I spent every hour I had during the day to
make myself a better all-around player. I eventually walked on my freshmen year
and was exempted from qualifying because I played so well in my first outing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;59. Describe the most significant or creative
presentation that you have had to complete.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The most significant presentation I have ever had to present was at a national
research symposium. I was presenting research I had completed on digital
analysis of mammograms and had to present to a panel of more than 100 judges
who were at the top of their field. I focused on the research, which could sell
itself, and just let the information flow. It went over very well, and I
received many more invitations to present the research, including on national
television.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;60. Tell me about a time when you had to go above
and beyond the call of duty in order to get a job done.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I had already punched out, I stayed behind to help a colleague solve a
problem. A customer was very angry as he had waited very long for his coffee.
My colleague was new, she was quite slow. I came out and explained things to
the customer. Although he was very angry at first, I just listened to him and
told him that we try to bring our best out to each customer who walks in to our
store. After a one-hour discussion, he left with a happy face and was
satisfied.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Fizah.&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;61. Give me an example of a time when you were
able to successfully communicate with another person even when that individual
may not have personally liked you (or vice versa).&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my time in the theater, I had one director with whom I absolutely did
not work well. However, because of my track record, she would assign me as
stage director and/or assistant director. I was usually involved in the
day-to-day operations of the play and the details of how the play would be
performed. I handled the operation for the play by directing scenes the best
way I could and then showing them to her for approval. If she did not like the
way a scene worked, I gave her my opinion as to why it should be my way. If we
still could not compromise, I would follow her directions to the best of my
ability. Understanding that people don&#39;t usually have malicious intentions is
key, and understanding that you will never be able to convince some people that
your way is right is the best way to avoid conflict and still get the job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;62. Sometimes it&#39;s easy to get in &quot;over your
head.&quot; Describe a situation where you had to request help or assistance on
a project or assignment.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
It&#39;s impossible to know everything in the IT field because of rapidly changing
technology, so recently when we were having troubles with our circuit emulation
over our ATM network, I had to call in some engineers from North Carolina to
come help me out. The nice thing about asking for help is that when you get the
assistance, you can learn from what you are told and apply it to future
situations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;63. Give an example of how you applied knowledge
from previous coursework to a project in another class.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was taking a microeconomics and a statistics course. One of the
microeconomics projects dealt with showing the relationship between the
probability that customers would stop buying a product if the price was raised
a certain amount. Through what I learned in statistics I could find the median
where the price was the highest and still kept most of the customers happy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;64. Describe a situation where others you were
working with on a project disagreed with your ideas. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was on a project team in a business class in my freshman year in college, The
group brainstormed ideas for the video we were assigned to produce, and
everyone but me was leaning toward an idea that would be easy. I suggested
instead an idea that would be more difficult but would be something different
that no other group would be doing. I used my communications skills to persuade
the rest of the group to use my idea. During the project, we really learned
what teamwork was all about, became a close team, and ended up putting a lot of
hard work into the project. All the team members ended up feeling very proud of
the video, and they thanked me for the idea -- for which we earned an A.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;65. Describe a situation in which you found that
your results were not up to your professor&#39;s or supervisor&#39;s expectations. What
happened? What action did you take?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I was asked to put together a proposal for a migration of network
systems. Misunderstanding my boss, I thought it was just an informal paper.
When I presented it to him days later, he was upset with the quality since it
had to be presented to our VP. I explained my misunderstanding, apologized,
reworked the paper, and had it back to him with enough time for him to review
it before he presented it successfully at the meeting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;66. Tell of a time when you worked with a
colleague who was not completing his or her share of the work. Who, if anyone,
did you tell or talk to about it? Did the manager take any steps to correct
your colleague? Did you agree or disagree with the manager&#39;s actions?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During a group project in college, we had one member who would do no work
whatsoever. The project was to compare and contrast four companies in a single
industry, so his work was vital. We first discussed the situation and asked for
the bare-bones minimum of what we needed from him. We got just below that. As a
result we as a group went to the professor and told her our situation -- not
expecting or requesting action -- just informing her the situation we were
dealing with. Then we as a group split up the non-contributor&#39;s work, and
completed our work collectively on his share. In phase two in which we analyzed
the information and reported how each of our companies fared compared to the
others, we did not get a paper from the group member. As a result, we told the
teacher that we had our work done, and were willing to do the extra paper but
that we would rather spend time polishing our own work, and not picking up
slack. She agreed and said to focus on the three companies we had compiled the
most info on while not entirely neglecting the fourth. The papers came out very
well, but were understandably weak when comparing the fourth company. The
professor understood, and we received the grades we deserved. I was pleased
with our teamwork and the way we handled the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;67. Describe a situation in which you had to
arrive at a compromise or guide others to a compromise.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first semester in college, I was a political-science major. My introductory
government class professor had a differing political view then I. We disagreed
on everything, and many classes were filled with criticizing each others&#39; view.
However, on one test I answered a question with the view I believe in, and she
marked it wrong. So I asked her how an opinion can be wrong, and she said
because her opinion is the way she taught it in class. I pointed out that my
answer showed I understood the concepts of the question. She agreed, and I also
agreed not be so combative in answers on tests. Compromise is the key to
problem resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;68. What steps do you follow to study a problem
before making a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Following standard models for problem-solving and decision-making can be very
helpful. Here are the steps and how they helped me solve a problem with a group
project:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Define the problem to be solved
and decision to be made. For a project in an introductory management class the
assignment was to report on the corporate structure and financial situation of
a couple of companies. The decision to be made was what companies to profile
and how to present the information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Gather the necessary
information. Some group members wanted to report on automakers, while others
wanted to do electronics firms. We gathered information on both types of
company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;List all possible choices. We
made lists of companies in both categories.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Consider possible outcomes for
each choice. We decided that a report about car companies could have a positive
outcome, but one about electronics firms might be more futuristic with
high-tech products such as HDTV, video game consoles, and DVD players.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Check out how you feel about
each of the choices. Given that this was a group project, we had to consider
the feelings of all group members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Relate the choices to your
values and priorities. Again, all group members weighed in on their values and
priorities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;From the possible alternatives,
choose one. We decided that we&#39;d do electronics companies because we could
bring in products from each company and show what lies ahead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Commit yourself to your chosen
decision and disregard the others. Concentrate your energies in one direction.
Once we made our decision, we focused all our work on electronics forms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Take steps to turn your decision
into positive action. All group members got interested in how the companies
were doing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Evaluate your progress from time
to time. Change your decision if necessary. We were pleased with our progress
and didn&#39;t feel a need to change our decision. We got an A on the project.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;69. We can sometimes identify a small problem and
fix it before it becomes a major problem. Give an example(s) of how you have
done this.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked in a large retail store, the standard procedure was to leave a
product on the shelf until it ran out, then place more items out. This practice
obviously wasted a lot of man-hours. Of interest particularly to me were the
air conditioners. Not only did I have to put the heavy thing on the shelves,
but they were selling at a very high rate. So if somehow AC units ran out on a
day in which I could not restock them, they would not be available to
customers. As a result I started making a list of products (including the AC
units) that the overnight stock people could put on the shelves. As a result,
the people on duty always had a job to do, so labor hours were not wasted, and
the shelves were always stocked full of product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;70. In a supervisory or group leader role, have
you ever had to discipline or counsel an employee or group member? What was the
nature of the discipline? What steps did you take? How did that make you feel?
How did you prepare yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As president of a community-service organization, I was faced with a board
member not carrying out his duties as management development vice president. I
consulted with him as to what we could do together to fix the problem. We
agreed that he really couldn&#39;t devote the time that it took to carry out
certain projects, and he ended up resigning his position, but he also stated he
would help his replacement in whatever capacity he could. It made me feel as
though we had come to the conclusion together, rather than him thinking I was
criticizing his performance, which was not the case. I had a plan of action and
carried it out successfully.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;71. Recall a time from your work experience when
your manager or supervisor was unavailable and a problem arose. What was the
nature of the problem? How did you handle that situation? How did that make you
feel?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My supervisor was absent once when I was in charge of a soccer game. An actual
assault took place at the game. A player hit the referee. With no supervisor to
turn to, I immediately called the police, who quickly restored order to the
situation. I felt I made an effective decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;72. Recall a time when you were assigned what you
considered to be a complex project. Specifically, what steps did you take to
prepare for and finish the project? Were you happy with the outcome? What one
step would you have done differently if given the chance?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to give a marketing presentation while attending community college. The
project was about Anheuser-Busch. We were assigned to report on key management
personnel (CEO, Chairman of the Board, President, key VPs), divisions and
subsidiaries, major products/brands/services, key financials for the most
recent year (sales revenue, expenses, total income, net income, sales growth or
loss for the last year), market share, key competitors, mission statement,
product positioning, and number of employees. Among the steps I took were
visiting the company&#39;s Miami branch to interview employees and gather visual
aids for the project. I spent a lot of time organizing and writing the
presentation. Then I spent time reviewing my speech over a period of several
days. As a result I was calm while giving the presentation and received an
&quot;A&quot; for the project. The one additional step I perhaps wish I&#39;d taken
would have been to talk to some consumers and store owners about the product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Displaying
Interview Questions 73-80&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;73. What was the most complex assignment you have
had? What was your role?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My senior research was my most complex assignment. It took two semesters to
complete and was made up of many components. I had to make many critical
decisions along the way that would affect the outcome of my research. I made
these decisions independently with minimal influence from my professor. I was
very successful and happy with my final product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;74. How was your transition from high school to
college? Did you face any particular problems?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The transition was somewhat challenging for me because I traveled a great
distance to attend college. To help myself adapt, I got involved with as many
organizations as I could. I also made it a point to get to know my professors.
I used my interpersonal and communication skills to the best of my ability to
make a lot of friends, and college became one of the best experiences of my
life despite a beginning that seemed a bit overwhelming.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;75. Tell of some situations in which you have had
to adjust quickly to changes over which you had no control. What was the impact
of the change on you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The bank in which I worked instituted a policy that centralized the lending
process. An application was to be taken from the client and sent off to be approved/declined,
processed, prepared, and returned to the branch to be signed by the client.
While the process was streamlined, it also took away valuable face-to-face
knowledge about the client and the loan. If the employee did not have any prior
lending experience, he or she couldn&#39;t answer simple loan questions from the
client. While I appreciated the newly created time on my schedule, I felt that
the clients were being slighted. I did adjust quickly to the new procedure and
did my best to help those around me by sharing my knowledge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;76. Compare and contrast the times when you did
work which was above the standard with times your work was below the standard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was involved in two group projects in a psychology class. In the first, we
had to decide on a research experiment to conduct and garner results from it.
The group I was in was not very motivated, and the members wanted to do a
simplistic comparison on color preferences of men and women. I felt that
project was below the standard I was capable of. For the second project, I
proposed a study in which we compared how people of different age ranges valued
money. I knew the project would go over well with the teacher and would not be
difficult to conduct. I proposed the idea in a way that sounded fun. Instead of
collecting data in someplace boring, I suggested we could go to the mall. The
group agreed and worked relatively well on the project. Discussion is the key
to mediation, and the key to my achieving a second project that I felt was
above the standard.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;77. Describe some times when you were not very
satisfied or pleased with your performance. What did you do about it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I failed my first business calculus test, which made me very unhappy. I wasn&#39;t
going to let this incident set the trend for the rest of the semester. I went
to my counselor and arranged to meet with a tutor once a week. My tutor helped
me out incredibly. My grades soon improved, and I went on to redeem myself from
my one slip-up on the first test.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;78. What are your standards of success in school?
What have you done to meet these standards?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I don&#39;t believe in trying to get by with the least possible effort, and I am
always willing to ask questions to learn how to perform an assignment
successfully. In my human-resources management class, for example, we were
assigned a paper on &quot;Why corporate culture is a practical way to increase
income and productivity.&quot; All of the literature on the subject was written
in the language of PhDs. I asked some other students what they were doing, and
they said just writing their opinions and not doing any research to back up the
claims. I felt I could do better. So I worked closely with my professor, who
&quot;translated&quot; the academic literature for me, and over time I understood
what was being written. Working with the professor&#39;s guidance, I turned in a
very good paper. Asking questions is one thing I am not afraid to do and
realize that without them I will be turning in work that is not as beneficial
as it could be.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;79. How have you differed from your professors in
evaluating your performance? How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After I wrote a paper for an English class, my professor told me that I was not
doing the paper in the proper format or with the proper content. I went to him
and asked if he would help me learn the correct way so that I could succeed with
the paper. He did help me, and I ended up doing well in the course.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;80. Give examples of your experiences at school
or in a job that were satisfying. Give examples of your experiences that were
dissatisfying.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I turned a dissatisfying experience into a satisfying one when I was on the
cross-country team in college and had never run the whole race in under 30
minutes. With only a month left in the season, I decided that I would run the
race in 25 minutes. I ran every day to build up my stamina, and in that last
race I achieved my goal time of 25 minutes, which was a very satisfying
experience.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;81. What kind of supervisor do you work best for?
Provide examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to work for a supervisor who allows me the autonomy to perform my job to
the best of my abilities. I also like constructive criticism and feedback so I
can improve myself and the organization. One example was my boss at a
university. He hired me as an administrative coordinator because of my
administrative and organizational skills. He knew that I had many new ideas and
allowed me the opportunity to implement many new programs. Of course, I kept
him constantly informed and sought advice when needed. I improved
communications in the department by implementing a departmental Web page. I
also streamlined the check-in process by preparing the amount of work that
could be done the day before. I improved staff morale by implementing a
desk-assistant-of-the-month, which led to lower turnover. These are just a few
examples. I was given the Recognizing Outstanding Student Employees Award for
my efforts and unique ideas. I gained not only my boss&#39;s confidence and support
but his respect as well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;82. Describe some projects or ideas (not
necessarily your own) that were implemented, or carried out successfully
primarily because of your efforts.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had been recently given the duty of being the head swim team coach for the
YMCA I was employed with. A swim meet was just around the corner, but only five
swimmers had enrolled for the program, none of whom had ever been a part of an
organized team. Funding would be cut for the team if more interest could not be
generated. So I decided that I would take action and actively recruit people to
join. Not only did I have to run the practices and correct any technical
mistakes the swimmers were making, but I had to contact other local swim teams
to invite then to join the meet. I had to meet with the parents and the
children separately and organize a way to help pay for t-shirts, swimsuits,
goggles, and swim caps. By the third week of the program, I had gained 15 more
swimmers and every single one had beat his or her own time in practice. When
the meet came, I organized the events, ordered ribbons, and recruited
volunteers. At the end of the meet, my team had come in first place among four
other teams. The parents were delighted, and the profits from the swim team had
skyrocketed to the approval of the board of directors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;83. Describe a situation that required a number
of things to be done at the same time. How did you handle it? What was the
result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my current job, I have to handle multiple responsibilities in developing new
projects, maintaining existing ones, and maintaining good client relations. I
allocate a certain amount of time for each area daily. That way clients can see
very clearly that projects are progressing, and I have more satisfaction in
accomplishing multiple tasks under pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;84. Have you found any ways to make school or a
job easier or more rewarding or to make yourself more effective?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I find that taking a proactive mindset to recognizing and solving problems
before they happen make any job more rewarding. It not only saves time and
effort but gives me a sense of accomplishment and ownership in my job. I
demonstrated my proactiveness when I worked with Food Lion. As a bookkeeper, I
was responsible for the offices. The safe was kept outside of the office in
front of the cash registers, where anyone could get inside of it if I or
another office associate had it open to drop a deposit or get money in and out.
I realized that the situation was a security hazard. Although we could not move
the safe to the inside of the office where it was more secure, I ordered a time
lock compartment and had it installed, and the safe could be opened only at a
specific time when the store closed each day. Only money could be dropped
through a slot in the compartment door. We kept large sums of money in that
compartment. We kept operating cash on hand since we needed some excess money
to perform daily functions. One month after I left that store to attend
college, I learned that it was robbed. Because of my efforts and foresight, the
robbers only got a small amount of cash. My previous supervisor thanked me for
my efforts, which gave me a great feeling, and I carried this proactive mindset
to my other jobs thereafter.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;85. How do you determine priorities in scheduling
your time? Give examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I took a time-management course in which I learned to prioritize all tasks on
A, B, or C lists. I always try to tackle the A list first. In every working
situation, co-workers have always complimented me on how well I manage my time.
I enjoy the social atmosphere of the office, but I make it a point not to waste
much time on chitchat with colleagues. I&#39;ve also learned that the average
office worker spends about an hour a day handling e-mail. I make it a point not
to deal with my e-mail more than once or twice a day, and I filter my messages
into folders so I can prioritize the way I deal with them.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;86. Tell of a time when your active listening
skills really paid off for you -- maybe a time when other people missed the key
idea being expressed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I presented my senior research in college, I was questioned by the members
of my major department as a &quot;panel.&quot; My grade was determined largely
on my ability to answer the questions effectively and smoothly, which depended
very much on my ability to listen carefully to what was being asked. I had seen
other students slip up when they misunderstood what the panel was asking
because they didn&#39;t listen well enough. I succeeded in listening well and did
well on my presentation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;87. What has been your experience in giving
presentations? What has been your most successful experience in speech making?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown to be a confident presenter. My most successful presentation took
place at my university when I was responsible for presenting a
leadership-development program for a class of Resident Assistants. The point of
my program was to teach each RA his/her leadership style, so he/she knew how to
interact on his/her floor as a student leader. The most significant aspect of
this program is that it taught them about their leadership styles without their
knowing it. Each student filled out a general questionnaire that asked about
preferences. Each person according to his/her responses were assigned to a
group with a general name. I then gave each group a book to read. Each group
had to read it aloud. After each group read each book, I then explained how
each group tackled the task. They all had handled the task differently. Each
student successfully understood how they approached tasks and from that how
they would approach their job as a RA. Not only did I engage the audience in
what was being presented, I have since seen the program adapted in other
presentations by RAs in that class. Not only did they enjoy it, they learned
something about themselves that would help them help their residents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;88. Tell of the most difficult customer service
experience that you have ever had to handle -- perhaps an angry or irate
customer. Be specific and tell what you did and what was the outcome.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was making business phone calls behind the membership office at the YMCA when
an angry man came up to the counter demanding a refund. He began yelling at the
membership workers and complaining about the swimming program, saying that it
was a rip-off. The other workers were flustered, and even though membership
services were not my department, I calmly asked the man what was wrong. He that
his son had been in swimming lessons for four weeks and was still afraid of the
water. Instead of instantly giving him the refund, I offered to personally give
his son private swim lessons for a week, explaining to him that sometimes
children react differently to each instructor&#39;s teaching techniques. He finally
agreed to accept without the refund. After a week of private lessons, his son
was no longer afraid of the water and he could swim nearly a lap of the pool.
At the end of the lessons, not only did he sign his child up for another paid
session of private lessons, but he bought a family membership and apologized to
me for his behavior the week before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;89. Give an example of when you had to work with
someone who was difficult to get along with. Why was this person difficult? How
did you handle that person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a Resident Advisor, I had another RA who often sought me as a person to
confide her complaints to and shared quite a bit of information about
activities she&#39;d engaged in that violated the rules. Although I did not mind
being a resource for this person, I knew that I could not compromise my
integrity or her residents&#39; safety. Although she became very outraged and angry
with me, I talked to her about the situation and and told her that I would have
to tell my supervisor. She eventually understood my responsibility and why I
had to come forward with information. She knew that what she had done was
against the rules, but never realized before I talked to her that she had
jeopardized her residents&#39; safety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;90. Describe a situation where you found yourself
dealing with someone who didn&#39;t like you. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I first began working as an OIC, I was the least experience amongst my
colleague on the floor. An older colleague on the floor, When I first got there
she barely acknowledged my presence, and through word of mouth I discovered
that she thought that I was fresh to fulfill my duties because I was so
inexperienced. She assumed I was immature. I did my job and took every
opportunity to make a good impression. I was a very diligent worker and behaved
in a highly professional manner at all &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Times, learning quickly
the best way to do things. After about two weeks of the silent treatment from
her, she came up to me and told me how impressed she was with me. She told me
that I had done an excellent job and was the fastest learner that she had ever
seen. She apologized to me for ignoring me and took me under her wing and
shared what she knew with me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;91. Give me a specific example of something you
did that helped build enthusiasm in others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was coaching my swim team at their first swim meet, the swimmers on my
team were intimidated by the other team because they were bigger and obviously
more experienced. The other team members looked like pros in their matching
swimsuits, unlike my swimmers&#39; mismatched suits. I encouraged them and told
them that they had practiced for so long and so hard that they deserved just as
much respect as those other teams. I told them that it didn&#39;t matter whether we
had matching swimsuits or not and that I would stand behind them 100 percent no
matter what. They were so excited and pumped after my speech. They cheered each
other on, and not only did every child break his or her own record, but my team
won first place in the meet among four other teams that had been together for a
much longer time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;92. Tell me about a difficult situation when it
was desirable for you to keep a positive attitude. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While directing a play, I was faced with numerous problems. The sets were not
coming together; the performers were fighting and not working hard; the
technical aspects of the play were far from complete, and in general it was a
mess. I was the &quot;stage manager,&quot; which means that I tell people when
to go on stage and tell the crew when to bring pieces of the set on stage. So I
organized everything and told people to do specific jobs and asked them in a
firm yet positive manner. People began to have fun, and the production went on
extremely well (all performances sold out). The play was regarded as one of the
smoothest shows to have been produced by the group.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;93. Give me an example of a time you had to make
an important decision. How did you make the decision? How does it affect you
today?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore year was about to begin and I had to decide on a major. I could
not waste any more credits figuring out what I was interested in. I took some
personality and career assessments to get a better handle on my interests,
skills, and values. I talked to faculty in several departments to decide which
faculty members I was most comfortable with. I studied the course offerings to
see which courses appealed to me the most. I decided on communications studies
and feel it is the best decision I ever could have made.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;94. Give me an example of a time you had to
persuade other people to take action. Were you successful?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was the leader of my macroeconomics group in college. As leader, I had to
delegate parts of the assignment to other group members. Not only did I do a
written part for each paper, but I gathered all of the props we needed for our
oral presentation, and I typed all of the five papers assigned. I was also
taking four other classes at the time. By the fourth paper, I decided to
persuade some of the other group members to edit and finalize it. I learned a
lot about delegation and leadership when I discovered that they were happy to
help out.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;95. Tell me about a time when you had to deal
with a difficult person. How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was an agent we had a monthly incentives as team. I had to work with a
group to meet our number and I had some personality clashes with one of the
group members. However, I realized the importance of meeting our number in a
prompt and efficient manner. I made it a point to put my differences aside and
complete my part, along with offering assistance to the other group members. As
a result, we exceeded our targets without any conflict and we got the monthly
incentives.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;96. Tell me about a time you had to handle
multiple responsibilities. How did you organize the work you needed to do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I became team lead OIC for 4 months. I was successful because I practiced good
time-management skills and I made a to-do list every day. As I completed each
task, I checked it off the list. It is funny how something so simple can keep
you so organized. As a result of my to-do lists, I was able to visualize my
daily progress.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;97. Tell me about a time when you had to make a
decision, but didn&#39;t have all the information you needed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to make a decision recently between two configurations on one of our
routers. Time was quickly moving away from me, and I had to have all the
equipment back up in a matter of minutes. I chose the configuration that I had
the most data on because I knew at least that I could better troubleshoot it if
there was a problem. My decision was the right one.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;98. What suggestions do you have for our
organization?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After examining several sources, including your company&#39;s annual report and Web
site, as well as some of your competitors&#39; sources, I see that you have a
strong product line with good demographic segments, in a growing industry. I
did notice that your competitors seem to direct more of their efforts to the
baby boom market, and while that is certainly a large market for your products,
I think you have a great opportunity to expand your target market and increase
your market share by marketing your product line to the Baby Boomers&#39; kids --
Generation Y. These teens and preteens are extremely brand conscious and have a
high discretionary income -- and you are in a great position to attract them to
your product and build a very large core of brand loyal consumers on top of
your existing customer base.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;99. What is the most significant contribution you
made to the company during a past job or internship?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My organization was undergoing an accreditation process. I developed two
detailed accreditation self-evaluation reports that documented how the
organization met accreditation standards. These self-evaluations served as
basis for accreditation site visits and enabled all eligible programs to be
accredited in record time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;100. What is the biggest mistake you&#39;ve made?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The biggest mistake in my life that I have made is taking for granted the
sacrifices my parents endured for me. I look back and realize that everything
they did for me was so that I could succeed in life. I am thankful now and do
everything to my best ability to make them proud because I am so thankful that
they have been there for me so that I can give back to society and to my job
the opportunities that they never had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;102. Give me a specific example of a time when a
co-worker or classmate criticized your work in front of others. How did you
respond? How has that event shaped the way you communicate with others?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Another manager became upset with me since some projects were not being
completed. Without discussing the situation with me first, she criticized me in
front of one of the employees I directly supervised. I was upset that she made
me look bad in front of my workers, but I remained calm and asked her to step
into the office so that we could talk about it in more detail. We discussed the
problem, and she learned that the non-completion of the tasks was not my fault.
Another manager did not receive his instructions telling him the tasks he
needed to complete. After that I learned not to jump to conclusions when
dealing with others that I work and that sometimes a miscommunication can lead
to a much larger problem. I&#39;ve learned to get the complete facts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;103. Give me a specific example of a time when
you sold your supervisor or professor on an idea or concept. How did you proceed?
What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last summer, I wanted to help organize a summer camp for local low-income
children. My supervisor knew the demand would be there but feared we would not
have enough staff. I convinced her that since I went to the facility daily, I
could network with acquaintances and convince them of the importance of this
camp. My supervisor trusted me. We had hundreds of children sign up for the
program, and I had reached so many people that we were able fully staff the camp,
as well as have a backup supply of people who were willing to volunteer their
time and services to the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;104. Describe the system you use for keeping
track of multiple projects. How do you track your progress so that you can meet
deadlines? How do you stay focused?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I keep an electronic hand-held organizer that I synchronize with a schedule on
my computer. I keep track of each task in order of priority and due date. I use
an electronic organizer because it is very portable and has an alarm to remind
me of about what is due so I don&#39;t have to waste time by looking at my
organizer every hour. I start with the projects with the closest due date and
the highest priority. I take these tasks and then schedule times in my calendar
for me to work on them to ensure I meet deadlines. I stay focused by going over
my organizer each night before bed so I know immediately what I have
accomplished and where I need to start the next day. Here let me show you&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;105. Tell me about a time when you came up with
an innovative solution to a challenge your company/class/organization was facing.
What was the challenge? What role did others play?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The trucks at Wal-Mart come loaded by personnel at by a distribution center,
box-by-box. After receiving a few trucks, I noticed that my employees were
unloading broken merchandise that took a lot of time to clean up before the
rest of the truck could be finished. The broken glass, paint, or whatever
material it was prevented the employees from preceding farther into the truck,
causing more person-hours than normal. I noticed that the merchandise was
broken because heavier boxes were on top of lighter boxes. After a couple of
days of this situation, productivity decreasing, I learned that the rest of the
stores in my district faced the same problem. As a result, I asked each store
to take pictures of the mess so the distribution centers could see exactly what
was happening. I also asked each one to write down how many additional
person-hours it took to clean up the mess. After we gathered this information
for a four-week period, we had a pretty a good estimate of how much the company
was losing, approximately $9.50 per person-hour...an average of $125 per store
times 15 stores times 30 nights a month amounted to a substantial sum. We took
the information as a group to our district manager. Once he realized how much
money his district was losing each month because of broken merchandise in the
trucks, he contacted his regional manager, and the trucks after that were
loaded more carefully. The district made our Profit and Loss the next month by
a 9 percent increase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;106. Describe a specific problem you solved for
your employer or professor. How did you approach the problem? What role did
others play? What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was working as a receptionist at an apartment complex, a tenant argued
that he had turned in his rent payment the day it was due. He stated that he
had slipped it under the door because our office was closed for the day. I
decided to consult my manager because I realized that maybe the office needed a
sign that stated that we did not accept rent money that is slipped under the
door. My boss agreed, and we posted the sign. We never again had a problem with
tenants who claimed they&#39;d paid their rent that way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;107. Describe a time when you got co-workers or
classmates who dislike each other to work together. How did you accomplish this?
What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked for a law firm, my co-workers and I had a huge mailing to
complete. We had the choice of working more efficiently as a team -- or
individually in a much more time-consuming manner. My two co-workers did not
care for each other and they wanted to complete the mail-out on an individual
level. When I presented them with the evidence that we would finish at least an
hour earlier by working together, they decided that working together was the
right path to take. As a result, we finished the mail-out in a short period of
time and could work on other tasks that day.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;108. Tell me about a time when you failed to meet
a deadline. What things did you fail to do? What were the repercussions? What
did you learn?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently failed to meet a deadline in my communications course with a project
I had to do on the Internet. I did not meet the deadline because I
underestimated the amount of time the assignment would take me to complete.
Therefore, the assignment was incomplete when I turned it in. As a result I
lost points on my final grade.I learned the importance of examining tasks more
carefully so I can better estimate the amount of time required to complete
them. I also learned to build some flex time into projects so that if my
estimates are wrong, I&#39;ll still have time to complete the tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;109. Describe a time when you put your needs
aside to help a co-worker or classmate understand a task. How did you assist
him or her? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was studying right before a major finance test. As the class came into the
classroom a couple of students indicated that did not understand a concept that
I did. Although there was a small section of material that I had not completely
mastered, I realized that I knew enough about that section that I could perform
well enough to earn a good grade. I knew that the section that the other
students did not understand was a major portion of the exam since the professor
had an interest in this particular subject. I stopped what I was doing to
explain to the small group about the Multiplier Effect of Bank Reserves on the
overall supply of money. Those students learned enough from what I taught them
that they did well on the exam. I missed a few points on the section of
material that I had not mastered, but I did well enough to get an A, and the
satisfaction I got from teaching others the concept made me feel proud.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;110. Give two examples of things you&#39;ve done in
previous jobs or school that demonstrate your willingness to work hard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day we had inventory at Best Buy, I worked a 13-hour day. I did this
because I knew we were understaffed and that a lot of the lower-level employees
who would be working with the inventory team were very nervous about being in
charge of the inventory when many of them had never done it before.
Conveniently, I used to work for the inventory company that was handling our
store, so I still had a fairly deep understanding of their processes and
methods. I typically work 8-9 hour shifts, but I stayed longer after my shift
to ensure that our lower-level employees felt comfortable and that the
inventory got started on time and that it took off in the right direction. I
met with a few of the the lower-level employees, and I told them a few tips on
how to solve problems they may encounter, and it worked; they all seemed to
feel a little more comfortable. Then I walked the store and made sure that it
was presentable for our guests and in case we got a surprise visit from
headquarters. I couldn&#39;t stay for the inventory myself because I had class in
the morning, and it would&#39;ve put me over my 40 hours for the week, but I was
glad I could stay long enough to make everyone feel a little more comfortable,
and that I had time to make them all feel appreciated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Another example of
something that merited a lot of effort on my behalf was my marketing research
paper. I enjoy group projects because I enjoy learning about the perspectives
of others; however, sometimes the burdens appear to outweigh the benefits.
Having a group project such as this one with 5-6 team members was a difficult
task when most of us had school and jobs to juggle. We created an online survey
and sent it to everyone on our contact list. We were doing research for a museum,
and they had a contact list of award-winning artists whose perspectives they
wanted us to use in our project. Anyone whose email didn&#39;t work or who didn&#39;t
fill out the survey we tried to contact over the phone. Then we ran all of that
data through SPSS and started to create our paper -- in completion our paper
was 120 pages. The project was an amazing experience and I am so proud to say
I&#39;ve done it, I love having the opportunity to talk about what I have
accomplished, but it merited a great deal of effort and a lot of learning along
the way. My group was good; they were a solid group of people who were smart
and willing to put in the time, and we got the highest grade in the class.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;111. Describe the last time that you undertook a
project that demanded a lot of initiative.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my internship with World Market, we were asked to pick an area or a
problem and create a way to improve World Market process. I noticed that our
food vendors were not really pulling their weight -- with the economic downturn
and the price of gas especially, our sales are down right now, which often
means decreased payroll -- so at this juncture it was critical that our vendors
perform up to par so we don&#39;t have to waste our payroll hours doing their work.
Initially I just wanted to change our vendor survey. The survey had 4 questions
for each vendor, who got rated green (good) or red (bad) on each question --
that was it. So I turned it into 10 questions that each fell under the
categories of one of the initial 4 questions. I also changed the rating scale
to a 1-5 scale, 1-2 were red, 3-4 were yellow, and 5 was green. I did a Likert
scale rather than a simple red, yellow, green concept because I wanted to be
better able to track improvement. This didn&#39;t seem like enough to me; I decided
there were so many other ways I could tweak the process. So then I created a
new vendor scorecard (their feedback -- this shows them their weekly ratings in
each area) and a new Vendor notes card (this is where any comments go and shows
them any specific dates we had problems with their products, like spoiled milk,
for example). I also created a new vendor expectations guide that was a little
more professional and attuned to be consistent with the changed I made to the
survey. Finally I created an idea for development, putting the survey on a hand-held
scanning device so the Team Leader in charge of that area of the store could
take the scanner around with her as she did the survey, increasing its
accuracy. The survey would also show the vendors&#39; scorecard history (last
month, quarterly average, biannual average, and annual average) so we could
determine whether or not the vendor was improving.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;112.What is the most competitive work or school
situation you have experienced? How did you handle it? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked at a retail store, where we had a competition to win an extra discount
at the store. Our task was to get more credit-card applications than any other
employee. I handled this task by presenting the customer with the benefits of
signing up for the credit card and taking the time to explain to them what
exactly they were getting into. This seemed to be a great way to deal with this
task because people appreciated the honesty and were happy to get the card
because of the benefits. I did very well with this task and ended up wining the
contest.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;113. Describe a project or situation that best
demonstrates your analytical abilities.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my Marketing Research course, we were assigned a group project to do
marketing research for a local business. After we collected all of the data, we
had to analyze the data in a meaningful way for the business and report the
results. It turned out that I had the strongest analytical abilities in the
group, so I led the rest of the group in analyzing the data. Because of my
analytical skills, we found that the business had been targeting the wrong
market all along and were able to show the owner the market segment that the
business should be targeting.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;114. Give an example of when you took a risk to
achieve a goal. What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I decided to study abroad in the spring of 2007, I had to weigh the pros
and cons of the decision. People who study abroad typically get worse grades
abroad than at home because of the educational and cultural differences, so I
had to consider the risk to my GPA. I also had to consider how expensive it
would be to live abroad without being allowed to have a job, so there was a
financial risk as well. On top of this, when studying abroad at this particular
university, because of the difference in education, I was allowed to take only
3 courses, which was significant to me because I already was on a strict
schedule from switching majors so late in my college career. So I also had to
consider the risk of cramming my schedule with difficult classes in my senior
year. But I knew that this was going to be a life-changing experience that I
may never get to participate in again. So I took the risk and studied abroad.
Now, I have that experience, and it has made me a better candidate for places
in my career. It shows that I can overcome great challenges and have been
immersed into foreign culture, which is important in my career in the art
industry.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;115. Tell about a time when you built rapport
quickly with someone under difficult conditions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While managing a high-end mall jewelry store in which the clientele are usually
quite well-mannered and soft-spoken, I returned from a lunch break to find one
of our newer sales associates struggling with an irate and somewhat irrational
customer. Voices were escalating, with the customer spewing negative comments
that could be heard from within the mall. While maintaining good relationships
with our customers is a hallmark of our company, this particular situation was
not ordinary by any means. I could tell the sales associate was in over his
head with this encounter, so I quickly walked into the conversation -- argument
-- and proceeded to ask the customer several key questions so that I could both
calm her down while also discovering more about her situation so that I could
then defuse the confrontation and restore order in the store. In the process of
talking with her, I found we had a common love of dogs and were able to talk
about our dogs -- sharing some funny stories -- before getting back to her
specific problem with the store. In the end, it turns out the company that
handles our credit card had been double-billing her account, and I was able to
make a phone call and solve her problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;116. Some people consider themselves to be
&quot;big picture people&quot; and others are detail oriented. Which are you?
Give an example hat illustrates your preference.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe that to be successful, you have to be both a big-picture person and
detail oriented. You can&#39;t get caught up in just the details or you will lose
sight of the long-term goals. And you can&#39;t get caught up in just looking at
the big picture, or you will fail because of the lack of detail. As the group
leader of a project for my marketing class, I definitely had to be both a
big-picture person and detail oriented. I had to make sure that everyone was
doing their part and working toward the goal of the project while, at the same
time, checking every piece of the paper to make sure even the minuscule parts
of the paper were correct and in place. Through using both skills, we earned an
A on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;117. Describe a situation where you felt you had
not communicated well. How did you correct the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I had a situation where I was giving a presentation to a company and
one of the upper managers had to step out during my presentation. He returned
after I was done and was taking down my setup, and he asked if he could ask a
question, I jokingly replied &quot;no more questions&quot; and then offered,
&quot;yes, of course, I would be happy to answer a question for you.&quot;
Despite the fact that he had laughed at my initial joke, it was clear to me
that it had not been received well. I then made certain that I went up to him
and apologized and made it clear that I meant no disrespect and that sometimes
I just become comfortable with people very quickly. He told me that I needed to
be aware of my audience. This is something I have always known, but I believe
the sting of this specific event has really brought it to light for me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;118. Describe a time when you took personal
accountability for a conflict and initiated contact with the individual(s)
involved to explain your actions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a member of the executive board of my fraternity, I was involved in
decisions with where to do our community-service projects at times. At one
point, the community-service chairman asked me where I thought he should make
the next event. I told him we should do an event at the Boys and Girls Club.
Some fraternity members complained to the community-service chairman for the
decision because they wanted an easier event. I took responsibility for the
choice and spoke to the individuals about my reasoning. I told them that I felt
the event would make more of a difference in the community than cleaning up a
road as we usually do since it would allow us to be mentors to troubled youth
as well as provide them with a cleaner building to use. It was better than
simply doing manual labor and ended up being a successful event that everyone
plans on doing again in the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;119. Give me an example of when you were able to
meet the personal and professional (or academic) demands in your life yet still
maintained a healthy balance.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore summer I studied abroad in Europe for six weeks with a program
through my university. We were in Innsbruck, Austria, and I loved everything
about the town and its surroundings, as well as every place I traveled to on
the weekends. There was always something to see or do that was more fun and
exciting than class, but I also knew that I couldn&#39;t make bad grades that would
lower my GPA. To get the most time out of my weekend travels and weekdays in
Innsbruck, I always did homework on the train on the weekends and for a few
hours every day after class. I ended my summer abroad with many new friends,
good grades, and great stories to tell of the cities I saw and adventures I
went on.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;120. Everyone has made some poor decisions or has
done something that just did not turn out right. Give an example of when this
has happened to you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my freshman psychology class, we had to do a group project and presentation,
and we got to pick our group members. I was a freshman, and inexperienced with
group projects, so I picked two of my friends, even though I knew that they
were not hard workers and didn&#39;t care about their grades. At the time, I didn&#39;t
care that they weren&#39;t good students, I just wanted to be comfortable with the
people I was working with. I ended up doing most of the project very last
minute and by myself because I couldn&#39;t get them to work on it with me. The
project and presentation were both really bad, and all three of our final
grades were almost 10 points lower because of it. Needless to say, I never
picked a friend as a group member, again, unless I knew they were diligent in
school. I learned to be more strategic about team members and also how to
motivate people who are not as enthusiastic as I am.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;121. What do you do when you are faced with an
obstacle to an important project? Give an example.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When faced with an obstacle to an important project, I always find a way to
complete the project in the best manner possible. As an intern at the insurance
company I worked for last summer, I was responsible for designing the marketing
materials that are handed out at the conventions and to insurance agents to
keep the company on top of their minds. Since I was unfamiliar with the materials
and the designing software, it took me a little while to get a grasp on it. By
the end of the workday on the deadline, I did not have all of the materials
completed. So I spoke to my supervisor and tried to work something out. She
told me that I was not allowed to do more than a certain number of hours in a
week and that the materials needed to be done to turn in to production early
the next morning. So I suggested that I stay after work that day to complete
the project without hourly compensation. After a little persuasion, she allowed
it, and I had the materials completed for the next morning successfully.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;122. Tell about the most difficult or frustrating
individual that you&#39;ve ever had to work with, and how you managed to work with
that person.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a boss who would micro-manage every single project, often causing missed
deadlines and frustration throughout the department. We all worried about our
department&#39;s reputation within the organization, but since he was our boss, we
felt helpless to try and change anything. It was indeed frustrating knowing you
could complete a project on time, only to have your boss need to stop you and
question what you were doing and suggest changes. But I got the idea that maybe
if I talked with the boss and showed him that we could get more done as a
department if we all worked together to have better communications and to trust
each other to ask for help and direction when we needed it. Since we worked
together, rather than against each other, the boss gained confidence in us to
do our jobs, and we were able to do our jobs and also regain the reputation of
the department.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;123. Tell about a time when your trustworthiness
was challenged. How did you react/respond?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
For my public-relations course, we had to do a group project to make a
public-relations campaign for an organization. At the same time, I had three
other group projects and six classes that were becoming extremely challenging
to juggle. Some of the group members knew this, so they expressed their concern
and some doubt after I offered to take a significant portion of the project
upon myself. I persuaded them to trust me and told them about the many things I
am able to successfully juggle. I asked them to let me prove it to them, so in
the end I completed my part early and we earned a high grade on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;124. Describe a situation when you were able to
have a positive influence on the actions of others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester my organization raised more than $1,500 for a local organization,
The Children&#39;s Home Society. It was a last-minute fundraiser. We did this over
the course of a week, and it was right before the holiday season. There were 16
children who we were looking to help, and the goal of our campus was to raise
$200 per child. Ultimately the campus just took the total amount raised and
divided it by the number of children; it came out to about $179/child. This
money was to help get these underprivileged kids who came from broken homes a
good holiday season. What the math comes out to is that we made this happen for
approximately 9 children. I was the one who took on this challenge and made and
distributed fliers to the business-school faculty. I orchestrated the event,
and I like to think that everyone in our organization feels as good about it as
I do. I get goose bumps talking about it because it is one of the things of
which I am most proud -- I really feel like I had a positive impact on a few
lives, and that is what I live for -- I hope I made others in my organization
feel the same. I am fairly certain I did.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;125. Tell about a recent job or campus experience
that you would describe as a real learning experience? What did you learn from
the job or experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My recent internship would be the greatest learning experience I have had
lately. The format of the internship is to work in each of the varying
departments for a few days to get the lay of the land,. We were supposed to
spend the rest of our 10 weeks working on our projects and running the store
(acting as manager). I learned a lot about the processes of this specific
organization and how they all work together, but I also learned a lot about
applying management techniques. We had multiple training sessions that honed my
leadership skills, but the application was where I really learned. I learned a
lot about how to effectively interact with people. I made sure that before I
would coach a team member on how to do something correctly, according to brand,
that I knew exactly why that was the way we chose to do it, because I wanted
them to understand. I learned that understanding is the key to implementing --
I guess that&#39;s why I&#39;ve always liked math, if I understand why I need to do a
formula a certain way, then I will remember it and even appreciate it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;126. Describe a team experience you found
disappointing. What could you have done to prevent it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently worked on a project where we had to make a film, a documentary of
sorts, on any topic we wanted -- it was really just about the medium of film.
My team picked the project of exploring Diet Fad trends through the decades; we
thought it would be amusing to see the crazy things people have done for a
better body image over the years. Although the project turned out very well,
and I am pleased with the end result, I was disappointed in the communication,
or lack thereof. Because of everything else I had going on this semester, I had
opted not to be the group leader and thus the main communicator -- which was
good for me. I like taking on the leadership role but once in a while I sit
back and make sure somebody else does it so I still know how to be a supportive
follower. Regardless, some of the group members did not turn in their research
at the deadline, and our leader did not follow up with them on it. After it was
a week overdue I had to jump in and map out a timeline for our team so we could
get the project done. I had wanted to make sure we did not put it off because I
knew film editing would be much more time consuming than we would anticipate.
We got everything done with time to spare but most of our work ended up being
during the busiest week of the semester for me and for some of the other
members, so I wish the communications had been more thorough earlier on in the
project. To improve the situation I could have jumped in earlier and been in
touch with the leader about following up with the rest of the team, but I
wasn&#39;t certain she hadn&#39;t followed up with them until I brought it up in class
and they all asked, &quot;wasn&#39;t that due last week?&quot; The lesson I learned
was to ensure that I am a consistently active participant even when I am not
the leader; that way I am still maximizing my relationships with the group and
working to improve my skills as well as those of the people working with me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R (situation-action-result)
technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;127. Recall a situation in which communications
were poor. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked on a team with several members, and while we worked in the same
building, we often used email to communicate with each other. One of the
members was not as comfortable with email as the rest of the team, and would
always slow the team process down by repeatedly asking people to repeat or
rephrase their emails -- always reading way too much into whatever was written
in the emails. At one point, after an agonizing day of emails back and forth
trying to explain a critical part of the work, I decided I simply needed to go to
her office and talk with her about the problem. We met, and I listened to her
issues, and together we worked out a solution in which the team still did most
of its communications via email, but whenever this team member did not
understand something, instead of sending a confusing collection of emails, she
would either pick up the phone or walk to the other person&#39;s office and solve
the miscommunication quickly and efficiently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;128. Describe a time when you had to make a
difficult choice between your personal and professional (or academic) life.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
At the very beginning of my senior year of college, my best friend from home
passed away. Classes hadn&#39;t even been in session for a week when I heard of the
car wreck on Saturday night; at first the news wasn&#39;t very bad, but as days
went on her condition got worse, and by Tuesday, the doctors declared that she
would be brain dead forever. I was the mediator between her family and our
friends, so when they made the difficult decision to let her go, I was the
first to know and had to keep everyone else informed. I was in total shock in
the beginning, so I immediately told my professors the situation and that I
might be going home for the rest of the week. After getting upset and dealing
with the pain that Tuesday afternoon, I realized that I couldn&#39;t skip a whole
week of classes to go home because I would be way too far behind, and I didn&#39;t
want to start my senior year like that. Even though I really wanted to be home
with my family and friends during that whole week, the funeral wasn&#39;t until
that Saturday, I didn&#39;t have Friday classes, and it was Labor Day weekend, so
there was no class on Monday. I ended up finishing the week at school and still
got to have a nice, long weekend at home to mourn over my great loss.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;129. On occasion we are confronted by dishonesty
in the workplace or in school. Tell about such an occurrence and how you
handled it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked for a magazine that had two main competitors, and at the time I worked
there, the economy was a bit slow, and the competition for readers and
advertiser among these three publications was fierce. We had just finished a
market-research study that showed that our audience was just a bit larger and
more attractive (better educated, higher incomes) than our competition. We sent
the good news to our publisher, who called us in for a meeting to tell us he
wanted to combine some numbers to make our position appear even stronger -- and
then put those numbers in an ad campaign touting how much better we were than
our competition. We told the publisher that he was mistaken and that you could
not combine the numbers the way he suggested, but he replied he knew that, but
no one else would, and it would strengthen our position in a bad market. It
took a lot of courage, but after the meeting, I went back and talked with him
one-on-one so as not to embarrass him in front of my colleagues, and told him
that what he was doing was dishonest -- and could get us all fired. I knew I
risked getting fired for even talking to him this way, but I felt pretty sure
he was not dishonest at heart. He did not decide right then, bit he did call
back the next day to say he decided not to run the ad.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;130. What are the most important rewards you
expect to gain from your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I expect to be challenged and grow as a result of my career. I would like to
improve myself as a person and as an asset to this company and this industry. I
am confident that this position is one that will hone my leadership skills,
improve my knowledge of the industry, and challenge me such that I continue to
grow and improve within the company.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;131. How would you define &quot;success&quot; for
someone in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Success is being able to attract new patients and physicians while ensuring the
happiness of those who are current. It is the ability to brand the company
effectively toward a target market to ensure continued customer loyalty.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;132. What qualifications do you have that will
make you successful in this company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I began as an intern for Atlanta Medical System in August of 2007 and have been
working as the Public Relations Assistant since January 2008. Because of this
experience, I have a comprehensive understanding of the hospital itself and the
Tenet Healthcare System. I also earned by marketing degree from Georgia Tech in
May of 2008 and throughout my college career participated in numerous
organizations that gave me the opportunity to have hands-on event-planning and
management experience. I planned the first annual Alpha Delta Pi Big Catch fishing
tournament at the Georgia Tech that raised more than $4,000 for the Ronald
McDonald House Charities, and I was the Marketing and Public Relations Chair
for the Student Alumni Association at my university and handled all Homecoming
promotions, as well as promotions for other events.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;133. What skills have you acquired from your work
experience/internships and part-time jobs?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As part of my internship with Target, I completed various training courses
ranging in subject area from ways to work with employees and coaching them on
how to improve, to creating my own individual development plan fostering my
current and future growth. I was also put in the role of Leader on Duty, where
I was the acting store manager, as early as my second week with the company. My
internship with Quintessential Careers taught me a great deal about working
with a smaller, family business. I took the initiative to plan and implement
our big events. My internship with Siemens made my experiences all inclusive as
it gave me the opportunity to be one of the central components of such a large
company and I was able to truly understand the impact of the political and
legal systems on this industry&#39;s competitive environment.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;134. What have you learned from your experiences
outside the workplace/classroom?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have learned that the real world is much different from what you learn in the
classroom, that some things you learn are similar to what you were taught, but
that for the most part learning is achieved through the process of doing. In
the world of health-care marketing, things happen at a fast pace, and you must
take everything one day at a time while still keeping an eye on the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;135. What criteria are you using to choose
companies to interview with?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work for a small company, preferably a family business like yours. I
want a company that has similar values like honesty, individual development,
and broadmindedness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;[contributed by Renee
Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;136. If you were hiring for this position, what
qualities would you look for (in a new college grad)?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I would be looking for someone who has great communications skills, who can
communicate with a variety of stakeholder groups, always keeping on message. I
would also want someone who had a good mix of teamwork and leadership skills. I
would seek a graduate who had a strong blend of academic success and industry
experience. Finally, I would want someone who is ambitious, but also willing to
learn from others within the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Interestingly, I would
want a college grad who had the same experiences and skills sets that I bring to
you.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;137. How would you describe your leadership
skills?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am a leader who likes to give the people I am leading the ability to shine. I
think it is important to take everyone&#39;s opinion into consideration and be
willing to listen to what they have to say. I think my job as a leader is to
organize things and keep them in order. Being the leader does not mean I know
everything there is to know because I can not possibly know more than everyone
else about every topic. It is just not plausible.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;138. Which is more important: creativity or
efficiency? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I think that the key is a balance between the two, with efficiency being the
most important. You could have an extremely creative piece, but if the message
of the piece is not clear then it is not efficient and a waste of resources.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;139. How has college changed you as a person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown up during my college years. I am able to communicate better, think
strategically, and multitask more than ever before. I can handle an appropriate
level of stress and still get things done.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;140. What have you accomplished that shows your
initiative and willingness to work?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A 120-hour internship while going to school full-time. I juggled the two
effectively, completing my internship and classes with all A&#39;s. I was also able
to apply the things I learned in each one to the other.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;141. What was the toughest challenge you&#39;ve ever
faced?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day after I turned 15 I had to get a job to help support my Mom and myself
as my Mom struggled to find employment. During my sophomore year of high school
I worked two jobs, approximately 45 hours a week, to help pay the bills. It was
tough managing homework, six extracurricular organizations, and two jobs, but
in the end I learned a valuable lesson about hard work and the value of a dollar.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;142. What two or three things are most important
to you in your job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be happy. I want to work in a job that I am passionate about, and for
a company that respects and rewards my contributions. I want to have co-workers
whom I like and respect. I think these things all work together for a positive
work environment -- which increases productivity -- resulting in happy
employees and a happy employer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I also seek fulfillment. I
don&#39;t want to work in a job that I feel is below what I am capable of doing. I
seek a job that will challenge me to perform at the highest levels and seek
ongoing professional development so that I can be even better at my job, making
an even stronger contribution to my employer. From everything I&#39;ve researched
and seen, this job that I&#39;m interviewing for meets all my criteria.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;143. Some people work best as part of a group --
others prefer the role of individual contributor. How would you describe
yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like a mix of both. I like to work in a group and get group input. I think a
lot of good ideas come from talking things out with other people. I also like
to work by myself on some projects because I think there are some projects that
are just done better if one person is working on them.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;144. When given an important assignment, how do
you approach it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to make a list, a timeline of how and by when things need to be done. I
really like to get started on the assignment immediately because I&#39;ve found
that once I get started on a project I tend to get gradually more excited about
it and involved in it, and I want to expand the project more and more as I go
on. By getting started earlier, I can get the most out of the project and
maximize it as much as possible while providing time to give it that extra
review.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;145. If there were one area you&#39;ve always wanted
to improve upon, what would that be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Sometimes I have trouble admitting to people that I am not understanding
something they want me to do or am struggling with a certain task, I can be
reluctant to ask others for help. This is something that I want to improve on
and am taking steps toward becoming better at asking those around me for help
when I need it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;146. When you have been made aware of, or have
discovered for yourself, a problem in your school or work performance, what was
your course of action?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I realized my freshman year that my writing was not up to par. I struggled not
only in my first-year English courses, but in other courses that required
writing papers. I used the university&#39;s writing lab as much as possible, but
toward the end of that first year, I knew I needed to do more to overcome my
deficiencies. My solution was taking two additional writing courses over the
summer between my freshman and sophomore years to truly grasp the fundamentals
of writing, but then to also take my writing to the next level. Some of my
proudest moments later in college have been when professors have noted on my
papers that they were impressed with my writing abilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;147. What kinds of things have you done at school
or on the job that were beyond expectations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I received a research grant, the requirement was to present our
information at some sort of poster contest. Instead of doing this, however, I
was involved with a professional organization and presented my findings to
faculty around the country at its annual conference. I was the only student
presenter at the conference, and my presentation was one of the most highly
attended. It was made clear to me that I went above and beyond by presenting at
this convention as opposed to a poster competition.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;148. What, in your opinion, are the key
ingredients in guiding and maintaining successful business relationships?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Communication is the key ingredient to guiding and maintaining successful
business relationships. Being able to clearly communicate your ideas to others
allows you to build and maintain a relationship with others. It is also very
important to be an active listener and address any concerns or questions the
other party might have. Also, to maintain a successful business relationship,
you have to be able to compromise and do what is best for both parties
involved.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;149. What sorts of things have you done to become
better qualified for your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have experience in multiple fields and under very different circumstances. I
have obtained internships that were very diverse so I could get the most out of
each experience and feel like I am well versed in the areas of management and
marketing. I have taken myriad classes at my university that have helped
prepare me for a successful career in business. Further, my participation in
our co-ed professional business fraternity has given me the opportunity to
interact with other businesses and develop myself further personally and
professionally.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;150. What motivates you to go the extra mile on a
project or job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Fortunately, I am highly self-motivated and do not require a great deal of
external motivation on projects and jobs. I have an extremely strong work
ethic, and I am not really capable of doing anything less than going the extra
mile. I enjoy the satisfaction of completing a a project that goes above and
beyond expectations. Sure, I like to be praised for my work as much as the next
person does, but the real reward comes in seeing an outstanding finished
project, knowing my role in accomplishing the project, and realizing that I put
more than my best effort into it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h4 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;We&#39;ve
pulled together a list of common behavioral-interview questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;One of the keys to success in interviewing is
practice, so we encourage you to take the time to work out answers to these
questions using one of the suggested methods, such as the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;STAR approach&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Be sure not to memorize answers; the key to
interviewing success is simply being prepared for the questions and having a
mental outline to follow in responding to each question. For more tips, read
our article,&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/behavioral_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Behavioral Interviewing Strategies&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Looking for some sample excellent answers to behavioral
interview questions? Then go to our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/interview_question_database/&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Job Interview Questions Database&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;, where we have traditional, behavioral,
and mixed interview questions for both experienced job-seekers and college
students and recent grads.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Here is
one list of sample behavioral-based interview questions:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a situation in which you were able to use persuasion to successfully convince
someone to see things your way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you were faced with a stressful situation that demonstrated your
coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you used good judgment and logic in
solving a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you set a goal and were able to meet or achieve
it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to use your presentation skills to influence
someone&#39;s opinion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you had to conform to a policy with which
you did not agree.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Please
discuss an important written document you were required to complete.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to go above and beyond the call of duty in order
to get a job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had too many things to do and you were required to
prioritize your tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you had to make a split second decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What
is your typical way of dealing with conflict? Give me an example.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time you were able to successfully deal with another person even
when that individual may not have personally liked you (or vice versa).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a difficult decision you&#39;ve made in the last year.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when something you tried to accomplish and failed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of when you showed initiative and took the lead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a recent situation in which you had to deal with a very upset customer
or co-worker.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you motivated others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you delegated a project effectively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you used your fact-finding skills to solve a
problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you missed an obvious solution to a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you anticipated potential problems and developed preventive
measures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you were forced to make an unpopular decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Please
tell me about a time you had to fire a friend.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you set your sights too high (or too low).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span style=&quot;font-family: Tahoma, sans-serif;&quot;&gt;&lt;span style=&quot;font-size: 12px;&quot;&gt;&lt;br /&gt;&lt;/span&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6643252470761295227/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6643252470761295227' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6643252470761295227'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6643252470761295227'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2013/07/job-interview-tips_9477.html' title='Job Interview Tips'/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-1531939913919438360</id><published>2013-07-08T02:40:00.001-07:00</published><updated>2013-07-08T02:40:00.373-07:00</updated><title type='text'>Job Interview Tips</title><content type='html'>&lt;table border=&quot;0&quot; cellpadding=&quot;0&quot; cellspacing=&quot;3&quot; class=&quot;MsoNormalTable&quot; style=&quot;background: white; mso-cellspacing: 1.5pt; mso-padding-alt: 5.25pt 5.25pt 5.25pt 5.25pt; width: 95%px;&quot;&gt;
 &lt;tbody&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Situation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Or&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h2&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Task&lt;/span&gt;&lt;/h2&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the situation that you were in or the task that you
  needed to accomplish. You must describe a specific event or situation, not a
  generalized description of what you have done in the past. Be sure to give
  enough detail for the interviewer to understand. This situation can be from a
  previous&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;job&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;, from a volunteer experience, or
  any relevant event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Action you took&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the action you took and be sure to keep the focus on
  you. Even if you are discussing a group&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;project&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;or effort, describe what you did
  -- not the efforts of the team. Don&#39;t tell what you might do, tell what you
  did.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Results you achieved&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What happened? How did the event end? What did you accomplish?
  What did you learn?&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;/tbody&gt;&lt;/table&gt;
&lt;br /&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1. How would you describe yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Team Player – Hitting our average handling time in IB is the main problem for
my team, I initiated a team building for us discuss the challenges we have and
share our best practices, Next after that; we have manage to lower down our AHT
and able to used our best practices. I believe that team work is the key to achieve
a successful and fruitful working environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Incentive Driven –
September - December is the peak season of the year on my previous account; they
are in need of heads and offered 80-100 pesos per hour for individual who’s
willing to extend hours. I offered an extra 4-6 hours everyday and also
rendered overtime on my rest day, we are able to meet most of our client
requirements and also I was able to earn high incentives up to 50,000. By the
end of last year I was able to bought my new Suzuki Thunder Motorcycle and 32”
Samsung LED TV with home theatre speakers. That was a fruitful year for me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Friendly – Everyday will
meet different types of personality and being outgoing and friendly is one of
my greatest strength&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Flexible –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Well Driven – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Initiative –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Dedication to work – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yourself.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Situation (S): &lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;Advertising revenue was falling off for my
college newspaper, the Stetson
Reporter, and large numbers of long-term advertisers were not renewing
contracts.&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Action (A):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;I designed a new promotional packet to go with
the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;rate&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;sheet and compared the benefits of&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;Reporter&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;circulation with other ad media in the
area. I also set-up a special training session for the account executives with
a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;School&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;of Business Administration professor who
discussed competitive selling strategies.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Result (R):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;We signed contracts with 15 former advertisers
for daily ads and five for special &lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;supplements&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;. We increased our new advertisers by 20 percent [quantities
are always good] over the same period last year.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2. What specific goals, including those related
to your occupation, have you established for your life?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be working for an excellent company like yours in a job in which I am
share related experience as&amp;nbsp; call center
agent. Immediately I want to learn the process and nature of the business and
my long-range career goal is to be a team lead where in I can contribute my
leadership, interpersonal, and technical skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3. How has your college experience prepared you
for a business career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have prepared myself to transition into the work force through real-world
experience involving travel abroad, internship, and entrepreneurial
opportunities. While interning with a private organization in Ecuador, I
developed a 15-page marketing plan composed in Spanish that recommended more
effective ways the company could promote its services. I also traveled abroad
on two other occasions in which I researched the indigenous culture of the
Mayan Indians in Todos Santos, Guatemala, and participate din a total language
immersion program in Costa Rica. As you can see from my academic,
extracurricular, and experiential background, I have unconditionally committed
myself to success as a marketing professional.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;My
answers:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I have
prepared myself to transition into the work force through real-world experience
involving travelling&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/experience.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4. Please describe the ideal job for you
following graduation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (equates ideal job with job he&#39;s interviewing for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My ideal job is one that incorporates both my education and practical work
skills to be the best I can be. Namely combining my education in finance with
my working knowledge of customer service operations, entrepreneurial abilities,
computer skills, and administrative skills. I want to utilize my analytical
expertise to help people meet their financial goals. This is exactly why I am
convinced that I would be a very valuable member of the Merrill Lynch team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/ideal.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5. What influenced you to choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My past experiences have shown me that I enjoy facing and overcoming the
challenge of making a sale. Without a doubt, once I have practiced my
presentation and prepared myself for objections, I feel very confident
approaching people I don&#39;t know and convincing them that they need my product.
Lastly, I like sales because my potential for success is limited only by how
much of myself I dedicate toward my goal. If any profession is founded on
self-determinism, it surely must be sales.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/decision-making.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6. At what point did you choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I knew that I wanted to pursue information systems technology about my
sophomore year in college. It was then that I realized that that my hobby
(computers) was taking up most of my time. My favorite courses were IT courses.
I also realized that I was doing computer-oriented work-study that I enjoyed so
much I would have done it for free.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7. What specific goals have you established for
your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My goals include becoming a Certified Financial Advisor so I can obtain a
better working knowledge of financial research analysis, which would allow me
contribute to my client base as a better financial consultant since I would
have that extra insight into the companies they are seeking to invest in. Also
this is the foundation block to advancing my career to portfolio manager or
even branch office manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8. What will it take to attain your goals, and
what steps have you taken toward attaining them?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve already done some research on other workers at Merrill Lynch to see how
they achieved similar goals. I know that Merrill Lynch encourages the pursuit
and will reimburse for tuition of a graduate degree. I plan on pursuing a MBA
to give me an even more extensive knowledge of business and financial analysis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9. What do you think it takes to be successful in
this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe successful salespeople put forth that extra effort that turns
potential clients into first-time customers. Salespeople who attend to the
details by doing whatever it takes to win over a prospective customer
distinguish themselves from the countless others who don&#39;t go to any extra
effort. Second, I think that if you label success as an attainable goal, you
will never consistently remain successful. You can only succeed if you learn
all there is to learn about your product, your competitors, and personal
selling. Since this learning process is continuous, it&#39;s an unattainable goal.
With good reason, salespeople should not consider success an attainable ending
point but an objective that will always linger slightly beyond their reach.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10. How do you determine or evaluate success?
Give me an example of one of your successful accomplishments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was hired by university&#39;s Council for Student Activities. The
group negotiates contracts of entertainers, sets up sound equipment, markets
the entertainers to students, and generally decides what kind of programming
should be done. When I got hired, I didn&#39;t know the first thing about how fill
any of those responsibilities. I decided, however, that I wasn&#39;t going to fail.
Four months later, I have become the Webmaster for the group. I also write our
campus newsletter and created Game Night, a student competition of table games.
That event yielded the biggest audience ever for a non-concert event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;11. Do you have the qualifications and personal
characteristics necessary for success in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I have a combination of qualities to be successful in this career.
First, I have a strong interest, backed by a solid, well-rounded,
state-of-the-art education, especially in a career that is technically
oriented. This basic ingredient, backed by love of learning, problem-solving
skills, well-rounded interests, determination to succeed and excel, strong
communication skills, and the ability to work hard, are the most important
qualities that will help me succeed in this career. To succeed, you also need a
natural curiosity about how systems work -- the kind of curiosity I
demonstrated when I upgraded my two computers recently. Technology is
constantly changing, so you must a fast learner just to keep up or you will be
overwhelmed. All of these traits combine to create a solid team member in the
ever-changing field of information systems. I am convinced that I possess these
characteristics and am ready to be a successful team member for your firm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;12. What has been your most rewarding accomplishment?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A recent satisfying accomplishment I was sent to one of our branch banks that
was notorious for not growing their loan base. The branch had logged $75,000 in
new loans in an 18-month period prior to my arrival. Having a reputation as a
&quot;hired gun&quot; when it came to loan production I was successful in the
solicitation and booking of $700,000 in my first six months at the branch.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;13. If you could do so, how would you plan your
college career differently?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I wouldn&#39;t change anything. All that I have done was a great learning
experience that I will carry forward throughout the rest of my life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/off-wall.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;14. Are you more energized by working with data
or by collaborating with other individuals?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like the validity of information and also like the energy that comes with
working with people. The best thing about working in a group is combining the
great minds from different perspectives and coming up with something extremely
great, compared with when you&#39;re working alone. At the same time, information
can generate vitality in the project you&#39;re working on. No matter how many
heads you&#39;ve got together, without information, you can&#39;t go very far. The
perfect situation would be a combination of working with information and
people, and I&#39;m confident of my abilities in both areas.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Stacey&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/choice.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;15. How would you describe yourself in terms of
your ability to work as a member of a team?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have had many opportunities in both athletics and academics to develop my
skills as a team player. My tenure as a rower with my college&#39;s crew team
serves as a good example. I learned a great deal about teamwork while rowing
because all the rowers in the boat must act as one, which meant that we
incessantly worked to keep each movement in the boat synchronized. On an
individual basis, we still worked toward group goals through weightlifting and
land-rowing. My experience as a marketing research team leader also helped me
to learn the role of &quot;team player.&quot; I viewed my position as that of
group leader and of group member. I ensured that everyone in the group had
equal opportunity to contribute, maintained excellent communication among group
members, and coordinated their energies toward reaching our team&#39;s goal.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;16. What motivates you to put forth you greatest
effort?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You would think that because I am interested in sales, only financial
compensation would motivate me to achieve. Although monetary rewards are
important to me, I am driven to succeed internally. More than anything, I want
to be respected by my friends and coworkers for being the best at what I do.
Whether I am considered to be the best car detailer in my hometown or the best
columnist for my college newspaper, I want to be recognized as the best.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;17. Given the investment our company will make in
hiring and training you, can you give us a reason to hire you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I sincerely believe that I&#39;m the best person for the job. I realize that there
are many other college students who have the ability to do this job. I also
have that ability. But I also bring an additional quality that makes me the
very best person for the job -- my attitude for excellence. Not just giving lip
service to excellence, but putting every part of myself into achieving it. In
college and at my previous jobs, I have consistently reached for becoming the
very best I can become. I think my leadership awards from my college, and my
management positions are the result of possessing the qualities you&#39;re looking
for in an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/hire.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;18. Would you describe yourself as goal-driven?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, and I demonstrated my goal orientation as president of the local Jaycees,
a community service organization. I am very proud of the fact that I set a goal
of signing 50 new members by the end of the year, and I accomplished that.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;19. Describe what you&#39;ve accomplished toward
reaching a recent goal for yourself.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first few years in banking had me on the fast track to branch management. I
realized at some point along the way that my true passion was in offering
financial advice not limited to checking accounts and loans. It was at that
point that I made the necessary arrangements to go back to school full-time to
pursue my goal, which I am just about to achieve.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;20. What short-term goals and objectives have you
established for yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My short-term objectives are to graduate from the Professional Development
Program before the standard two years and begin developing a clientele. As an
intern, I prepared ahead of time by studying for the Series 7 and Series 64
exams that constitute a majority of a beginning financial consultant&#39;s time.
I&#39;d like to make make the company that hires me wonder what it ever did without
me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;21. Can you describe your long-range goals and
objectives?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My primary objectives are to learn as much as possible about your company&#39;s
product offering, organizational structure, and professional sales techniques
so that I may become the most productive member of your sales team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;22. What do you expect to be doing in five years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although it is hard to predict the future, I sincerely believe that I will
become a very good financial consultant. I believe that my abilities will allow
me to excel to the point that I can seek other opportunities as a portfolio
manager (the next step) and possibly even higher. My ultimate goal continues to
be -- and will always be -- to be the best at whatever level I am working at
within Merrill Lynch&#39;s corporate structure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;23. What do you see yourself doing in ten years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Ten years from now I see myself as a successful consultant for a world-class
firm like yours. I want to have developed a wonderful bond with my employer I
will have proven myself a highly competent systems analyst and will represent
my company in helping others find solutions to their information-systems needs
in a professional and timely manner.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;24. How would you evaluate your ability to deal
with conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I am quite good at handling conflict. Working in retail and in the
residence halls required that I make many unpopular decisions at times, whether
it was terminating an associate or taking judicial action on a resident. Often
the person in conflict with me would be upset and sometimes physically
outraged. I would always make sure that I fully explained the situation, the
policies behind my decision, and why those policies exist. Usually by the end
of the conversation, the person could see the other side of the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;25. Have you ever had difficulty with a
supervisor or instructor? How did you resolve the conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I had an incident with my Spanish professor. I turned in an essay that she
said was too good to be mine. I was honest with her; I told her that I had a
native speaker review the essay, but he made very few corrections. However, I
had broken the Golden Rule of Spanish Composition -- the essay must not even
touch the hands of a native speaker. To prove to her that I was capable of
producing an essay that exceeded her expectations of a non-native speaker, I
offered to re-write another essay in her office. I earned an A-minus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/conflict.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;26. Tell
me about a major problem you recently handled. Were you successful in resolving
it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While working at K-mart, I was one of three people to work in the electronics
department. One day upon arriving at work, I was told the district manager was
coming the next day to do a store inspection. The two other people who worked
in electronics were both over 55. Neither could lift heavy objects, and one
refused to work at all. As a result, the electronics department was usually
left to me to keep stocked with product and kept in order. I had about five
hours of work time to get the entire department in order. Those five hours
passed around, and there was still a substantial amount of work to be done. I
asked the store manager if I could stay and work after hours while the
overnight stockers were there. He said that because of the employment budget,
he could not let me. I was faced with bringing the entire store&#39;s rating down,
so I suggested a creative staffing solution, allowing me to work the extra
hours while temporarily reducing the hours of the other two members of the department.
Because of this solution, in a matter of hours, the department was in tip-top
shape -- and still under budget. And the results? The electronics department
got a score of 95 out of 100.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;27. Would
you say that you can easily deal with high-pressure situations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes. My past experience as an Administrative Coordinator required me to deal
with many serious situations since I held emergency on-call duties as a
supervisor. One example was when I was called by a Resident Assistant to deal
with an attempted suicide on her residence hall floor. The situation required
that I think clearly and quickly in this life-and-death situation. I had to
weigh the many tasks that needed to be completed. I had to assign RAs to call
911, make sure that EMS could get into the locked building, while at the same
time applying first aid, and ensuring that the rest of the residents on the
floor were OK. I also had to make sure the privacy of the resident in need was
respected. I basically prioritized and dealt with each task by its importance.
I delegated responsibility to RAs for things that they were capable of handling
because I could not physically be in many places at once. Once the resident was
taken to the hospital, I was responsible for paperwork and follow up to make
sure the staff members, residents, and the resident-in-need adjusted back to
&quot;normal&quot; life. I know this is an extreme example not found in the
financial consulting field; however, it shows just how well I can deal with
extreme pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;28. What
quality or attribute do you feel will most contribute to your career success?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest strength is my flexibility. I have learned that work conditions
change from day to day and throughout the day, as well, no matter where I have
worked in the past. I also have realized that certain projects require
individual attention and others involve a teamwork approach. These are just a
few examples of the changes that happen in the financial consulting field, as
you are well aware. My flexibility to adapt to the different demands of the job
has allowed me to surpass my supervisor&#39;s expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/strengths.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;29. What
personal weakness has caused you the greatest difficulty in school or on the
job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (shows how he recognized his weakness and worked to
improve):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest weakness had been delegation. I would take it upon myself to do
many small projects throughout my shift as a manager that could have been done
by others in an attempt to improve my workers&#39; efficiency. Once I realized that
I was doing more work than the other assistant managers, and they were
achieving better results, I reevaluated what I was doing. I quickly realized
that if I assigned each person just one small project at the beginning of their
shift, clearly state expectations for the project, and then follow up that
everything would get done, and I could manage much more efficiently and
actually accomplish much more.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/weaknesses.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;30. What
were your reasons for selecting your college or university?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (tells how education specifically will benefit the
employer):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My college has always had a reputation as having an excellent accounting
department, so I knew that if I enrolled there, I would achieve first-class
preparation for my chosen career field. It is also a highly accredited school
known for satisfying employers with the preparation of its graduates -- that&#39;s
why companies like yours recruit at my school -- the school produces top
graduates. The school offers an excellent liberal-arts background, which
research shows equips graduates with numerous qualities, such as versatility
and strong critical-thinking skills. Finally, having visited the campus before
enrolling, I knew that the business school emphasized group projects. During my
four years in the school, I participated in more than 35 group projects, which
taught me invaluable teamwork, communication, and interpersonal skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/college.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&amp;nbsp;&amp;nbsp; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;31. If
you could change or improve anything about your college, what would it be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My major department had a wonderful internship program, and I was able to
complete three valuable internships with my department&#39;s guidance. Some other
departments in the business school don&#39;t have internship programs that are as
strong as my department&#39;s. I&#39;d like to see all the departments have strong
internship programs so all my school&#39;s business grads would have the same
opportunities that I had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;32. How
will the academic program and coursework you&#39;ve taken benefit your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (response is very specific to the job he is interviewing
for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As you will note on my resume, I&#39;ve taken not only the required core classes
for the finance field, I&#39;ve also gone above and beyond by double majoring in
accounting. I doubled majored since I knew that the financial consulting field
requires much knowledge of portfolio analysis and understanding of the tax
laws. I believe that my success in both areas of study have specifically
prepared me for this area. But it&#39;s not just taking the classes in these two
areas that allows me to offer Merrill Lynch clients more. I minored in Spanish
to understand the growing Hispanic clientele in the Central Florida area, which
as you are well aware is a growing source of revenue for the industry. If you
like, I can elaborate on other aspects of my education further.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;33. Which college classes or subjects did you
like best? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite classes have been the ones pertaining to my major, which is
marketing. These classes have laid the groundwork for my career in marketing.
They have also taught me skills that I can bring to my employer, ranging from
communication skills to interacting with others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;34. Are you the type of student for whom
conducting independent research has been a positive experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I love it. I thoroughly enjoyed my senior research in college while many
others in my class were miserable. I was never tired of learning more about my
topic and found it exhilarating to be researching something that had not been
studied before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;35. Describe the type of professor that has
created the most beneficial learning experience for you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite professors were the ones who gave me hands-on learning experiences
that I can apply to my career. Any person can make you memorize the quadratic
equation, but someone who can show you how to use it, and why, were the
professors I liked. I liked teachers who realized that sometimes there is more
then one answer and everyone thinks differently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;36. Do you think that your grades are an
indication of your academic achievement?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have focused much of my energy on work and obtaining real-world experience. I
commend my classmates who have earned high GPAs, but I also feel it&#39;s important
to be well-rounded. In addition to work experience, I participated in sports
and extracurricular activities in school. These activities taught me
leadership, communication, and teamwork skills. Sometimes my heavy load has not
allowed me to keep up with some of my studies, but I have learned an enormous
amount that I can apply in my future industry. As you will discover if you talk
to my supervisors, my ability to work effectively is much more reflective of my
future potential than is my GPA.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/GPA.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;37. What plans do you have for continued study?
An advanced degree?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I plan to continue my education for the rest of my life. In any
technology-related field, keeping up to date through continuing education is of
the utmost importance. Continuing education can include on-the-job training,
courses sponsored by the employer, and courses taken in new technologies as
they emerge. I plan to be not only a career employee but a career student so
that I can be the best information systems analyst I can be. I will ensure,
however, that any education I pursue not only doesn&#39;t interfere with my job or
the company&#39;s policies, but will enhance my value as an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;38. Before you can make a productive contribution
to the company, what degree of training do you feel you will require?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My background has been focused on preparing me for the financial consulting
industry, so I can be productive right away. I already have obtained the
educational credentials and skills to allow me to become an immediate asset to
Merrill Lynch. After interning for a semester, I am well aware of the shared
beliefs of the organization and its corporate values. I already have a very
good working knowledge of the financial consulting business. I am confident of
my ability to get up to speed quickly in any assignment with which I&#39;m not
familiar.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/training.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;39. Describe the characteristics of a successful
manager.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A successful manager should have the vision and capabilities to formulate
strategies to reach his or her objectives and communicate these ideas to his or
her team members. In addition to serving as a positive role model for
co-workers, successful managers must also be capable of inspiring others to
recognize, develop, and apply their talents to their utmost potential to reach
a common goal. These are the traits I hope to demonstrate when I&#39;m a manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/manager.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;40. Why did you decide to seek a position in this
field?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work in the marketing and PR industry because ever since I took my
first marketing course in college, I have felt very passionate toward the
industry and cannot imagine myself doing anything else.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;41. Tell me what you know about our company.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You&#39;re large and respected worldwide. You&#39;re both a clinical and teaching
hospital. Over the last 60 to 70 years you&#39;ve produced award-winning research.
In reviewing your Web site, I&#39;ve familiarized myself with many of your
corporate goals and objectives.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Judy&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;42. Why did you decide to seek a position in this
company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am convinced that there would be no better place to work than Accenture. You
are the top consulting firm in the United States. You provide your employees
with the tools they need to stay competitive and sharpen their skills while
working in an open, team-based environment. I am also aware that you provide a
mentor for all new employees, and I would embrace any opportunity to work with
a mentor and eventually become one myself.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;43. Do you have a geographic preference?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I would prefer to stay in the Mid-Atlantic area, I would not rule out
other possibilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;44. Why do you think you might like to live in
the community in which our company is located?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Just a few weeks ago, I had the opportunity to spend several days in your
community, and I fell in love with it. I love the fact that you have a thriving
riverfront. I&#39;m impressed with the many cultural opportunities here -- opera,
theater, art, and independent films. I&#39;ve also already become a fan of the
Saints and the other sports teams based here. I have conducted significant
Internet research on this city, so I am quite comfortable with your location.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;45. Would it be a problem for you to relocate?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;m open to opportunities within the company; if those opportunities involve
relocation, I would certainly consider it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;46. To what extent would you be willing to travel
for the job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am more than willing to travel. I understand the importance of going above
and beyond the call of duty to satisfy customer requests is sometimes required
and that Merrill Lynch&#39;s customer focus belief means that travel is expected in
some circumstances. I am willing to make this commitment to do whatever it
takes to develop that long-term relationship with a small business or client.
It is only through this relationship that loyalty can be maintained and
financial gains and growth can occur for both the client and Merrill Lynch. It
is my understanding from other financial consultants that I have interviewed at
Merrill Lynch that this occurs maybe one or two times a month.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;47. Which is more important to you, the job
itself or your salary?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A salary commensurate with my experience and skills is important, but it&#39;s only
one piece of the package. Many other elements go into making up a compensation
package, but more importantly, it&#39;s critical to me to enjoy what I&#39;m doing, fit
into the corporate culture, and feel I&#39;m making a genuine contribution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;48. What level of compensation would it take to
make you happy?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am not depending on money to make me happy. What makes me happy is having a
satisfying job that provides challenge and new situations daily.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;49. Tell me about the salary range you&#39;re
seeking.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am sure that I am the candidate you are looking for. If you feel the same,
the I&#39;m sure your offer will be fair and commensurate with the value I can
bring the company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;50. Describe a situation in which you were able
to use persuasion to successfully convince someone to see things your way?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently my company asked for bids on a phone system for our new college
campus. Two companies came in very close with their bids, and most of my
department wanted to go with a vendor that we have used in the past. After I
looked over the proposals, it was clear that this was the wrong decision. So, I
talked individually with each member of our staff and was able to change their
minds and get the best product that would save money and provide the highest
quality.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;51. Describe an instance when you had to think on
your feet to extricate yourself from a difficult situation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was a resident assistant at my college, a student I did not know asked
me if he could use my phone to call another room. Although I did not know the
student, I allowed him into my room. He used the phone and in the course of his
conversation, he stated that he had just come from a fraternity party and was
high from taking some drugs. Well after his conversation, I had to enforce the
student conduct code by writing him up. He became very hostile towards me and
would not give me any identification or information. I stood in the doorway to
prevent him from leaving. I noted the serial numbers on his keys, so when the
situation got to the point where I felt unsafe, I allowed him to leave. I still
preformed my job without jeopardizing my or his physical welfare.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;52. Give me a specific example of a time when you
used good judgment and logic in solving a problem.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a client come into the bank where I worked and request a $5,000 personal
loan to &quot;pay off some bills.&quot; In the customary review process, I
determined that what was really needed was a $25,000 debt-consolidation loan.
Rather than giving the customer a &quot;quick-fix&quot; to the problem, I
logically solved the problem in a way that was in the best interest of both the
bank and the client.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;53. By providing examples, convince me that you
can adapt to a wide variety of people, situations and environments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve shown my ability to adapt by successfully working in several very
different jobs. For example, I lived with a native family in Costa Rica. I
worked as a nanny for a famous writer in Cape Cod. I was responsible for
dealing with Drug Court participants. And I catered to elite country-club
clientele. I did it all well and had no trouble adapting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;54. Describe a time when you were faced with
problems or stresses that tested your coping skills.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Arriving at the language school I was attending in Costa Rica in the middle of
the night with very minimal Spanish-language skills, I found my way to a very
small town with no street addresses or names and found my temporary residence.
I was scared, but I handled the situation very well, very calmly. In very
stressful situations, I am always the one in the group to stay calm and
focused. My friends, family, and professors have always said that I am an oasis
of calm in a storm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;55. Give an example of a time in which you had to
be relatively quick in coming to a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
This happens often in the IT industry, but one recent example was when we had a
core backbone switch die. It died at the worst possible time -- during exams --
as they always seem to do, and I needed to get it back up and running quickly.
I analyzed the logs and system status, and using my previous experience, I made
some quick decisions that rectified problem and got the equipment back up only
minutes later.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;56. Describe a time when you had to use your
written communication skills to get an important point across.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As an Administrative Coordinator, I had a staff of 27 students. Having such a
large student staffs all working different shifts and having varying class
schedules meant that meetings could not be held with everyone at one time. I
needed to communicate with everyone about important policies and information
often, so I came up with the idea of designing a Web page for my staff with
written announcements. Each Desk Assistant was required to check the Web page
daily at the beginning of his/her shift. I also sent email communications by a
distribution list that allowed each Desk Assistant to keep informed about
anything. The one situation that stands out in my mind is a last-minute summer
camp that decided to come in a day early with only one day&#39;s notice. I had no
staff scheduled to check in the camps or to organize the keys. I posted an
update to the Web page and sent an email. Within four hours, I had the
following day completely staffed and desk assistants there to organize room
keys for the campers that night.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;57. Give me a specific occasion in which you
conformed to a policy with which you did not agree.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked at Home Depot as an assistant manager, I was always looking for
way to boost my employees&#39; morale. Unloading trucks is a very routine and
physical job and can become very boring and exhausting, so to improve the
unloaders&#39; attitude toward their duties and make the best of the situation, I
put a radio in the receiving dock. It worked; however, the district manager did
not approve of the radio in the workplace even though it did not interfere with
any set policy of company objectives. The radio was also out of any areas where
customers would hear the music. I did not agree with my DMs decision to remove
the radio; however, I understood his point of view once he explained it to me
and promptly complied with his request. The employees were not happy that their
radio was gone, so I found an alternative method of reward and morale boosting
by implementing a program in which we provided lunch for the unloaders from any
restaurant of their choice if they unloaded the trucks faster than normal. This
program succeeded by increasing their unloading time from 2 1/2 hours to only 1
1/2, a savings in payroll of 8 percent of sales for that shift.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;58. Give me an example of an important goal which
you had set in the past and tell me about your success in reaching it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a senior in high school, my goal was to attend college and play college
golf. But I was nowhere near the player I needed to be to play or even get on
the team. So over that summer I worked on my golf game to the point where I won
almost every tournament I entered. I spent every hour I had during the day to
make myself a better all-around player. I eventually walked on my freshmen year
and was exempted from qualifying because I played so well in my first outing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;59. Describe the most significant or creative
presentation that you have had to complete.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The most significant presentation I have ever had to present was at a national
research symposium. I was presenting research I had completed on digital
analysis of mammograms and had to present to a panel of more than 100 judges
who were at the top of their field. I focused on the research, which could sell
itself, and just let the information flow. It went over very well, and I
received many more invitations to present the research, including on national
television.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;60. Tell me about a time when you had to go above
and beyond the call of duty in order to get a job done.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I had already punched out, I stayed behind to help a colleague solve a
problem. A customer was very angry as he had waited very long for his coffee.
My colleague was new, she was quite slow. I came out and explained things to
the customer. Although he was very angry at first, I just listened to him and
told him that we try to bring our best out to each customer who walks in to our
store. After a one-hour discussion, he left with a happy face and was
satisfied.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Fizah.&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;61. Give me an example of a time when you were
able to successfully communicate with another person even when that individual
may not have personally liked you (or vice versa).&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my time in the theater, I had one director with whom I absolutely did
not work well. However, because of my track record, she would assign me as
stage director and/or assistant director. I was usually involved in the
day-to-day operations of the play and the details of how the play would be
performed. I handled the operation for the play by directing scenes the best
way I could and then showing them to her for approval. If she did not like the
way a scene worked, I gave her my opinion as to why it should be my way. If we
still could not compromise, I would follow her directions to the best of my
ability. Understanding that people don&#39;t usually have malicious intentions is
key, and understanding that you will never be able to convince some people that
your way is right is the best way to avoid conflict and still get the job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;62. Sometimes it&#39;s easy to get in &quot;over your
head.&quot; Describe a situation where you had to request help or assistance on
a project or assignment.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
It&#39;s impossible to know everything in the IT field because of rapidly changing
technology, so recently when we were having troubles with our circuit emulation
over our ATM network, I had to call in some engineers from North Carolina to
come help me out. The nice thing about asking for help is that when you get the
assistance, you can learn from what you are told and apply it to future
situations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;63. Give an example of how you applied knowledge
from previous coursework to a project in another class.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was taking a microeconomics and a statistics course. One of the
microeconomics projects dealt with showing the relationship between the
probability that customers would stop buying a product if the price was raised
a certain amount. Through what I learned in statistics I could find the median
where the price was the highest and still kept most of the customers happy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;64. Describe a situation where others you were
working with on a project disagreed with your ideas. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was on a project team in a business class in my freshman year in college, The
group brainstormed ideas for the video we were assigned to produce, and
everyone but me was leaning toward an idea that would be easy. I suggested
instead an idea that would be more difficult but would be something different
that no other group would be doing. I used my communications skills to persuade
the rest of the group to use my idea. During the project, we really learned
what teamwork was all about, became a close team, and ended up putting a lot of
hard work into the project. All the team members ended up feeling very proud of
the video, and they thanked me for the idea -- for which we earned an A.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;65. Describe a situation in which you found that
your results were not up to your professor&#39;s or supervisor&#39;s expectations. What
happened? What action did you take?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I was asked to put together a proposal for a migration of network
systems. Misunderstanding my boss, I thought it was just an informal paper.
When I presented it to him days later, he was upset with the quality since it
had to be presented to our VP. I explained my misunderstanding, apologized,
reworked the paper, and had it back to him with enough time for him to review
it before he presented it successfully at the meeting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;66. Tell of a time when you worked with a
colleague who was not completing his or her share of the work. Who, if anyone,
did you tell or talk to about it? Did the manager take any steps to correct
your colleague? Did you agree or disagree with the manager&#39;s actions?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During a group project in college, we had one member who would do no work
whatsoever. The project was to compare and contrast four companies in a single
industry, so his work was vital. We first discussed the situation and asked for
the bare-bones minimum of what we needed from him. We got just below that. As a
result we as a group went to the professor and told her our situation -- not
expecting or requesting action -- just informing her the situation we were
dealing with. Then we as a group split up the non-contributor&#39;s work, and
completed our work collectively on his share. In phase two in which we analyzed
the information and reported how each of our companies fared compared to the
others, we did not get a paper from the group member. As a result, we told the
teacher that we had our work done, and were willing to do the extra paper but
that we would rather spend time polishing our own work, and not picking up
slack. She agreed and said to focus on the three companies we had compiled the
most info on while not entirely neglecting the fourth. The papers came out very
well, but were understandably weak when comparing the fourth company. The
professor understood, and we received the grades we deserved. I was pleased
with our teamwork and the way we handled the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;67. Describe a situation in which you had to
arrive at a compromise or guide others to a compromise.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first semester in college, I was a political-science major. My introductory
government class professor had a differing political view then I. We disagreed
on everything, and many classes were filled with criticizing each others&#39; view.
However, on one test I answered a question with the view I believe in, and she
marked it wrong. So I asked her how an opinion can be wrong, and she said
because her opinion is the way she taught it in class. I pointed out that my
answer showed I understood the concepts of the question. She agreed, and I also
agreed not be so combative in answers on tests. Compromise is the key to
problem resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;68. What steps do you follow to study a problem
before making a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Following standard models for problem-solving and decision-making can be very
helpful. Here are the steps and how they helped me solve a problem with a group
project:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Define the problem to be solved
and decision to be made. For a project in an introductory management class the
assignment was to report on the corporate structure and financial situation of
a couple of companies. The decision to be made was what companies to profile
and how to present the information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Gather the necessary
information. Some group members wanted to report on automakers, while others
wanted to do electronics firms. We gathered information on both types of
company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;List all possible choices. We
made lists of companies in both categories.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Consider possible outcomes for
each choice. We decided that a report about car companies could have a positive
outcome, but one about electronics firms might be more futuristic with
high-tech products such as HDTV, video game consoles, and DVD players.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Check out how you feel about
each of the choices. Given that this was a group project, we had to consider
the feelings of all group members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Relate the choices to your
values and priorities. Again, all group members weighed in on their values and
priorities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;From the possible alternatives,
choose one. We decided that we&#39;d do electronics companies because we could
bring in products from each company and show what lies ahead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Commit yourself to your chosen
decision and disregard the others. Concentrate your energies in one direction.
Once we made our decision, we focused all our work on electronics forms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Take steps to turn your decision
into positive action. All group members got interested in how the companies
were doing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Evaluate your progress from time
to time. Change your decision if necessary. We were pleased with our progress
and didn&#39;t feel a need to change our decision. We got an A on the project.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;69. We can sometimes identify a small problem and
fix it before it becomes a major problem. Give an example(s) of how you have
done this.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked in a large retail store, the standard procedure was to leave a
product on the shelf until it ran out, then place more items out. This practice
obviously wasted a lot of man-hours. Of interest particularly to me were the
air conditioners. Not only did I have to put the heavy thing on the shelves,
but they were selling at a very high rate. So if somehow AC units ran out on a
day in which I could not restock them, they would not be available to
customers. As a result I started making a list of products (including the AC
units) that the overnight stock people could put on the shelves. As a result,
the people on duty always had a job to do, so labor hours were not wasted, and
the shelves were always stocked full of product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;70. In a supervisory or group leader role, have
you ever had to discipline or counsel an employee or group member? What was the
nature of the discipline? What steps did you take? How did that make you feel?
How did you prepare yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As president of a community-service organization, I was faced with a board
member not carrying out his duties as management development vice president. I
consulted with him as to what we could do together to fix the problem. We
agreed that he really couldn&#39;t devote the time that it took to carry out
certain projects, and he ended up resigning his position, but he also stated he
would help his replacement in whatever capacity he could. It made me feel as
though we had come to the conclusion together, rather than him thinking I was
criticizing his performance, which was not the case. I had a plan of action and
carried it out successfully.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;71. Recall a time from your work experience when
your manager or supervisor was unavailable and a problem arose. What was the
nature of the problem? How did you handle that situation? How did that make you
feel?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My supervisor was absent once when I was in charge of a soccer game. An actual
assault took place at the game. A player hit the referee. With no supervisor to
turn to, I immediately called the police, who quickly restored order to the
situation. I felt I made an effective decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;72. Recall a time when you were assigned what you
considered to be a complex project. Specifically, what steps did you take to
prepare for and finish the project? Were you happy with the outcome? What one
step would you have done differently if given the chance?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to give a marketing presentation while attending community college. The
project was about Anheuser-Busch. We were assigned to report on key management
personnel (CEO, Chairman of the Board, President, key VPs), divisions and
subsidiaries, major products/brands/services, key financials for the most
recent year (sales revenue, expenses, total income, net income, sales growth or
loss for the last year), market share, key competitors, mission statement,
product positioning, and number of employees. Among the steps I took were
visiting the company&#39;s Miami branch to interview employees and gather visual
aids for the project. I spent a lot of time organizing and writing the
presentation. Then I spent time reviewing my speech over a period of several
days. As a result I was calm while giving the presentation and received an
&quot;A&quot; for the project. The one additional step I perhaps wish I&#39;d taken
would have been to talk to some consumers and store owners about the product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Displaying
Interview Questions 73-80&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;73. What was the most complex assignment you have
had? What was your role?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My senior research was my most complex assignment. It took two semesters to
complete and was made up of many components. I had to make many critical
decisions along the way that would affect the outcome of my research. I made
these decisions independently with minimal influence from my professor. I was
very successful and happy with my final product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;74. How was your transition from high school to
college? Did you face any particular problems?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The transition was somewhat challenging for me because I traveled a great
distance to attend college. To help myself adapt, I got involved with as many
organizations as I could. I also made it a point to get to know my professors.
I used my interpersonal and communication skills to the best of my ability to
make a lot of friends, and college became one of the best experiences of my
life despite a beginning that seemed a bit overwhelming.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;75. Tell of some situations in which you have had
to adjust quickly to changes over which you had no control. What was the impact
of the change on you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The bank in which I worked instituted a policy that centralized the lending
process. An application was to be taken from the client and sent off to be approved/declined,
processed, prepared, and returned to the branch to be signed by the client.
While the process was streamlined, it also took away valuable face-to-face
knowledge about the client and the loan. If the employee did not have any prior
lending experience, he or she couldn&#39;t answer simple loan questions from the
client. While I appreciated the newly created time on my schedule, I felt that
the clients were being slighted. I did adjust quickly to the new procedure and
did my best to help those around me by sharing my knowledge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;76. Compare and contrast the times when you did
work which was above the standard with times your work was below the standard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was involved in two group projects in a psychology class. In the first, we
had to decide on a research experiment to conduct and garner results from it.
The group I was in was not very motivated, and the members wanted to do a
simplistic comparison on color preferences of men and women. I felt that
project was below the standard I was capable of. For the second project, I
proposed a study in which we compared how people of different age ranges valued
money. I knew the project would go over well with the teacher and would not be
difficult to conduct. I proposed the idea in a way that sounded fun. Instead of
collecting data in someplace boring, I suggested we could go to the mall. The
group agreed and worked relatively well on the project. Discussion is the key
to mediation, and the key to my achieving a second project that I felt was
above the standard.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;77. Describe some times when you were not very
satisfied or pleased with your performance. What did you do about it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I failed my first business calculus test, which made me very unhappy. I wasn&#39;t
going to let this incident set the trend for the rest of the semester. I went
to my counselor and arranged to meet with a tutor once a week. My tutor helped
me out incredibly. My grades soon improved, and I went on to redeem myself from
my one slip-up on the first test.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;78. What are your standards of success in school?
What have you done to meet these standards?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I don&#39;t believe in trying to get by with the least possible effort, and I am
always willing to ask questions to learn how to perform an assignment
successfully. In my human-resources management class, for example, we were
assigned a paper on &quot;Why corporate culture is a practical way to increase
income and productivity.&quot; All of the literature on the subject was written
in the language of PhDs. I asked some other students what they were doing, and
they said just writing their opinions and not doing any research to back up the
claims. I felt I could do better. So I worked closely with my professor, who
&quot;translated&quot; the academic literature for me, and over time I understood
what was being written. Working with the professor&#39;s guidance, I turned in a
very good paper. Asking questions is one thing I am not afraid to do and
realize that without them I will be turning in work that is not as beneficial
as it could be.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;79. How have you differed from your professors in
evaluating your performance? How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After I wrote a paper for an English class, my professor told me that I was not
doing the paper in the proper format or with the proper content. I went to him
and asked if he would help me learn the correct way so that I could succeed with
the paper. He did help me, and I ended up doing well in the course.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;80. Give examples of your experiences at school
or in a job that were satisfying. Give examples of your experiences that were
dissatisfying.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I turned a dissatisfying experience into a satisfying one when I was on the
cross-country team in college and had never run the whole race in under 30
minutes. With only a month left in the season, I decided that I would run the
race in 25 minutes. I ran every day to build up my stamina, and in that last
race I achieved my goal time of 25 minutes, which was a very satisfying
experience.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;81. What kind of supervisor do you work best for?
Provide examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to work for a supervisor who allows me the autonomy to perform my job to
the best of my abilities. I also like constructive criticism and feedback so I
can improve myself and the organization. One example was my boss at a
university. He hired me as an administrative coordinator because of my
administrative and organizational skills. He knew that I had many new ideas and
allowed me the opportunity to implement many new programs. Of course, I kept
him constantly informed and sought advice when needed. I improved
communications in the department by implementing a departmental Web page. I
also streamlined the check-in process by preparing the amount of work that
could be done the day before. I improved staff morale by implementing a
desk-assistant-of-the-month, which led to lower turnover. These are just a few
examples. I was given the Recognizing Outstanding Student Employees Award for
my efforts and unique ideas. I gained not only my boss&#39;s confidence and support
but his respect as well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;82. Describe some projects or ideas (not
necessarily your own) that were implemented, or carried out successfully
primarily because of your efforts.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had been recently given the duty of being the head swim team coach for the
YMCA I was employed with. A swim meet was just around the corner, but only five
swimmers had enrolled for the program, none of whom had ever been a part of an
organized team. Funding would be cut for the team if more interest could not be
generated. So I decided that I would take action and actively recruit people to
join. Not only did I have to run the practices and correct any technical
mistakes the swimmers were making, but I had to contact other local swim teams
to invite then to join the meet. I had to meet with the parents and the
children separately and organize a way to help pay for t-shirts, swimsuits,
goggles, and swim caps. By the third week of the program, I had gained 15 more
swimmers and every single one had beat his or her own time in practice. When
the meet came, I organized the events, ordered ribbons, and recruited
volunteers. At the end of the meet, my team had come in first place among four
other teams. The parents were delighted, and the profits from the swim team had
skyrocketed to the approval of the board of directors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;83. Describe a situation that required a number
of things to be done at the same time. How did you handle it? What was the
result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my current job, I have to handle multiple responsibilities in developing new
projects, maintaining existing ones, and maintaining good client relations. I
allocate a certain amount of time for each area daily. That way clients can see
very clearly that projects are progressing, and I have more satisfaction in
accomplishing multiple tasks under pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;84. Have you found any ways to make school or a
job easier or more rewarding or to make yourself more effective?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I find that taking a proactive mindset to recognizing and solving problems
before they happen make any job more rewarding. It not only saves time and
effort but gives me a sense of accomplishment and ownership in my job. I
demonstrated my proactiveness when I worked with Food Lion. As a bookkeeper, I
was responsible for the offices. The safe was kept outside of the office in
front of the cash registers, where anyone could get inside of it if I or
another office associate had it open to drop a deposit or get money in and out.
I realized that the situation was a security hazard. Although we could not move
the safe to the inside of the office where it was more secure, I ordered a time
lock compartment and had it installed, and the safe could be opened only at a
specific time when the store closed each day. Only money could be dropped
through a slot in the compartment door. We kept large sums of money in that
compartment. We kept operating cash on hand since we needed some excess money
to perform daily functions. One month after I left that store to attend
college, I learned that it was robbed. Because of my efforts and foresight, the
robbers only got a small amount of cash. My previous supervisor thanked me for
my efforts, which gave me a great feeling, and I carried this proactive mindset
to my other jobs thereafter.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;85. How do you determine priorities in scheduling
your time? Give examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I took a time-management course in which I learned to prioritize all tasks on
A, B, or C lists. I always try to tackle the A list first. In every working
situation, co-workers have always complimented me on how well I manage my time.
I enjoy the social atmosphere of the office, but I make it a point not to waste
much time on chitchat with colleagues. I&#39;ve also learned that the average
office worker spends about an hour a day handling e-mail. I make it a point not
to deal with my e-mail more than once or twice a day, and I filter my messages
into folders so I can prioritize the way I deal with them.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;86. Tell of a time when your active listening
skills really paid off for you -- maybe a time when other people missed the key
idea being expressed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I presented my senior research in college, I was questioned by the members
of my major department as a &quot;panel.&quot; My grade was determined largely
on my ability to answer the questions effectively and smoothly, which depended
very much on my ability to listen carefully to what was being asked. I had seen
other students slip up when they misunderstood what the panel was asking
because they didn&#39;t listen well enough. I succeeded in listening well and did
well on my presentation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;87. What has been your experience in giving
presentations? What has been your most successful experience in speech making?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown to be a confident presenter. My most successful presentation took
place at my university when I was responsible for presenting a
leadership-development program for a class of Resident Assistants. The point of
my program was to teach each RA his/her leadership style, so he/she knew how to
interact on his/her floor as a student leader. The most significant aspect of
this program is that it taught them about their leadership styles without their
knowing it. Each student filled out a general questionnaire that asked about
preferences. Each person according to his/her responses were assigned to a
group with a general name. I then gave each group a book to read. Each group
had to read it aloud. After each group read each book, I then explained how
each group tackled the task. They all had handled the task differently. Each
student successfully understood how they approached tasks and from that how
they would approach their job as a RA. Not only did I engage the audience in
what was being presented, I have since seen the program adapted in other
presentations by RAs in that class. Not only did they enjoy it, they learned
something about themselves that would help them help their residents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;88. Tell of the most difficult customer service
experience that you have ever had to handle -- perhaps an angry or irate
customer. Be specific and tell what you did and what was the outcome.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was making business phone calls behind the membership office at the YMCA when
an angry man came up to the counter demanding a refund. He began yelling at the
membership workers and complaining about the swimming program, saying that it
was a rip-off. The other workers were flustered, and even though membership
services were not my department, I calmly asked the man what was wrong. He that
his son had been in swimming lessons for four weeks and was still afraid of the
water. Instead of instantly giving him the refund, I offered to personally give
his son private swim lessons for a week, explaining to him that sometimes
children react differently to each instructor&#39;s teaching techniques. He finally
agreed to accept without the refund. After a week of private lessons, his son
was no longer afraid of the water and he could swim nearly a lap of the pool.
At the end of the lessons, not only did he sign his child up for another paid
session of private lessons, but he bought a family membership and apologized to
me for his behavior the week before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;89. Give an example of when you had to work with
someone who was difficult to get along with. Why was this person difficult? How
did you handle that person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a Resident Advisor, I had another RA who often sought me as a person to
confide her complaints to and shared quite a bit of information about
activities she&#39;d engaged in that violated the rules. Although I did not mind
being a resource for this person, I knew that I could not compromise my
integrity or her residents&#39; safety. Although she became very outraged and angry
with me, I talked to her about the situation and and told her that I would have
to tell my supervisor. She eventually understood my responsibility and why I
had to come forward with information. She knew that what she had done was
against the rules, but never realized before I talked to her that she had
jeopardized her residents&#39; safety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;90. Describe a situation where you found yourself
dealing with someone who didn&#39;t like you. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I first began working as an OIC, I was the least experience amongst my
colleague on the floor. An older colleague on the floor, When I first got there
she barely acknowledged my presence, and through word of mouth I discovered
that she thought that I was fresh to fulfill my duties because I was so
inexperienced. She assumed I was immature. I did my job and took every
opportunity to make a good impression. I was a very diligent worker and behaved
in a highly professional manner at all &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Times, learning quickly
the best way to do things. After about two weeks of the silent treatment from
her, she came up to me and told me how impressed she was with me. She told me
that I had done an excellent job and was the fastest learner that she had ever
seen. She apologized to me for ignoring me and took me under her wing and
shared what she knew with me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;91. Give me a specific example of something you
did that helped build enthusiasm in others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was coaching my swim team at their first swim meet, the swimmers on my
team were intimidated by the other team because they were bigger and obviously
more experienced. The other team members looked like pros in their matching
swimsuits, unlike my swimmers&#39; mismatched suits. I encouraged them and told
them that they had practiced for so long and so hard that they deserved just as
much respect as those other teams. I told them that it didn&#39;t matter whether we
had matching swimsuits or not and that I would stand behind them 100 percent no
matter what. They were so excited and pumped after my speech. They cheered each
other on, and not only did every child break his or her own record, but my team
won first place in the meet among four other teams that had been together for a
much longer time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;92. Tell me about a difficult situation when it
was desirable for you to keep a positive attitude. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While directing a play, I was faced with numerous problems. The sets were not
coming together; the performers were fighting and not working hard; the
technical aspects of the play were far from complete, and in general it was a
mess. I was the &quot;stage manager,&quot; which means that I tell people when
to go on stage and tell the crew when to bring pieces of the set on stage. So I
organized everything and told people to do specific jobs and asked them in a
firm yet positive manner. People began to have fun, and the production went on
extremely well (all performances sold out). The play was regarded as one of the
smoothest shows to have been produced by the group.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;93. Give me an example of a time you had to make
an important decision. How did you make the decision? How does it affect you
today?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore year was about to begin and I had to decide on a major. I could
not waste any more credits figuring out what I was interested in. I took some
personality and career assessments to get a better handle on my interests,
skills, and values. I talked to faculty in several departments to decide which
faculty members I was most comfortable with. I studied the course offerings to
see which courses appealed to me the most. I decided on communications studies
and feel it is the best decision I ever could have made.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;94. Give me an example of a time you had to
persuade other people to take action. Were you successful?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was the leader of my macroeconomics group in college. As leader, I had to
delegate parts of the assignment to other group members. Not only did I do a
written part for each paper, but I gathered all of the props we needed for our
oral presentation, and I typed all of the five papers assigned. I was also
taking four other classes at the time. By the fourth paper, I decided to
persuade some of the other group members to edit and finalize it. I learned a
lot about delegation and leadership when I discovered that they were happy to
help out.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;95. Tell me about a time when you had to deal
with a difficult person. How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was an agent we had a monthly incentives as team. I had to work with a
group to meet our number and I had some personality clashes with one of the
group members. However, I realized the importance of meeting our number in a
prompt and efficient manner. I made it a point to put my differences aside and
complete my part, along with offering assistance to the other group members. As
a result, we exceeded our targets without any conflict and we got the monthly
incentives.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;96. Tell me about a time you had to handle
multiple responsibilities. How did you organize the work you needed to do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I became team lead OIC for 4 months. I was successful because I practiced good
time-management skills and I made a to-do list every day. As I completed each
task, I checked it off the list. It is funny how something so simple can keep
you so organized. As a result of my to-do lists, I was able to visualize my
daily progress.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;97. Tell me about a time when you had to make a
decision, but didn&#39;t have all the information you needed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to make a decision recently between two configurations on one of our
routers. Time was quickly moving away from me, and I had to have all the
equipment back up in a matter of minutes. I chose the configuration that I had
the most data on because I knew at least that I could better troubleshoot it if
there was a problem. My decision was the right one.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;98. What suggestions do you have for our
organization?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After examining several sources, including your company&#39;s annual report and Web
site, as well as some of your competitors&#39; sources, I see that you have a
strong product line with good demographic segments, in a growing industry. I
did notice that your competitors seem to direct more of their efforts to the
baby boom market, and while that is certainly a large market for your products,
I think you have a great opportunity to expand your target market and increase
your market share by marketing your product line to the Baby Boomers&#39; kids --
Generation Y. These teens and preteens are extremely brand conscious and have a
high discretionary income -- and you are in a great position to attract them to
your product and build a very large core of brand loyal consumers on top of
your existing customer base.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;99. What is the most significant contribution you
made to the company during a past job or internship?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My organization was undergoing an accreditation process. I developed two
detailed accreditation self-evaluation reports that documented how the
organization met accreditation standards. These self-evaluations served as
basis for accreditation site visits and enabled all eligible programs to be
accredited in record time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;100. What is the biggest mistake you&#39;ve made?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The biggest mistake in my life that I have made is taking for granted the
sacrifices my parents endured for me. I look back and realize that everything
they did for me was so that I could succeed in life. I am thankful now and do
everything to my best ability to make them proud because I am so thankful that
they have been there for me so that I can give back to society and to my job
the opportunities that they never had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;102. Give me a specific example of a time when a
co-worker or classmate criticized your work in front of others. How did you
respond? How has that event shaped the way you communicate with others?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Another manager became upset with me since some projects were not being
completed. Without discussing the situation with me first, she criticized me in
front of one of the employees I directly supervised. I was upset that she made
me look bad in front of my workers, but I remained calm and asked her to step
into the office so that we could talk about it in more detail. We discussed the
problem, and she learned that the non-completion of the tasks was not my fault.
Another manager did not receive his instructions telling him the tasks he
needed to complete. After that I learned not to jump to conclusions when
dealing with others that I work and that sometimes a miscommunication can lead
to a much larger problem. I&#39;ve learned to get the complete facts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;103. Give me a specific example of a time when
you sold your supervisor or professor on an idea or concept. How did you proceed?
What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last summer, I wanted to help organize a summer camp for local low-income
children. My supervisor knew the demand would be there but feared we would not
have enough staff. I convinced her that since I went to the facility daily, I
could network with acquaintances and convince them of the importance of this
camp. My supervisor trusted me. We had hundreds of children sign up for the
program, and I had reached so many people that we were able fully staff the camp,
as well as have a backup supply of people who were willing to volunteer their
time and services to the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;104. Describe the system you use for keeping
track of multiple projects. How do you track your progress so that you can meet
deadlines? How do you stay focused?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I keep an electronic hand-held organizer that I synchronize with a schedule on
my computer. I keep track of each task in order of priority and due date. I use
an electronic organizer because it is very portable and has an alarm to remind
me of about what is due so I don&#39;t have to waste time by looking at my
organizer every hour. I start with the projects with the closest due date and
the highest priority. I take these tasks and then schedule times in my calendar
for me to work on them to ensure I meet deadlines. I stay focused by going over
my organizer each night before bed so I know immediately what I have
accomplished and where I need to start the next day. Here let me show you&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;105. Tell me about a time when you came up with
an innovative solution to a challenge your company/class/organization was facing.
What was the challenge? What role did others play?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The trucks at Wal-Mart come loaded by personnel at by a distribution center,
box-by-box. After receiving a few trucks, I noticed that my employees were
unloading broken merchandise that took a lot of time to clean up before the
rest of the truck could be finished. The broken glass, paint, or whatever
material it was prevented the employees from preceding farther into the truck,
causing more person-hours than normal. I noticed that the merchandise was
broken because heavier boxes were on top of lighter boxes. After a couple of
days of this situation, productivity decreasing, I learned that the rest of the
stores in my district faced the same problem. As a result, I asked each store
to take pictures of the mess so the distribution centers could see exactly what
was happening. I also asked each one to write down how many additional
person-hours it took to clean up the mess. After we gathered this information
for a four-week period, we had a pretty a good estimate of how much the company
was losing, approximately $9.50 per person-hour...an average of $125 per store
times 15 stores times 30 nights a month amounted to a substantial sum. We took
the information as a group to our district manager. Once he realized how much
money his district was losing each month because of broken merchandise in the
trucks, he contacted his regional manager, and the trucks after that were
loaded more carefully. The district made our Profit and Loss the next month by
a 9 percent increase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;106. Describe a specific problem you solved for
your employer or professor. How did you approach the problem? What role did
others play? What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was working as a receptionist at an apartment complex, a tenant argued
that he had turned in his rent payment the day it was due. He stated that he
had slipped it under the door because our office was closed for the day. I
decided to consult my manager because I realized that maybe the office needed a
sign that stated that we did not accept rent money that is slipped under the
door. My boss agreed, and we posted the sign. We never again had a problem with
tenants who claimed they&#39;d paid their rent that way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;107. Describe a time when you got co-workers or
classmates who dislike each other to work together. How did you accomplish this?
What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked for a law firm, my co-workers and I had a huge mailing to
complete. We had the choice of working more efficiently as a team -- or
individually in a much more time-consuming manner. My two co-workers did not
care for each other and they wanted to complete the mail-out on an individual
level. When I presented them with the evidence that we would finish at least an
hour earlier by working together, they decided that working together was the
right path to take. As a result, we finished the mail-out in a short period of
time and could work on other tasks that day.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;108. Tell me about a time when you failed to meet
a deadline. What things did you fail to do? What were the repercussions? What
did you learn?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently failed to meet a deadline in my communications course with a project
I had to do on the Internet. I did not meet the deadline because I
underestimated the amount of time the assignment would take me to complete.
Therefore, the assignment was incomplete when I turned it in. As a result I
lost points on my final grade.I learned the importance of examining tasks more
carefully so I can better estimate the amount of time required to complete
them. I also learned to build some flex time into projects so that if my
estimates are wrong, I&#39;ll still have time to complete the tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;109. Describe a time when you put your needs
aside to help a co-worker or classmate understand a task. How did you assist
him or her? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was studying right before a major finance test. As the class came into the
classroom a couple of students indicated that did not understand a concept that
I did. Although there was a small section of material that I had not completely
mastered, I realized that I knew enough about that section that I could perform
well enough to earn a good grade. I knew that the section that the other
students did not understand was a major portion of the exam since the professor
had an interest in this particular subject. I stopped what I was doing to
explain to the small group about the Multiplier Effect of Bank Reserves on the
overall supply of money. Those students learned enough from what I taught them
that they did well on the exam. I missed a few points on the section of
material that I had not mastered, but I did well enough to get an A, and the
satisfaction I got from teaching others the concept made me feel proud.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;110. Give two examples of things you&#39;ve done in
previous jobs or school that demonstrate your willingness to work hard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day we had inventory at Best Buy, I worked a 13-hour day. I did this
because I knew we were understaffed and that a lot of the lower-level employees
who would be working with the inventory team were very nervous about being in
charge of the inventory when many of them had never done it before.
Conveniently, I used to work for the inventory company that was handling our
store, so I still had a fairly deep understanding of their processes and
methods. I typically work 8-9 hour shifts, but I stayed longer after my shift
to ensure that our lower-level employees felt comfortable and that the
inventory got started on time and that it took off in the right direction. I
met with a few of the the lower-level employees, and I told them a few tips on
how to solve problems they may encounter, and it worked; they all seemed to
feel a little more comfortable. Then I walked the store and made sure that it
was presentable for our guests and in case we got a surprise visit from
headquarters. I couldn&#39;t stay for the inventory myself because I had class in
the morning, and it would&#39;ve put me over my 40 hours for the week, but I was
glad I could stay long enough to make everyone feel a little more comfortable,
and that I had time to make them all feel appreciated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Another example of
something that merited a lot of effort on my behalf was my marketing research
paper. I enjoy group projects because I enjoy learning about the perspectives
of others; however, sometimes the burdens appear to outweigh the benefits.
Having a group project such as this one with 5-6 team members was a difficult
task when most of us had school and jobs to juggle. We created an online survey
and sent it to everyone on our contact list. We were doing research for a museum,
and they had a contact list of award-winning artists whose perspectives they
wanted us to use in our project. Anyone whose email didn&#39;t work or who didn&#39;t
fill out the survey we tried to contact over the phone. Then we ran all of that
data through SPSS and started to create our paper -- in completion our paper
was 120 pages. The project was an amazing experience and I am so proud to say
I&#39;ve done it, I love having the opportunity to talk about what I have
accomplished, but it merited a great deal of effort and a lot of learning along
the way. My group was good; they were a solid group of people who were smart
and willing to put in the time, and we got the highest grade in the class.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;111. Describe the last time that you undertook a
project that demanded a lot of initiative.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my internship with World Market, we were asked to pick an area or a
problem and create a way to improve World Market process. I noticed that our
food vendors were not really pulling their weight -- with the economic downturn
and the price of gas especially, our sales are down right now, which often
means decreased payroll -- so at this juncture it was critical that our vendors
perform up to par so we don&#39;t have to waste our payroll hours doing their work.
Initially I just wanted to change our vendor survey. The survey had 4 questions
for each vendor, who got rated green (good) or red (bad) on each question --
that was it. So I turned it into 10 questions that each fell under the
categories of one of the initial 4 questions. I also changed the rating scale
to a 1-5 scale, 1-2 were red, 3-4 were yellow, and 5 was green. I did a Likert
scale rather than a simple red, yellow, green concept because I wanted to be
better able to track improvement. This didn&#39;t seem like enough to me; I decided
there were so many other ways I could tweak the process. So then I created a
new vendor scorecard (their feedback -- this shows them their weekly ratings in
each area) and a new Vendor notes card (this is where any comments go and shows
them any specific dates we had problems with their products, like spoiled milk,
for example). I also created a new vendor expectations guide that was a little
more professional and attuned to be consistent with the changed I made to the
survey. Finally I created an idea for development, putting the survey on a hand-held
scanning device so the Team Leader in charge of that area of the store could
take the scanner around with her as she did the survey, increasing its
accuracy. The survey would also show the vendors&#39; scorecard history (last
month, quarterly average, biannual average, and annual average) so we could
determine whether or not the vendor was improving.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;112.What is the most competitive work or school
situation you have experienced? How did you handle it? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked at a retail store, where we had a competition to win an extra discount
at the store. Our task was to get more credit-card applications than any other
employee. I handled this task by presenting the customer with the benefits of
signing up for the credit card and taking the time to explain to them what
exactly they were getting into. This seemed to be a great way to deal with this
task because people appreciated the honesty and were happy to get the card
because of the benefits. I did very well with this task and ended up wining the
contest.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;113. Describe a project or situation that best
demonstrates your analytical abilities.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my Marketing Research course, we were assigned a group project to do
marketing research for a local business. After we collected all of the data, we
had to analyze the data in a meaningful way for the business and report the
results. It turned out that I had the strongest analytical abilities in the
group, so I led the rest of the group in analyzing the data. Because of my
analytical skills, we found that the business had been targeting the wrong
market all along and were able to show the owner the market segment that the
business should be targeting.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;114. Give an example of when you took a risk to
achieve a goal. What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I decided to study abroad in the spring of 2007, I had to weigh the pros
and cons of the decision. People who study abroad typically get worse grades
abroad than at home because of the educational and cultural differences, so I
had to consider the risk to my GPA. I also had to consider how expensive it
would be to live abroad without being allowed to have a job, so there was a
financial risk as well. On top of this, when studying abroad at this particular
university, because of the difference in education, I was allowed to take only
3 courses, which was significant to me because I already was on a strict
schedule from switching majors so late in my college career. So I also had to
consider the risk of cramming my schedule with difficult classes in my senior
year. But I knew that this was going to be a life-changing experience that I
may never get to participate in again. So I took the risk and studied abroad.
Now, I have that experience, and it has made me a better candidate for places
in my career. It shows that I can overcome great challenges and have been
immersed into foreign culture, which is important in my career in the art
industry.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;115. Tell about a time when you built rapport
quickly with someone under difficult conditions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While managing a high-end mall jewelry store in which the clientele are usually
quite well-mannered and soft-spoken, I returned from a lunch break to find one
of our newer sales associates struggling with an irate and somewhat irrational
customer. Voices were escalating, with the customer spewing negative comments
that could be heard from within the mall. While maintaining good relationships
with our customers is a hallmark of our company, this particular situation was
not ordinary by any means. I could tell the sales associate was in over his
head with this encounter, so I quickly walked into the conversation -- argument
-- and proceeded to ask the customer several key questions so that I could both
calm her down while also discovering more about her situation so that I could
then defuse the confrontation and restore order in the store. In the process of
talking with her, I found we had a common love of dogs and were able to talk
about our dogs -- sharing some funny stories -- before getting back to her
specific problem with the store. In the end, it turns out the company that
handles our credit card had been double-billing her account, and I was able to
make a phone call and solve her problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;116. Some people consider themselves to be
&quot;big picture people&quot; and others are detail oriented. Which are you?
Give an example hat illustrates your preference.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe that to be successful, you have to be both a big-picture person and
detail oriented. You can&#39;t get caught up in just the details or you will lose
sight of the long-term goals. And you can&#39;t get caught up in just looking at
the big picture, or you will fail because of the lack of detail. As the group
leader of a project for my marketing class, I definitely had to be both a
big-picture person and detail oriented. I had to make sure that everyone was
doing their part and working toward the goal of the project while, at the same
time, checking every piece of the paper to make sure even the minuscule parts
of the paper were correct and in place. Through using both skills, we earned an
A on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;117. Describe a situation where you felt you had
not communicated well. How did you correct the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I had a situation where I was giving a presentation to a company and
one of the upper managers had to step out during my presentation. He returned
after I was done and was taking down my setup, and he asked if he could ask a
question, I jokingly replied &quot;no more questions&quot; and then offered,
&quot;yes, of course, I would be happy to answer a question for you.&quot;
Despite the fact that he had laughed at my initial joke, it was clear to me
that it had not been received well. I then made certain that I went up to him
and apologized and made it clear that I meant no disrespect and that sometimes
I just become comfortable with people very quickly. He told me that I needed to
be aware of my audience. This is something I have always known, but I believe
the sting of this specific event has really brought it to light for me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;118. Describe a time when you took personal
accountability for a conflict and initiated contact with the individual(s)
involved to explain your actions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a member of the executive board of my fraternity, I was involved in
decisions with where to do our community-service projects at times. At one
point, the community-service chairman asked me where I thought he should make
the next event. I told him we should do an event at the Boys and Girls Club.
Some fraternity members complained to the community-service chairman for the
decision because they wanted an easier event. I took responsibility for the
choice and spoke to the individuals about my reasoning. I told them that I felt
the event would make more of a difference in the community than cleaning up a
road as we usually do since it would allow us to be mentors to troubled youth
as well as provide them with a cleaner building to use. It was better than
simply doing manual labor and ended up being a successful event that everyone
plans on doing again in the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;119. Give me an example of when you were able to
meet the personal and professional (or academic) demands in your life yet still
maintained a healthy balance.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore summer I studied abroad in Europe for six weeks with a program
through my university. We were in Innsbruck, Austria, and I loved everything
about the town and its surroundings, as well as every place I traveled to on
the weekends. There was always something to see or do that was more fun and
exciting than class, but I also knew that I couldn&#39;t make bad grades that would
lower my GPA. To get the most time out of my weekend travels and weekdays in
Innsbruck, I always did homework on the train on the weekends and for a few
hours every day after class. I ended my summer abroad with many new friends,
good grades, and great stories to tell of the cities I saw and adventures I
went on.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;120. Everyone has made some poor decisions or has
done something that just did not turn out right. Give an example of when this
has happened to you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my freshman psychology class, we had to do a group project and presentation,
and we got to pick our group members. I was a freshman, and inexperienced with
group projects, so I picked two of my friends, even though I knew that they
were not hard workers and didn&#39;t care about their grades. At the time, I didn&#39;t
care that they weren&#39;t good students, I just wanted to be comfortable with the
people I was working with. I ended up doing most of the project very last
minute and by myself because I couldn&#39;t get them to work on it with me. The
project and presentation were both really bad, and all three of our final
grades were almost 10 points lower because of it. Needless to say, I never
picked a friend as a group member, again, unless I knew they were diligent in
school. I learned to be more strategic about team members and also how to
motivate people who are not as enthusiastic as I am.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;121. What do you do when you are faced with an
obstacle to an important project? Give an example.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When faced with an obstacle to an important project, I always find a way to
complete the project in the best manner possible. As an intern at the insurance
company I worked for last summer, I was responsible for designing the marketing
materials that are handed out at the conventions and to insurance agents to
keep the company on top of their minds. Since I was unfamiliar with the materials
and the designing software, it took me a little while to get a grasp on it. By
the end of the workday on the deadline, I did not have all of the materials
completed. So I spoke to my supervisor and tried to work something out. She
told me that I was not allowed to do more than a certain number of hours in a
week and that the materials needed to be done to turn in to production early
the next morning. So I suggested that I stay after work that day to complete
the project without hourly compensation. After a little persuasion, she allowed
it, and I had the materials completed for the next morning successfully.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;122. Tell about the most difficult or frustrating
individual that you&#39;ve ever had to work with, and how you managed to work with
that person.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a boss who would micro-manage every single project, often causing missed
deadlines and frustration throughout the department. We all worried about our
department&#39;s reputation within the organization, but since he was our boss, we
felt helpless to try and change anything. It was indeed frustrating knowing you
could complete a project on time, only to have your boss need to stop you and
question what you were doing and suggest changes. But I got the idea that maybe
if I talked with the boss and showed him that we could get more done as a
department if we all worked together to have better communications and to trust
each other to ask for help and direction when we needed it. Since we worked
together, rather than against each other, the boss gained confidence in us to
do our jobs, and we were able to do our jobs and also regain the reputation of
the department.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;123. Tell about a time when your trustworthiness
was challenged. How did you react/respond?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
For my public-relations course, we had to do a group project to make a
public-relations campaign for an organization. At the same time, I had three
other group projects and six classes that were becoming extremely challenging
to juggle. Some of the group members knew this, so they expressed their concern
and some doubt after I offered to take a significant portion of the project
upon myself. I persuaded them to trust me and told them about the many things I
am able to successfully juggle. I asked them to let me prove it to them, so in
the end I completed my part early and we earned a high grade on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;124. Describe a situation when you were able to
have a positive influence on the actions of others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester my organization raised more than $1,500 for a local organization,
The Children&#39;s Home Society. It was a last-minute fundraiser. We did this over
the course of a week, and it was right before the holiday season. There were 16
children who we were looking to help, and the goal of our campus was to raise
$200 per child. Ultimately the campus just took the total amount raised and
divided it by the number of children; it came out to about $179/child. This
money was to help get these underprivileged kids who came from broken homes a
good holiday season. What the math comes out to is that we made this happen for
approximately 9 children. I was the one who took on this challenge and made and
distributed fliers to the business-school faculty. I orchestrated the event,
and I like to think that everyone in our organization feels as good about it as
I do. I get goose bumps talking about it because it is one of the things of
which I am most proud -- I really feel like I had a positive impact on a few
lives, and that is what I live for -- I hope I made others in my organization
feel the same. I am fairly certain I did.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;125. Tell about a recent job or campus experience
that you would describe as a real learning experience? What did you learn from
the job or experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My recent internship would be the greatest learning experience I have had
lately. The format of the internship is to work in each of the varying
departments for a few days to get the lay of the land,. We were supposed to
spend the rest of our 10 weeks working on our projects and running the store
(acting as manager). I learned a lot about the processes of this specific
organization and how they all work together, but I also learned a lot about
applying management techniques. We had multiple training sessions that honed my
leadership skills, but the application was where I really learned. I learned a
lot about how to effectively interact with people. I made sure that before I
would coach a team member on how to do something correctly, according to brand,
that I knew exactly why that was the way we chose to do it, because I wanted
them to understand. I learned that understanding is the key to implementing --
I guess that&#39;s why I&#39;ve always liked math, if I understand why I need to do a
formula a certain way, then I will remember it and even appreciate it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;126. Describe a team experience you found
disappointing. What could you have done to prevent it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently worked on a project where we had to make a film, a documentary of
sorts, on any topic we wanted -- it was really just about the medium of film.
My team picked the project of exploring Diet Fad trends through the decades; we
thought it would be amusing to see the crazy things people have done for a
better body image over the years. Although the project turned out very well,
and I am pleased with the end result, I was disappointed in the communication,
or lack thereof. Because of everything else I had going on this semester, I had
opted not to be the group leader and thus the main communicator -- which was
good for me. I like taking on the leadership role but once in a while I sit
back and make sure somebody else does it so I still know how to be a supportive
follower. Regardless, some of the group members did not turn in their research
at the deadline, and our leader did not follow up with them on it. After it was
a week overdue I had to jump in and map out a timeline for our team so we could
get the project done. I had wanted to make sure we did not put it off because I
knew film editing would be much more time consuming than we would anticipate.
We got everything done with time to spare but most of our work ended up being
during the busiest week of the semester for me and for some of the other
members, so I wish the communications had been more thorough earlier on in the
project. To improve the situation I could have jumped in earlier and been in
touch with the leader about following up with the rest of the team, but I
wasn&#39;t certain she hadn&#39;t followed up with them until I brought it up in class
and they all asked, &quot;wasn&#39;t that due last week?&quot; The lesson I learned
was to ensure that I am a consistently active participant even when I am not
the leader; that way I am still maximizing my relationships with the group and
working to improve my skills as well as those of the people working with me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R (situation-action-result)
technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;127. Recall a situation in which communications
were poor. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked on a team with several members, and while we worked in the same
building, we often used email to communicate with each other. One of the
members was not as comfortable with email as the rest of the team, and would
always slow the team process down by repeatedly asking people to repeat or
rephrase their emails -- always reading way too much into whatever was written
in the emails. At one point, after an agonizing day of emails back and forth
trying to explain a critical part of the work, I decided I simply needed to go to
her office and talk with her about the problem. We met, and I listened to her
issues, and together we worked out a solution in which the team still did most
of its communications via email, but whenever this team member did not
understand something, instead of sending a confusing collection of emails, she
would either pick up the phone or walk to the other person&#39;s office and solve
the miscommunication quickly and efficiently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;128. Describe a time when you had to make a
difficult choice between your personal and professional (or academic) life.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
At the very beginning of my senior year of college, my best friend from home
passed away. Classes hadn&#39;t even been in session for a week when I heard of the
car wreck on Saturday night; at first the news wasn&#39;t very bad, but as days
went on her condition got worse, and by Tuesday, the doctors declared that she
would be brain dead forever. I was the mediator between her family and our
friends, so when they made the difficult decision to let her go, I was the
first to know and had to keep everyone else informed. I was in total shock in
the beginning, so I immediately told my professors the situation and that I
might be going home for the rest of the week. After getting upset and dealing
with the pain that Tuesday afternoon, I realized that I couldn&#39;t skip a whole
week of classes to go home because I would be way too far behind, and I didn&#39;t
want to start my senior year like that. Even though I really wanted to be home
with my family and friends during that whole week, the funeral wasn&#39;t until
that Saturday, I didn&#39;t have Friday classes, and it was Labor Day weekend, so
there was no class on Monday. I ended up finishing the week at school and still
got to have a nice, long weekend at home to mourn over my great loss.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;129. On occasion we are confronted by dishonesty
in the workplace or in school. Tell about such an occurrence and how you
handled it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked for a magazine that had two main competitors, and at the time I worked
there, the economy was a bit slow, and the competition for readers and
advertiser among these three publications was fierce. We had just finished a
market-research study that showed that our audience was just a bit larger and
more attractive (better educated, higher incomes) than our competition. We sent
the good news to our publisher, who called us in for a meeting to tell us he
wanted to combine some numbers to make our position appear even stronger -- and
then put those numbers in an ad campaign touting how much better we were than
our competition. We told the publisher that he was mistaken and that you could
not combine the numbers the way he suggested, but he replied he knew that, but
no one else would, and it would strengthen our position in a bad market. It
took a lot of courage, but after the meeting, I went back and talked with him
one-on-one so as not to embarrass him in front of my colleagues, and told him
that what he was doing was dishonest -- and could get us all fired. I knew I
risked getting fired for even talking to him this way, but I felt pretty sure
he was not dishonest at heart. He did not decide right then, bit he did call
back the next day to say he decided not to run the ad.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;130. What are the most important rewards you
expect to gain from your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I expect to be challenged and grow as a result of my career. I would like to
improve myself as a person and as an asset to this company and this industry. I
am confident that this position is one that will hone my leadership skills,
improve my knowledge of the industry, and challenge me such that I continue to
grow and improve within the company.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;131. How would you define &quot;success&quot; for
someone in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Success is being able to attract new patients and physicians while ensuring the
happiness of those who are current. It is the ability to brand the company
effectively toward a target market to ensure continued customer loyalty.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;132. What qualifications do you have that will
make you successful in this company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I began as an intern for Atlanta Medical System in August of 2007 and have been
working as the Public Relations Assistant since January 2008. Because of this
experience, I have a comprehensive understanding of the hospital itself and the
Tenet Healthcare System. I also earned by marketing degree from Georgia Tech in
May of 2008 and throughout my college career participated in numerous
organizations that gave me the opportunity to have hands-on event-planning and
management experience. I planned the first annual Alpha Delta Pi Big Catch fishing
tournament at the Georgia Tech that raised more than $4,000 for the Ronald
McDonald House Charities, and I was the Marketing and Public Relations Chair
for the Student Alumni Association at my university and handled all Homecoming
promotions, as well as promotions for other events.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;133. What skills have you acquired from your work
experience/internships and part-time jobs?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As part of my internship with Target, I completed various training courses
ranging in subject area from ways to work with employees and coaching them on
how to improve, to creating my own individual development plan fostering my
current and future growth. I was also put in the role of Leader on Duty, where
I was the acting store manager, as early as my second week with the company. My
internship with Quintessential Careers taught me a great deal about working
with a smaller, family business. I took the initiative to plan and implement
our big events. My internship with Siemens made my experiences all inclusive as
it gave me the opportunity to be one of the central components of such a large
company and I was able to truly understand the impact of the political and
legal systems on this industry&#39;s competitive environment.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;134. What have you learned from your experiences
outside the workplace/classroom?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have learned that the real world is much different from what you learn in the
classroom, that some things you learn are similar to what you were taught, but
that for the most part learning is achieved through the process of doing. In
the world of health-care marketing, things happen at a fast pace, and you must
take everything one day at a time while still keeping an eye on the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;135. What criteria are you using to choose
companies to interview with?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work for a small company, preferably a family business like yours. I
want a company that has similar values like honesty, individual development,
and broadmindedness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;[contributed by Renee
Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;136. If you were hiring for this position, what
qualities would you look for (in a new college grad)?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I would be looking for someone who has great communications skills, who can
communicate with a variety of stakeholder groups, always keeping on message. I
would also want someone who had a good mix of teamwork and leadership skills. I
would seek a graduate who had a strong blend of academic success and industry
experience. Finally, I would want someone who is ambitious, but also willing to
learn from others within the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Interestingly, I would
want a college grad who had the same experiences and skills sets that I bring to
you.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;137. How would you describe your leadership
skills?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am a leader who likes to give the people I am leading the ability to shine. I
think it is important to take everyone&#39;s opinion into consideration and be
willing to listen to what they have to say. I think my job as a leader is to
organize things and keep them in order. Being the leader does not mean I know
everything there is to know because I can not possibly know more than everyone
else about every topic. It is just not plausible.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;138. Which is more important: creativity or
efficiency? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I think that the key is a balance between the two, with efficiency being the
most important. You could have an extremely creative piece, but if the message
of the piece is not clear then it is not efficient and a waste of resources.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;139. How has college changed you as a person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown up during my college years. I am able to communicate better, think
strategically, and multitask more than ever before. I can handle an appropriate
level of stress and still get things done.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;140. What have you accomplished that shows your
initiative and willingness to work?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A 120-hour internship while going to school full-time. I juggled the two
effectively, completing my internship and classes with all A&#39;s. I was also able
to apply the things I learned in each one to the other.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;141. What was the toughest challenge you&#39;ve ever
faced?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day after I turned 15 I had to get a job to help support my Mom and myself
as my Mom struggled to find employment. During my sophomore year of high school
I worked two jobs, approximately 45 hours a week, to help pay the bills. It was
tough managing homework, six extracurricular organizations, and two jobs, but
in the end I learned a valuable lesson about hard work and the value of a dollar.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;142. What two or three things are most important
to you in your job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be happy. I want to work in a job that I am passionate about, and for
a company that respects and rewards my contributions. I want to have co-workers
whom I like and respect. I think these things all work together for a positive
work environment -- which increases productivity -- resulting in happy
employees and a happy employer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I also seek fulfillment. I
don&#39;t want to work in a job that I feel is below what I am capable of doing. I
seek a job that will challenge me to perform at the highest levels and seek
ongoing professional development so that I can be even better at my job, making
an even stronger contribution to my employer. From everything I&#39;ve researched
and seen, this job that I&#39;m interviewing for meets all my criteria.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;143. Some people work best as part of a group --
others prefer the role of individual contributor. How would you describe
yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like a mix of both. I like to work in a group and get group input. I think a
lot of good ideas come from talking things out with other people. I also like
to work by myself on some projects because I think there are some projects that
are just done better if one person is working on them.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;144. When given an important assignment, how do
you approach it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to make a list, a timeline of how and by when things need to be done. I
really like to get started on the assignment immediately because I&#39;ve found
that once I get started on a project I tend to get gradually more excited about
it and involved in it, and I want to expand the project more and more as I go
on. By getting started earlier, I can get the most out of the project and
maximize it as much as possible while providing time to give it that extra
review.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;145. If there were one area you&#39;ve always wanted
to improve upon, what would that be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Sometimes I have trouble admitting to people that I am not understanding
something they want me to do or am struggling with a certain task, I can be
reluctant to ask others for help. This is something that I want to improve on
and am taking steps toward becoming better at asking those around me for help
when I need it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;146. When you have been made aware of, or have
discovered for yourself, a problem in your school or work performance, what was
your course of action?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I realized my freshman year that my writing was not up to par. I struggled not
only in my first-year English courses, but in other courses that required
writing papers. I used the university&#39;s writing lab as much as possible, but
toward the end of that first year, I knew I needed to do more to overcome my
deficiencies. My solution was taking two additional writing courses over the
summer between my freshman and sophomore years to truly grasp the fundamentals
of writing, but then to also take my writing to the next level. Some of my
proudest moments later in college have been when professors have noted on my
papers that they were impressed with my writing abilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;147. What kinds of things have you done at school
or on the job that were beyond expectations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I received a research grant, the requirement was to present our
information at some sort of poster contest. Instead of doing this, however, I
was involved with a professional organization and presented my findings to
faculty around the country at its annual conference. I was the only student
presenter at the conference, and my presentation was one of the most highly
attended. It was made clear to me that I went above and beyond by presenting at
this convention as opposed to a poster competition.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;148. What, in your opinion, are the key
ingredients in guiding and maintaining successful business relationships?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Communication is the key ingredient to guiding and maintaining successful
business relationships. Being able to clearly communicate your ideas to others
allows you to build and maintain a relationship with others. It is also very
important to be an active listener and address any concerns or questions the
other party might have. Also, to maintain a successful business relationship,
you have to be able to compromise and do what is best for both parties
involved.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;149. What sorts of things have you done to become
better qualified for your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have experience in multiple fields and under very different circumstances. I
have obtained internships that were very diverse so I could get the most out of
each experience and feel like I am well versed in the areas of management and
marketing. I have taken myriad classes at my university that have helped
prepare me for a successful career in business. Further, my participation in
our co-ed professional business fraternity has given me the opportunity to
interact with other businesses and develop myself further personally and
professionally.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;150. What motivates you to go the extra mile on a
project or job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Fortunately, I am highly self-motivated and do not require a great deal of
external motivation on projects and jobs. I have an extremely strong work
ethic, and I am not really capable of doing anything less than going the extra
mile. I enjoy the satisfaction of completing a a project that goes above and
beyond expectations. Sure, I like to be praised for my work as much as the next
person does, but the real reward comes in seeing an outstanding finished
project, knowing my role in accomplishing the project, and realizing that I put
more than my best effort into it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h4 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;We&#39;ve
pulled together a list of common behavioral-interview questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;One of the keys to success in interviewing is
practice, so we encourage you to take the time to work out answers to these
questions using one of the suggested methods, such as the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;STAR approach&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Be sure not to memorize answers; the key to
interviewing success is simply being prepared for the questions and having a
mental outline to follow in responding to each question. For more tips, read
our article,&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/behavioral_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Behavioral Interviewing Strategies&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Looking for some sample excellent answers to behavioral
interview questions? Then go to our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/interview_question_database/&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Job Interview Questions Database&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;, where we have traditional, behavioral,
and mixed interview questions for both experienced job-seekers and college
students and recent grads.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Here is
one list of sample behavioral-based interview questions:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a situation in which you were able to use persuasion to successfully convince
someone to see things your way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you were faced with a stressful situation that demonstrated your
coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you used good judgment and logic in
solving a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you set a goal and were able to meet or achieve
it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to use your presentation skills to influence
someone&#39;s opinion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you had to conform to a policy with which
you did not agree.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Please
discuss an important written document you were required to complete.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to go above and beyond the call of duty in order
to get a job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had too many things to do and you were required to
prioritize your tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you had to make a split second decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What
is your typical way of dealing with conflict? Give me an example.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time you were able to successfully deal with another person even
when that individual may not have personally liked you (or vice versa).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a difficult decision you&#39;ve made in the last year.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when something you tried to accomplish and failed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of when you showed initiative and took the lead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a recent situation in which you had to deal with a very upset customer
or co-worker.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you motivated others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you delegated a project effectively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you used your fact-finding skills to solve a
problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you missed an obvious solution to a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you anticipated potential problems and developed preventive
measures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you were forced to make an unpopular decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Please
tell me about a time you had to fire a friend.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you set your sights too high (or too low).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span style=&quot;font-family: Tahoma, sans-serif;&quot;&gt;&lt;span style=&quot;font-size: 12px;&quot;&gt;&lt;br /&gt;&lt;/span&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/1531939913919438360/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/1531939913919438360' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/1531939913919438360'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/1531939913919438360'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2013/07/job-interview-tips_8.html' title='Job Interview Tips'/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-3320544446417918871</id><published>2013-07-08T02:38:00.003-07:00</published><updated>2013-07-08T02:38:43.465-07:00</updated><title type='text'>Job Interview Tips</title><content type='html'>&lt;table border=&quot;0&quot; cellpadding=&quot;0&quot; cellspacing=&quot;3&quot; class=&quot;MsoNormalTable&quot; style=&quot;background: white; mso-cellspacing: 1.5pt; mso-padding-alt: 5.25pt 5.25pt 5.25pt 5.25pt; width: 95%px;&quot;&gt;
 &lt;tbody&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Situation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Or&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;h2&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Task&lt;/span&gt;&lt;/h2&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the situation that you were in or the task that you
  needed to accomplish. You must describe a specific event or situation, not a
  generalized description of what you have done in the past. Be sure to give
  enough detail for the interviewer to understand. This situation can be from a
  previous&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;job&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;, from a volunteer experience, or
  any relevant event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Action you took&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe the action you took and be sure to keep the focus on
  you. Even if you are discussing a group&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;project&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;or effort, describe what you did
  -- not the efforts of the team. Don&#39;t tell what you might do, tell what you
  did.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 24.78%;&quot; valign=&quot;top&quot; width=&quot;24%&quot;&gt;
  &lt;h3 style=&quot;margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;Results you achieved&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;/td&gt;
  &lt;td style=&quot;padding: 5.25pt 5.25pt 5.25pt 5.25pt; width: 74.36%;&quot; valign=&quot;top&quot; width=&quot;74%&quot;&gt;
  &lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What happened? How did the event end? What did you accomplish?
  What did you learn?&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;/td&gt;
 &lt;/tr&gt;
&lt;/tbody&gt;&lt;/table&gt;
&lt;br /&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1. How would you describe yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Team Player – Hitting our average handling time in IB is the main problem for
my team, I initiated a team building for us discuss the challenges we have and
share our best practices, Next after that; we have manage to lower down our AHT
and able to used our best practices. I believe that team work is the key to achieve
a successful and fruitful working environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Incentive Driven –
September - December is the peak season of the year on my previous account; they
are in need of heads and offered 80-100 pesos per hour for individual who’s
willing to extend hours. I offered an extra 4-6 hours everyday and also
rendered overtime on my rest day, we are able to meet most of our client
requirements and also I was able to earn high incentives up to 50,000. By the
end of last year I was able to bought my new Suzuki Thunder Motorcycle and 32”
Samsung LED TV with home theatre speakers. That was a fruitful year for me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Friendly – Everyday will
meet different types of personality and being outgoing and friendly is one of
my greatest strength&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Flexible –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Well Driven – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Initiative –&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Dedication to work – &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yourself.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Situation (S): &lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;Advertising revenue was falling off for my
college newspaper, the Stetson
Reporter, and large numbers of long-term advertisers were not renewing
contracts.&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Action (A):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;I designed a new promotional packet to go with
the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;rate&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;sheet and compared the benefits of&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;Reporter&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;circulation with other ad media in the
area. I also set-up a special training session for the account executives with
a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;School&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class=&quot;apple-converted-space&quot;&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;of Business Administration professor who
discussed competitive selling strategies.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Result (R):&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
&lt;span style=&quot;background: white;&quot;&gt;We signed contracts with 15 former advertisers
for daily ads and five for special &lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span class=&quot;klink&quot;&gt;&lt;span style=&quot;color: black;&quot;&gt;supplements&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;. We increased our new advertisers by 20 percent [quantities
are always good] over the same period last year.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2. What specific goals, including those related
to your occupation, have you established for your life?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be working for an excellent company like yours in a job in which I am
share related experience as&amp;nbsp; call center
agent. Immediately I want to learn the process and nature of the business and
my long-range career goal is to be a team lead where in I can contribute my
leadership, interpersonal, and technical skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3. How has your college experience prepared you
for a business career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have prepared myself to transition into the work force through real-world
experience involving travel abroad, internship, and entrepreneurial
opportunities. While interning with a private organization in Ecuador, I
developed a 15-page marketing plan composed in Spanish that recommended more
effective ways the company could promote its services. I also traveled abroad
on two other occasions in which I researched the indigenous culture of the
Mayan Indians in Todos Santos, Guatemala, and participate din a total language
immersion program in Costa Rica. As you can see from my academic,
extracurricular, and experiential background, I have unconditionally committed
myself to success as a marketing professional.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;My
answers:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I have
prepared myself to transition into the work force through real-world experience
involving travelling&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/experience.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4. Please describe the ideal job for you
following graduation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (equates ideal job with job he&#39;s interviewing for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My ideal job is one that incorporates both my education and practical work
skills to be the best I can be. Namely combining my education in finance with
my working knowledge of customer service operations, entrepreneurial abilities,
computer skills, and administrative skills. I want to utilize my analytical
expertise to help people meet their financial goals. This is exactly why I am
convinced that I would be a very valuable member of the Merrill Lynch team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/ideal.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5. What influenced you to choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My past experiences have shown me that I enjoy facing and overcoming the
challenge of making a sale. Without a doubt, once I have practiced my
presentation and prepared myself for objections, I feel very confident
approaching people I don&#39;t know and convincing them that they need my product.
Lastly, I like sales because my potential for success is limited only by how
much of myself I dedicate toward my goal. If any profession is founded on
self-determinism, it surely must be sales.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/decision-making.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6. At what point did you choose this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I knew that I wanted to pursue information systems technology about my
sophomore year in college. It was then that I realized that that my hobby
(computers) was taking up most of my time. My favorite courses were IT courses.
I also realized that I was doing computer-oriented work-study that I enjoyed so
much I would have done it for free.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7. What specific goals have you established for
your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My goals include becoming a Certified Financial Advisor so I can obtain a
better working knowledge of financial research analysis, which would allow me
contribute to my client base as a better financial consultant since I would
have that extra insight into the companies they are seeking to invest in. Also
this is the foundation block to advancing my career to portfolio manager or
even branch office manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8. What will it take to attain your goals, and
what steps have you taken toward attaining them?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve already done some research on other workers at Merrill Lynch to see how
they achieved similar goals. I know that Merrill Lynch encourages the pursuit
and will reimburse for tuition of a graduate degree. I plan on pursuing a MBA
to give me an even more extensive knowledge of business and financial analysis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9. What do you think it takes to be successful in
this career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe successful salespeople put forth that extra effort that turns
potential clients into first-time customers. Salespeople who attend to the
details by doing whatever it takes to win over a prospective customer
distinguish themselves from the countless others who don&#39;t go to any extra
effort. Second, I think that if you label success as an attainable goal, you
will never consistently remain successful. You can only succeed if you learn
all there is to learn about your product, your competitors, and personal
selling. Since this learning process is continuous, it&#39;s an unattainable goal.
With good reason, salespeople should not consider success an attainable ending
point but an objective that will always linger slightly beyond their reach.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10. How do you determine or evaluate success?
Give me an example of one of your successful accomplishments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was hired by university&#39;s Council for Student Activities. The
group negotiates contracts of entertainers, sets up sound equipment, markets
the entertainers to students, and generally decides what kind of programming
should be done. When I got hired, I didn&#39;t know the first thing about how fill
any of those responsibilities. I decided, however, that I wasn&#39;t going to fail.
Four months later, I have become the Webmaster for the group. I also write our
campus newsletter and created Game Night, a student competition of table games.
That event yielded the biggest audience ever for a non-concert event.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;11. Do you have the qualifications and personal
characteristics necessary for success in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I have a combination of qualities to be successful in this career.
First, I have a strong interest, backed by a solid, well-rounded,
state-of-the-art education, especially in a career that is technically
oriented. This basic ingredient, backed by love of learning, problem-solving
skills, well-rounded interests, determination to succeed and excel, strong
communication skills, and the ability to work hard, are the most important
qualities that will help me succeed in this career. To succeed, you also need a
natural curiosity about how systems work -- the kind of curiosity I
demonstrated when I upgraded my two computers recently. Technology is
constantly changing, so you must a fast learner just to keep up or you will be
overwhelmed. All of these traits combine to create a solid team member in the
ever-changing field of information systems. I am convinced that I possess these
characteristics and am ready to be a successful team member for your firm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;12. What has been your most rewarding accomplishment?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A recent satisfying accomplishment I was sent to one of our branch banks that
was notorious for not growing their loan base. The branch had logged $75,000 in
new loans in an 18-month period prior to my arrival. Having a reputation as a
&quot;hired gun&quot; when it came to loan production I was successful in the
solicitation and booking of $700,000 in my first six months at the branch.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;13. If you could do so, how would you plan your
college career differently?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I wouldn&#39;t change anything. All that I have done was a great learning
experience that I will carry forward throughout the rest of my life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/off-wall.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;14. Are you more energized by working with data
or by collaborating with other individuals?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like the validity of information and also like the energy that comes with
working with people. The best thing about working in a group is combining the
great minds from different perspectives and coming up with something extremely
great, compared with when you&#39;re working alone. At the same time, information
can generate vitality in the project you&#39;re working on. No matter how many
heads you&#39;ve got together, without information, you can&#39;t go very far. The
perfect situation would be a combination of working with information and
people, and I&#39;m confident of my abilities in both areas.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Stacey&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/choice.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;15. How would you describe yourself in terms of
your ability to work as a member of a team?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have had many opportunities in both athletics and academics to develop my
skills as a team player. My tenure as a rower with my college&#39;s crew team
serves as a good example. I learned a great deal about teamwork while rowing
because all the rowers in the boat must act as one, which meant that we
incessantly worked to keep each movement in the boat synchronized. On an
individual basis, we still worked toward group goals through weightlifting and
land-rowing. My experience as a marketing research team leader also helped me
to learn the role of &quot;team player.&quot; I viewed my position as that of
group leader and of group member. I ensured that everyone in the group had
equal opportunity to contribute, maintained excellent communication among group
members, and coordinated their energies toward reaching our team&#39;s goal.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;16. What motivates you to put forth you greatest
effort?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You would think that because I am interested in sales, only financial
compensation would motivate me to achieve. Although monetary rewards are
important to me, I am driven to succeed internally. More than anything, I want
to be respected by my friends and coworkers for being the best at what I do.
Whether I am considered to be the best car detailer in my hometown or the best
columnist for my college newspaper, I want to be recognized as the best.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;17. Given the investment our company will make in
hiring and training you, can you give us a reason to hire you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I sincerely believe that I&#39;m the best person for the job. I realize that there
are many other college students who have the ability to do this job. I also
have that ability. But I also bring an additional quality that makes me the
very best person for the job -- my attitude for excellence. Not just giving lip
service to excellence, but putting every part of myself into achieving it. In
college and at my previous jobs, I have consistently reached for becoming the
very best I can become. I think my leadership awards from my college, and my
management positions are the result of possessing the qualities you&#39;re looking
for in an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/hire.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;18. Would you describe yourself as goal-driven?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, and I demonstrated my goal orientation as president of the local Jaycees,
a community service organization. I am very proud of the fact that I set a goal
of signing 50 new members by the end of the year, and I accomplished that.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;19. Describe what you&#39;ve accomplished toward
reaching a recent goal for yourself.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first few years in banking had me on the fast track to branch management. I
realized at some point along the way that my true passion was in offering
financial advice not limited to checking accounts and loans. It was at that
point that I made the necessary arrangements to go back to school full-time to
pursue my goal, which I am just about to achieve.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;20. What short-term goals and objectives have you
established for yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My short-term objectives are to graduate from the Professional Development
Program before the standard two years and begin developing a clientele. As an
intern, I prepared ahead of time by studying for the Series 7 and Series 64
exams that constitute a majority of a beginning financial consultant&#39;s time.
I&#39;d like to make make the company that hires me wonder what it ever did without
me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;21. Can you describe your long-range goals and
objectives?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My primary objectives are to learn as much as possible about your company&#39;s
product offering, organizational structure, and professional sales techniques
so that I may become the most productive member of your sales team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;22. What do you expect to be doing in five years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although it is hard to predict the future, I sincerely believe that I will
become a very good financial consultant. I believe that my abilities will allow
me to excel to the point that I can seek other opportunities as a portfolio
manager (the next step) and possibly even higher. My ultimate goal continues to
be -- and will always be -- to be the best at whatever level I am working at
within Merrill Lynch&#39;s corporate structure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;23. What do you see yourself doing in ten years?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Ten years from now I see myself as a successful consultant for a world-class
firm like yours. I want to have developed a wonderful bond with my employer I
will have proven myself a highly competent systems analyst and will represent
my company in helping others find solutions to their information-systems needs
in a professional and timely manner.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/where.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;24. How would you evaluate your ability to deal
with conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe I am quite good at handling conflict. Working in retail and in the
residence halls required that I make many unpopular decisions at times, whether
it was terminating an associate or taking judicial action on a resident. Often
the person in conflict with me would be upset and sometimes physically
outraged. I would always make sure that I fully explained the situation, the
policies behind my decision, and why those policies exist. Usually by the end
of the conversation, the person could see the other side of the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;25. Have you ever had difficulty with a
supervisor or instructor? How did you resolve the conflict?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I had an incident with my Spanish professor. I turned in an essay that she
said was too good to be mine. I was honest with her; I told her that I had a
native speaker review the essay, but he made very few corrections. However, I
had broken the Golden Rule of Spanish Composition -- the essay must not even
touch the hands of a native speaker. To prove to her that I was capable of
producing an essay that exceeded her expectations of a non-native speaker, I
offered to re-write another essay in her office. I earned an A-minus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/conflict.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;26. Tell
me about a major problem you recently handled. Were you successful in resolving
it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While working at K-mart, I was one of three people to work in the electronics
department. One day upon arriving at work, I was told the district manager was
coming the next day to do a store inspection. The two other people who worked
in electronics were both over 55. Neither could lift heavy objects, and one
refused to work at all. As a result, the electronics department was usually
left to me to keep stocked with product and kept in order. I had about five
hours of work time to get the entire department in order. Those five hours
passed around, and there was still a substantial amount of work to be done. I
asked the store manager if I could stay and work after hours while the
overnight stockers were there. He said that because of the employment budget,
he could not let me. I was faced with bringing the entire store&#39;s rating down,
so I suggested a creative staffing solution, allowing me to work the extra
hours while temporarily reducing the hours of the other two members of the department.
Because of this solution, in a matter of hours, the department was in tip-top
shape -- and still under budget. And the results? The electronics department
got a score of 95 out of 100.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;27. Would
you say that you can easily deal with high-pressure situations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes. My past experience as an Administrative Coordinator required me to deal
with many serious situations since I held emergency on-call duties as a
supervisor. One example was when I was called by a Resident Assistant to deal
with an attempted suicide on her residence hall floor. The situation required
that I think clearly and quickly in this life-and-death situation. I had to
weigh the many tasks that needed to be completed. I had to assign RAs to call
911, make sure that EMS could get into the locked building, while at the same
time applying first aid, and ensuring that the rest of the residents on the
floor were OK. I also had to make sure the privacy of the resident in need was
respected. I basically prioritized and dealt with each task by its importance.
I delegated responsibility to RAs for things that they were capable of handling
because I could not physically be in many places at once. Once the resident was
taken to the hospital, I was responsible for paperwork and follow up to make
sure the staff members, residents, and the resident-in-need adjusted back to
&quot;normal&quot; life. I know this is an extreme example not found in the
financial consulting field; however, it shows just how well I can deal with
extreme pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/yes-no.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;28. What
quality or attribute do you feel will most contribute to your career success?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest strength is my flexibility. I have learned that work conditions
change from day to day and throughout the day, as well, no matter where I have
worked in the past. I also have realized that certain projects require
individual attention and others involve a teamwork approach. These are just a
few examples of the changes that happen in the financial consulting field, as
you are well aware. My flexibility to adapt to the different demands of the job
has allowed me to surpass my supervisor&#39;s expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/strengths.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;29. What
personal weakness has caused you the greatest difficulty in school or on the
job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (shows how he recognized his weakness and worked to
improve):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My greatest weakness had been delegation. I would take it upon myself to do
many small projects throughout my shift as a manager that could have been done
by others in an attempt to improve my workers&#39; efficiency. Once I realized that
I was doing more work than the other assistant managers, and they were
achieving better results, I reevaluated what I was doing. I quickly realized
that if I assigned each person just one small project at the beginning of their
shift, clearly state expectations for the project, and then follow up that
everything would get done, and I could manage much more efficiently and
actually accomplish much more.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/weaknesses.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;30. What
were your reasons for selecting your college or university?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (tells how education specifically will benefit the
employer):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My college has always had a reputation as having an excellent accounting
department, so I knew that if I enrolled there, I would achieve first-class
preparation for my chosen career field. It is also a highly accredited school
known for satisfying employers with the preparation of its graduates -- that&#39;s
why companies like yours recruit at my school -- the school produces top
graduates. The school offers an excellent liberal-arts background, which
research shows equips graduates with numerous qualities, such as versatility
and strong critical-thinking skills. Finally, having visited the campus before
enrolling, I knew that the business school emphasized group projects. During my
four years in the school, I participated in more than 35 group projects, which
taught me invaluable teamwork, communication, and interpersonal skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/college.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&amp;nbsp;&amp;nbsp; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;31. If
you could change or improve anything about your college, what would it be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My major department had a wonderful internship program, and I was able to
complete three valuable internships with my department&#39;s guidance. Some other
departments in the business school don&#39;t have internship programs that are as
strong as my department&#39;s. I&#39;d like to see all the departments have strong
internship programs so all my school&#39;s business grads would have the same
opportunities that I had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;32. How
will the academic program and coursework you&#39;ve taken benefit your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response (response is very specific to the job he is interviewing
for):&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As you will note on my resume, I&#39;ve taken not only the required core classes
for the finance field, I&#39;ve also gone above and beyond by double majoring in
accounting. I doubled majored since I knew that the financial consulting field
requires much knowledge of portfolio analysis and understanding of the tax
laws. I believe that my success in both areas of study have specifically
prepared me for this area. But it&#39;s not just taking the classes in these two
areas that allows me to offer Merrill Lynch clients more. I minored in Spanish
to understand the growing Hispanic clientele in the Central Florida area, which
as you are well aware is a growing source of revenue for the industry. If you
like, I can elaborate on other aspects of my education further.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;33. Which college classes or subjects did you
like best? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite classes have been the ones pertaining to my major, which is
marketing. These classes have laid the groundwork for my career in marketing.
They have also taught me skills that I can bring to my employer, ranging from
communication skills to interacting with others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;34. Are you the type of student for whom
conducting independent research has been a positive experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Yes, I love it. I thoroughly enjoyed my senior research in college while many
others in my class were miserable. I was never tired of learning more about my
topic and found it exhilarating to be researching something that had not been
studied before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;35. Describe the type of professor that has
created the most beneficial learning experience for you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My favorite professors were the ones who gave me hands-on learning experiences
that I can apply to my career. Any person can make you memorize the quadratic
equation, but someone who can show you how to use it, and why, were the
professors I liked. I liked teachers who realized that sometimes there is more
then one answer and everyone thinks differently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/thought.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;36. Do you think that your grades are an
indication of your academic achievement?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have focused much of my energy on work and obtaining real-world experience. I
commend my classmates who have earned high GPAs, but I also feel it&#39;s important
to be well-rounded. In addition to work experience, I participated in sports
and extracurricular activities in school. These activities taught me
leadership, communication, and teamwork skills. Sometimes my heavy load has not
allowed me to keep up with some of my studies, but I have learned an enormous
amount that I can apply in my future industry. As you will discover if you talk
to my supervisors, my ability to work effectively is much more reflective of my
future potential than is my GPA.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/GPA.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;37. What plans do you have for continued study?
An advanced degree?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I plan to continue my education for the rest of my life. In any
technology-related field, keeping up to date through continuing education is of
the utmost importance. Continuing education can include on-the-job training,
courses sponsored by the employer, and courses taken in new technologies as
they emerge. I plan to be not only a career employee but a career student so
that I can be the best information systems analyst I can be. I will ensure,
however, that any education I pursue not only doesn&#39;t interfere with my job or
the company&#39;s policies, but will enhance my value as an employee.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;38. Before you can make a productive contribution
to the company, what degree of training do you feel you will require?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My background has been focused on preparing me for the financial consulting
industry, so I can be productive right away. I already have obtained the
educational credentials and skills to allow me to become an immediate asset to
Merrill Lynch. After interning for a semester, I am well aware of the shared
beliefs of the organization and its corporate values. I already have a very
good working knowledge of the financial consulting business. I am confident of
my ability to get up to speed quickly in any assignment with which I&#39;m not
familiar.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/training.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;39. Describe the characteristics of a successful
manager.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A successful manager should have the vision and capabilities to formulate
strategies to reach his or her objectives and communicate these ideas to his or
her team members. In addition to serving as a positive role model for
co-workers, successful managers must also be capable of inspiring others to
recognize, develop, and apply their talents to their utmost potential to reach
a common goal. These are the traits I hope to demonstrate when I&#39;m a manager.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/manager.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;40. Why did you decide to seek a position in this
field?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work in the marketing and PR industry because ever since I took my
first marketing course in college, I have felt very passionate toward the
industry and cannot imagine myself doing anything else.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;41. Tell me what you know about our company.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
You&#39;re large and respected worldwide. You&#39;re both a clinical and teaching
hospital. Over the last 60 to 70 years you&#39;ve produced award-winning research.
In reviewing your Web site, I&#39;ve familiarized myself with many of your
corporate goals and objectives.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Judy&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;42. Why did you decide to seek a position in this
company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am convinced that there would be no better place to work than Accenture. You
are the top consulting firm in the United States. You provide your employees
with the tools they need to stay competitive and sharpen their skills while
working in an open, team-based environment. I am also aware that you provide a
mentor for all new employees, and I would embrace any opportunity to work with
a mentor and eventually become one myself.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/company.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;43. Do you have a geographic preference?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I would prefer to stay in the Mid-Atlantic area, I would not rule out
other possibilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;44. Why do you think you might like to live in
the community in which our company is located?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Just a few weeks ago, I had the opportunity to spend several days in your
community, and I fell in love with it. I love the fact that you have a thriving
riverfront. I&#39;m impressed with the many cultural opportunities here -- opera,
theater, art, and independent films. I&#39;ve also already become a fan of the
Saints and the other sports teams based here. I have conducted significant
Internet research on this city, so I am quite comfortable with your location.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;45. Would it be a problem for you to relocate?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;m open to opportunities within the company; if those opportunities involve
relocation, I would certainly consider it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;46. To what extent would you be willing to travel
for the job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am more than willing to travel. I understand the importance of going above
and beyond the call of duty to satisfy customer requests is sometimes required
and that Merrill Lynch&#39;s customer focus belief means that travel is expected in
some circumstances. I am willing to make this commitment to do whatever it
takes to develop that long-term relationship with a small business or client.
It is only through this relationship that loyalty can be maintained and
financial gains and growth can occur for both the client and Merrill Lynch. It
is my understanding from other financial consultants that I have interviewed at
Merrill Lynch that this occurs maybe one or two times a month.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;47. Which is more important to you, the job
itself or your salary?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A salary commensurate with my experience and skills is important, but it&#39;s only
one piece of the package. Many other elements go into making up a compensation
package, but more importantly, it&#39;s critical to me to enjoy what I&#39;m doing, fit
into the corporate culture, and feel I&#39;m making a genuine contribution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;48. What level of compensation would it take to
make you happy?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am not depending on money to make me happy. What makes me happy is having a
satisfying job that provides challenge and new situations daily.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;49. Tell me about the salary range you&#39;re
seeking.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am sure that I am the candidate you are looking for. If you feel the same,
the I&#39;m sure your offer will be fair and commensurate with the value I can
bring the company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;See also this page of our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/job_interviews/money.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;Job Interviewing Tutorial&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;50. Describe a situation in which you were able
to use persuasion to successfully convince someone to see things your way?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently my company asked for bids on a phone system for our new college
campus. Two companies came in very close with their bids, and most of my
department wanted to go with a vendor that we have used in the past. After I
looked over the proposals, it was clear that this was the wrong decision. So, I
talked individually with each member of our staff and was able to change their
minds and get the best product that would save money and provide the highest
quality.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;51. Describe an instance when you had to think on
your feet to extricate yourself from a difficult situation.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was a resident assistant at my college, a student I did not know asked
me if he could use my phone to call another room. Although I did not know the
student, I allowed him into my room. He used the phone and in the course of his
conversation, he stated that he had just come from a fraternity party and was
high from taking some drugs. Well after his conversation, I had to enforce the
student conduct code by writing him up. He became very hostile towards me and
would not give me any identification or information. I stood in the doorway to
prevent him from leaving. I noted the serial numbers on his keys, so when the
situation got to the point where I felt unsafe, I allowed him to leave. I still
preformed my job without jeopardizing my or his physical welfare.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;52. Give me a specific example of a time when you
used good judgment and logic in solving a problem.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a client come into the bank where I worked and request a $5,000 personal
loan to &quot;pay off some bills.&quot; In the customary review process, I
determined that what was really needed was a $25,000 debt-consolidation loan.
Rather than giving the customer a &quot;quick-fix&quot; to the problem, I
logically solved the problem in a way that was in the best interest of both the
bank and the client.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;53. By providing examples, convince me that you
can adapt to a wide variety of people, situations and environments.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I&#39;ve shown my ability to adapt by successfully working in several very
different jobs. For example, I lived with a native family in Costa Rica. I
worked as a nanny for a famous writer in Cape Cod. I was responsible for
dealing with Drug Court participants. And I catered to elite country-club
clientele. I did it all well and had no trouble adapting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;54. Describe a time when you were faced with
problems or stresses that tested your coping skills.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Arriving at the language school I was attending in Costa Rica in the middle of
the night with very minimal Spanish-language skills, I found my way to a very
small town with no street addresses or names and found my temporary residence.
I was scared, but I handled the situation very well, very calmly. In very
stressful situations, I am always the one in the group to stay calm and
focused. My friends, family, and professors have always said that I am an oasis
of calm in a storm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;55. Give an example of a time in which you had to
be relatively quick in coming to a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
This happens often in the IT industry, but one recent example was when we had a
core backbone switch die. It died at the worst possible time -- during exams --
as they always seem to do, and I needed to get it back up and running quickly.
I analyzed the logs and system status, and using my previous experience, I made
some quick decisions that rectified problem and got the equipment back up only
minutes later.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;56. Describe a time when you had to use your
written communication skills to get an important point across.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As an Administrative Coordinator, I had a staff of 27 students. Having such a
large student staffs all working different shifts and having varying class
schedules meant that meetings could not be held with everyone at one time. I
needed to communicate with everyone about important policies and information
often, so I came up with the idea of designing a Web page for my staff with
written announcements. Each Desk Assistant was required to check the Web page
daily at the beginning of his/her shift. I also sent email communications by a
distribution list that allowed each Desk Assistant to keep informed about
anything. The one situation that stands out in my mind is a last-minute summer
camp that decided to come in a day early with only one day&#39;s notice. I had no
staff scheduled to check in the camps or to organize the keys. I posted an
update to the Web page and sent an email. Within four hours, I had the
following day completely staffed and desk assistants there to organize room
keys for the campers that night.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;57. Give me a specific occasion in which you
conformed to a policy with which you did not agree.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked at Home Depot as an assistant manager, I was always looking for
way to boost my employees&#39; morale. Unloading trucks is a very routine and
physical job and can become very boring and exhausting, so to improve the
unloaders&#39; attitude toward their duties and make the best of the situation, I
put a radio in the receiving dock. It worked; however, the district manager did
not approve of the radio in the workplace even though it did not interfere with
any set policy of company objectives. The radio was also out of any areas where
customers would hear the music. I did not agree with my DMs decision to remove
the radio; however, I understood his point of view once he explained it to me
and promptly complied with his request. The employees were not happy that their
radio was gone, so I found an alternative method of reward and morale boosting
by implementing a program in which we provided lunch for the unloaders from any
restaurant of their choice if they unloaded the trucks faster than normal. This
program succeeded by increasing their unloading time from 2 1/2 hours to only 1
1/2, a savings in payroll of 8 percent of sales for that shift.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;58. Give me an example of an important goal which
you had set in the past and tell me about your success in reaching it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a senior in high school, my goal was to attend college and play college
golf. But I was nowhere near the player I needed to be to play or even get on
the team. So over that summer I worked on my golf game to the point where I won
almost every tournament I entered. I spent every hour I had during the day to
make myself a better all-around player. I eventually walked on my freshmen year
and was exempted from qualifying because I played so well in my first outing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;59. Describe the most significant or creative
presentation that you have had to complete.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The most significant presentation I have ever had to present was at a national
research symposium. I was presenting research I had completed on digital
analysis of mammograms and had to present to a panel of more than 100 judges
who were at the top of their field. I focused on the research, which could sell
itself, and just let the information flow. It went over very well, and I
received many more invitations to present the research, including on national
television.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;60. Tell me about a time when you had to go above
and beyond the call of duty in order to get a job done.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Although I had already punched out, I stayed behind to help a colleague solve a
problem. A customer was very angry as he had waited very long for his coffee.
My colleague was new, she was quite slow. I came out and explained things to
the customer. Although he was very angry at first, I just listened to him and
told him that we try to bring our best out to each customer who walks in to our
store. After a one-hour discussion, he left with a happy face and was
satisfied.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[Submitted by &quot;Fizah.&quot;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;61. Give me an example of a time when you were
able to successfully communicate with another person even when that individual
may not have personally liked you (or vice versa).&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my time in the theater, I had one director with whom I absolutely did
not work well. However, because of my track record, she would assign me as
stage director and/or assistant director. I was usually involved in the
day-to-day operations of the play and the details of how the play would be
performed. I handled the operation for the play by directing scenes the best
way I could and then showing them to her for approval. If she did not like the
way a scene worked, I gave her my opinion as to why it should be my way. If we
still could not compromise, I would follow her directions to the best of my
ability. Understanding that people don&#39;t usually have malicious intentions is
key, and understanding that you will never be able to convince some people that
your way is right is the best way to avoid conflict and still get the job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;62. Sometimes it&#39;s easy to get in &quot;over your
head.&quot; Describe a situation where you had to request help or assistance on
a project or assignment.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
It&#39;s impossible to know everything in the IT field because of rapidly changing
technology, so recently when we were having troubles with our circuit emulation
over our ATM network, I had to call in some engineers from North Carolina to
come help me out. The nice thing about asking for help is that when you get the
assistance, you can learn from what you are told and apply it to future
situations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;63. Give an example of how you applied knowledge
from previous coursework to a project in another class.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester I was taking a microeconomics and a statistics course. One of the
microeconomics projects dealt with showing the relationship between the
probability that customers would stop buying a product if the price was raised
a certain amount. Through what I learned in statistics I could find the median
where the price was the highest and still kept most of the customers happy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;64. Describe a situation where others you were
working with on a project disagreed with your ideas. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was on a project team in a business class in my freshman year in college, The
group brainstormed ideas for the video we were assigned to produce, and
everyone but me was leaning toward an idea that would be easy. I suggested
instead an idea that would be more difficult but would be something different
that no other group would be doing. I used my communications skills to persuade
the rest of the group to use my idea. During the project, we really learned
what teamwork was all about, became a close team, and ended up putting a lot of
hard work into the project. All the team members ended up feeling very proud of
the video, and they thanked me for the idea -- for which we earned an A.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;65. Describe a situation in which you found that
your results were not up to your professor&#39;s or supervisor&#39;s expectations. What
happened? What action did you take?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I was asked to put together a proposal for a migration of network
systems. Misunderstanding my boss, I thought it was just an informal paper.
When I presented it to him days later, he was upset with the quality since it
had to be presented to our VP. I explained my misunderstanding, apologized,
reworked the paper, and had it back to him with enough time for him to review
it before he presented it successfully at the meeting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;66. Tell of a time when you worked with a
colleague who was not completing his or her share of the work. Who, if anyone,
did you tell or talk to about it? Did the manager take any steps to correct
your colleague? Did you agree or disagree with the manager&#39;s actions?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During a group project in college, we had one member who would do no work
whatsoever. The project was to compare and contrast four companies in a single
industry, so his work was vital. We first discussed the situation and asked for
the bare-bones minimum of what we needed from him. We got just below that. As a
result we as a group went to the professor and told her our situation -- not
expecting or requesting action -- just informing her the situation we were
dealing with. Then we as a group split up the non-contributor&#39;s work, and
completed our work collectively on his share. In phase two in which we analyzed
the information and reported how each of our companies fared compared to the
others, we did not get a paper from the group member. As a result, we told the
teacher that we had our work done, and were willing to do the extra paper but
that we would rather spend time polishing our own work, and not picking up
slack. She agreed and said to focus on the three companies we had compiled the
most info on while not entirely neglecting the fourth. The papers came out very
well, but were understandably weak when comparing the fourth company. The
professor understood, and we received the grades we deserved. I was pleased
with our teamwork and the way we handled the situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;67. Describe a situation in which you had to
arrive at a compromise or guide others to a compromise.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My first semester in college, I was a political-science major. My introductory
government class professor had a differing political view then I. We disagreed
on everything, and many classes were filled with criticizing each others&#39; view.
However, on one test I answered a question with the view I believe in, and she
marked it wrong. So I asked her how an opinion can be wrong, and she said
because her opinion is the way she taught it in class. I pointed out that my
answer showed I understood the concepts of the question. She agreed, and I also
agreed not be so combative in answers on tests. Compromise is the key to
problem resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;68. What steps do you follow to study a problem
before making a decision.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Following standard models for problem-solving and decision-making can be very
helpful. Here are the steps and how they helped me solve a problem with a group
project:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;1.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Define the problem to be solved
and decision to be made. For a project in an introductory management class the
assignment was to report on the corporate structure and financial situation of
a couple of companies. The decision to be made was what companies to profile
and how to present the information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;2.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Gather the necessary
information. Some group members wanted to report on automakers, while others
wanted to do electronics firms. We gathered information on both types of
company.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;3.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;List all possible choices. We
made lists of companies in both categories.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;4.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Consider possible outcomes for
each choice. We decided that a report about car companies could have a positive
outcome, but one about electronics firms might be more futuristic with
high-tech products such as HDTV, video game consoles, and DVD players.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;5.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Check out how you feel about
each of the choices. Given that this was a group project, we had to consider
the feelings of all group members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;6.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Relate the choices to your
values and priorities. Again, all group members weighed in on their values and
priorities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;7.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;From the possible alternatives,
choose one. We decided that we&#39;d do electronics companies because we could
bring in products from each company and show what lies ahead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;8.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Commit yourself to your chosen
decision and disregard the others. Concentrate your energies in one direction.
Once we made our decision, we focused all our work on electronics forms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;9.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Take steps to turn your decision
into positive action. All group members got interested in how the companies
were doing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: 0in; mso-list: l1 level2 lfo1; tab-stops: list 1.0in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;10.&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp;&amp;nbsp;
&lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Evaluate your progress from time
to time. Change your decision if necessary. We were pleased with our progress
and didn&#39;t feel a need to change our decision. We got an A on the project.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;69. We can sometimes identify a small problem and
fix it before it becomes a major problem. Give an example(s) of how you have
done this.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked in a large retail store, the standard procedure was to leave a
product on the shelf until it ran out, then place more items out. This practice
obviously wasted a lot of man-hours. Of interest particularly to me were the
air conditioners. Not only did I have to put the heavy thing on the shelves,
but they were selling at a very high rate. So if somehow AC units ran out on a
day in which I could not restock them, they would not be available to
customers. As a result I started making a list of products (including the AC
units) that the overnight stock people could put on the shelves. As a result,
the people on duty always had a job to do, so labor hours were not wasted, and
the shelves were always stocked full of product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;70. In a supervisory or group leader role, have
you ever had to discipline or counsel an employee or group member? What was the
nature of the discipline? What steps did you take? How did that make you feel?
How did you prepare yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As president of a community-service organization, I was faced with a board
member not carrying out his duties as management development vice president. I
consulted with him as to what we could do together to fix the problem. We
agreed that he really couldn&#39;t devote the time that it took to carry out
certain projects, and he ended up resigning his position, but he also stated he
would help his replacement in whatever capacity he could. It made me feel as
though we had come to the conclusion together, rather than him thinking I was
criticizing his performance, which was not the case. I had a plan of action and
carried it out successfully.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;71. Recall a time from your work experience when
your manager or supervisor was unavailable and a problem arose. What was the
nature of the problem? How did you handle that situation? How did that make you
feel?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My supervisor was absent once when I was in charge of a soccer game. An actual
assault took place at the game. A player hit the referee. With no supervisor to
turn to, I immediately called the police, who quickly restored order to the
situation. I felt I made an effective decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;72. Recall a time when you were assigned what you
considered to be a complex project. Specifically, what steps did you take to
prepare for and finish the project? Were you happy with the outcome? What one
step would you have done differently if given the chance?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to give a marketing presentation while attending community college. The
project was about Anheuser-Busch. We were assigned to report on key management
personnel (CEO, Chairman of the Board, President, key VPs), divisions and
subsidiaries, major products/brands/services, key financials for the most
recent year (sales revenue, expenses, total income, net income, sales growth or
loss for the last year), market share, key competitors, mission statement,
product positioning, and number of employees. Among the steps I took were
visiting the company&#39;s Miami branch to interview employees and gather visual
aids for the project. I spent a lot of time organizing and writing the
presentation. Then I spent time reviewing my speech over a period of several
days. As a result I was calm while giving the presentation and received an
&quot;A&quot; for the project. The one additional step I perhaps wish I&#39;d taken
would have been to talk to some consumers and store owners about the product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Displaying
Interview Questions 73-80&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;73. What was the most complex assignment you have
had? What was your role?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My senior research was my most complex assignment. It took two semesters to
complete and was made up of many components. I had to make many critical
decisions along the way that would affect the outcome of my research. I made
these decisions independently with minimal influence from my professor. I was
very successful and happy with my final product.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;74. How was your transition from high school to
college? Did you face any particular problems?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The transition was somewhat challenging for me because I traveled a great
distance to attend college. To help myself adapt, I got involved with as many
organizations as I could. I also made it a point to get to know my professors.
I used my interpersonal and communication skills to the best of my ability to
make a lot of friends, and college became one of the best experiences of my
life despite a beginning that seemed a bit overwhelming.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;75. Tell of some situations in which you have had
to adjust quickly to changes over which you had no control. What was the impact
of the change on you?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The bank in which I worked instituted a policy that centralized the lending
process. An application was to be taken from the client and sent off to be approved/declined,
processed, prepared, and returned to the branch to be signed by the client.
While the process was streamlined, it also took away valuable face-to-face
knowledge about the client and the loan. If the employee did not have any prior
lending experience, he or she couldn&#39;t answer simple loan questions from the
client. While I appreciated the newly created time on my schedule, I felt that
the clients were being slighted. I did adjust quickly to the new procedure and
did my best to help those around me by sharing my knowledge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;76. Compare and contrast the times when you did
work which was above the standard with times your work was below the standard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was involved in two group projects in a psychology class. In the first, we
had to decide on a research experiment to conduct and garner results from it.
The group I was in was not very motivated, and the members wanted to do a
simplistic comparison on color preferences of men and women. I felt that
project was below the standard I was capable of. For the second project, I
proposed a study in which we compared how people of different age ranges valued
money. I knew the project would go over well with the teacher and would not be
difficult to conduct. I proposed the idea in a way that sounded fun. Instead of
collecting data in someplace boring, I suggested we could go to the mall. The
group agreed and worked relatively well on the project. Discussion is the key
to mediation, and the key to my achieving a second project that I felt was
above the standard.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;77. Describe some times when you were not very
satisfied or pleased with your performance. What did you do about it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I failed my first business calculus test, which made me very unhappy. I wasn&#39;t
going to let this incident set the trend for the rest of the semester. I went
to my counselor and arranged to meet with a tutor once a week. My tutor helped
me out incredibly. My grades soon improved, and I went on to redeem myself from
my one slip-up on the first test.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;78. What are your standards of success in school?
What have you done to meet these standards?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I don&#39;t believe in trying to get by with the least possible effort, and I am
always willing to ask questions to learn how to perform an assignment
successfully. In my human-resources management class, for example, we were
assigned a paper on &quot;Why corporate culture is a practical way to increase
income and productivity.&quot; All of the literature on the subject was written
in the language of PhDs. I asked some other students what they were doing, and
they said just writing their opinions and not doing any research to back up the
claims. I felt I could do better. So I worked closely with my professor, who
&quot;translated&quot; the academic literature for me, and over time I understood
what was being written. Working with the professor&#39;s guidance, I turned in a
very good paper. Asking questions is one thing I am not afraid to do and
realize that without them I will be turning in work that is not as beneficial
as it could be.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;79. How have you differed from your professors in
evaluating your performance? How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After I wrote a paper for an English class, my professor told me that I was not
doing the paper in the proper format or with the proper content. I went to him
and asked if he would help me learn the correct way so that I could succeed with
the paper. He did help me, and I ended up doing well in the course.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;80. Give examples of your experiences at school
or in a job that were satisfying. Give examples of your experiences that were
dissatisfying.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I turned a dissatisfying experience into a satisfying one when I was on the
cross-country team in college and had never run the whole race in under 30
minutes. With only a month left in the season, I decided that I would run the
race in 25 minutes. I ran every day to build up my stamina, and in that last
race I achieved my goal time of 25 minutes, which was a very satisfying
experience.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;81. What kind of supervisor do you work best for?
Provide examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to work for a supervisor who allows me the autonomy to perform my job to
the best of my abilities. I also like constructive criticism and feedback so I
can improve myself and the organization. One example was my boss at a
university. He hired me as an administrative coordinator because of my
administrative and organizational skills. He knew that I had many new ideas and
allowed me the opportunity to implement many new programs. Of course, I kept
him constantly informed and sought advice when needed. I improved
communications in the department by implementing a departmental Web page. I
also streamlined the check-in process by preparing the amount of work that
could be done the day before. I improved staff morale by implementing a
desk-assistant-of-the-month, which led to lower turnover. These are just a few
examples. I was given the Recognizing Outstanding Student Employees Award for
my efforts and unique ideas. I gained not only my boss&#39;s confidence and support
but his respect as well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;82. Describe some projects or ideas (not
necessarily your own) that were implemented, or carried out successfully
primarily because of your efforts.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had been recently given the duty of being the head swim team coach for the
YMCA I was employed with. A swim meet was just around the corner, but only five
swimmers had enrolled for the program, none of whom had ever been a part of an
organized team. Funding would be cut for the team if more interest could not be
generated. So I decided that I would take action and actively recruit people to
join. Not only did I have to run the practices and correct any technical
mistakes the swimmers were making, but I had to contact other local swim teams
to invite then to join the meet. I had to meet with the parents and the
children separately and organize a way to help pay for t-shirts, swimsuits,
goggles, and swim caps. By the third week of the program, I had gained 15 more
swimmers and every single one had beat his or her own time in practice. When
the meet came, I organized the events, ordered ribbons, and recruited
volunteers. At the end of the meet, my team had come in first place among four
other teams. The parents were delighted, and the profits from the swim team had
skyrocketed to the approval of the board of directors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;83. Describe a situation that required a number
of things to be done at the same time. How did you handle it? What was the
result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my current job, I have to handle multiple responsibilities in developing new
projects, maintaining existing ones, and maintaining good client relations. I
allocate a certain amount of time for each area daily. That way clients can see
very clearly that projects are progressing, and I have more satisfaction in
accomplishing multiple tasks under pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;84. Have you found any ways to make school or a
job easier or more rewarding or to make yourself more effective?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I find that taking a proactive mindset to recognizing and solving problems
before they happen make any job more rewarding. It not only saves time and
effort but gives me a sense of accomplishment and ownership in my job. I
demonstrated my proactiveness when I worked with Food Lion. As a bookkeeper, I
was responsible for the offices. The safe was kept outside of the office in
front of the cash registers, where anyone could get inside of it if I or
another office associate had it open to drop a deposit or get money in and out.
I realized that the situation was a security hazard. Although we could not move
the safe to the inside of the office where it was more secure, I ordered a time
lock compartment and had it installed, and the safe could be opened only at a
specific time when the store closed each day. Only money could be dropped
through a slot in the compartment door. We kept large sums of money in that
compartment. We kept operating cash on hand since we needed some excess money
to perform daily functions. One month after I left that store to attend
college, I learned that it was robbed. Because of my efforts and foresight, the
robbers only got a small amount of cash. My previous supervisor thanked me for
my efforts, which gave me a great feeling, and I carried this proactive mindset
to my other jobs thereafter.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;85. How do you determine priorities in scheduling
your time? Give examples.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I took a time-management course in which I learned to prioritize all tasks on
A, B, or C lists. I always try to tackle the A list first. In every working
situation, co-workers have always complimented me on how well I manage my time.
I enjoy the social atmosphere of the office, but I make it a point not to waste
much time on chitchat with colleagues. I&#39;ve also learned that the average
office worker spends about an hour a day handling e-mail. I make it a point not
to deal with my e-mail more than once or twice a day, and I filter my messages
into folders so I can prioritize the way I deal with them.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;86. Tell of a time when your active listening
skills really paid off for you -- maybe a time when other people missed the key
idea being expressed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I presented my senior research in college, I was questioned by the members
of my major department as a &quot;panel.&quot; My grade was determined largely
on my ability to answer the questions effectively and smoothly, which depended
very much on my ability to listen carefully to what was being asked. I had seen
other students slip up when they misunderstood what the panel was asking
because they didn&#39;t listen well enough. I succeeded in listening well and did
well on my presentation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;87. What has been your experience in giving
presentations? What has been your most successful experience in speech making?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown to be a confident presenter. My most successful presentation took
place at my university when I was responsible for presenting a
leadership-development program for a class of Resident Assistants. The point of
my program was to teach each RA his/her leadership style, so he/she knew how to
interact on his/her floor as a student leader. The most significant aspect of
this program is that it taught them about their leadership styles without their
knowing it. Each student filled out a general questionnaire that asked about
preferences. Each person according to his/her responses were assigned to a
group with a general name. I then gave each group a book to read. Each group
had to read it aloud. After each group read each book, I then explained how
each group tackled the task. They all had handled the task differently. Each
student successfully understood how they approached tasks and from that how
they would approach their job as a RA. Not only did I engage the audience in
what was being presented, I have since seen the program adapted in other
presentations by RAs in that class. Not only did they enjoy it, they learned
something about themselves that would help them help their residents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;88. Tell of the most difficult customer service
experience that you have ever had to handle -- perhaps an angry or irate
customer. Be specific and tell what you did and what was the outcome.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was making business phone calls behind the membership office at the YMCA when
an angry man came up to the counter demanding a refund. He began yelling at the
membership workers and complaining about the swimming program, saying that it
was a rip-off. The other workers were flustered, and even though membership
services were not my department, I calmly asked the man what was wrong. He that
his son had been in swimming lessons for four weeks and was still afraid of the
water. Instead of instantly giving him the refund, I offered to personally give
his son private swim lessons for a week, explaining to him that sometimes
children react differently to each instructor&#39;s teaching techniques. He finally
agreed to accept without the refund. After a week of private lessons, his son
was no longer afraid of the water and he could swim nearly a lap of the pool.
At the end of the lessons, not only did he sign his child up for another paid
session of private lessons, but he bought a family membership and apologized to
me for his behavior the week before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;89. Give an example of when you had to work with
someone who was difficult to get along with. Why was this person difficult? How
did you handle that person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a Resident Advisor, I had another RA who often sought me as a person to
confide her complaints to and shared quite a bit of information about
activities she&#39;d engaged in that violated the rules. Although I did not mind
being a resource for this person, I knew that I could not compromise my
integrity or her residents&#39; safety. Although she became very outraged and angry
with me, I talked to her about the situation and and told her that I would have
to tell my supervisor. She eventually understood my responsibility and why I
had to come forward with information. She knew that what she had done was
against the rules, but never realized before I talked to her that she had
jeopardized her residents&#39; safety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;90. Describe a situation where you found yourself
dealing with someone who didn&#39;t like you. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I first began working as an OIC, I was the least experience amongst my
colleague on the floor. An older colleague on the floor, When I first got there
she barely acknowledged my presence, and through word of mouth I discovered
that she thought that I was fresh to fulfill my duties because I was so
inexperienced. She assumed I was immature. I did my job and took every
opportunity to make a good impression. I was a very diligent worker and behaved
in a highly professional manner at all &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Times, learning quickly
the best way to do things. After about two weeks of the silent treatment from
her, she came up to me and told me how impressed she was with me. She told me
that I had done an excellent job and was the fastest learner that she had ever
seen. She apologized to me for ignoring me and took me under her wing and
shared what she knew with me.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;91. Give me a specific example of something you
did that helped build enthusiasm in others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response: &lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was coaching my swim team at their first swim meet, the swimmers on my
team were intimidated by the other team because they were bigger and obviously
more experienced. The other team members looked like pros in their matching
swimsuits, unlike my swimmers&#39; mismatched suits. I encouraged them and told
them that they had practiced for so long and so hard that they deserved just as
much respect as those other teams. I told them that it didn&#39;t matter whether we
had matching swimsuits or not and that I would stand behind them 100 percent no
matter what. They were so excited and pumped after my speech. They cheered each
other on, and not only did every child break his or her own record, but my team
won first place in the meet among four other teams that had been together for a
much longer time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;92. Tell me about a difficult situation when it
was desirable for you to keep a positive attitude. What did you do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While directing a play, I was faced with numerous problems. The sets were not
coming together; the performers were fighting and not working hard; the
technical aspects of the play were far from complete, and in general it was a
mess. I was the &quot;stage manager,&quot; which means that I tell people when
to go on stage and tell the crew when to bring pieces of the set on stage. So I
organized everything and told people to do specific jobs and asked them in a
firm yet positive manner. People began to have fun, and the production went on
extremely well (all performances sold out). The play was regarded as one of the
smoothest shows to have been produced by the group.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;93. Give me an example of a time you had to make
an important decision. How did you make the decision? How does it affect you
today?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore year was about to begin and I had to decide on a major. I could
not waste any more credits figuring out what I was interested in. I took some
personality and career assessments to get a better handle on my interests,
skills, and values. I talked to faculty in several departments to decide which
faculty members I was most comfortable with. I studied the course offerings to
see which courses appealed to me the most. I decided on communications studies
and feel it is the best decision I ever could have made.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;94. Give me an example of a time you had to
persuade other people to take action. Were you successful?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was the leader of my macroeconomics group in college. As leader, I had to
delegate parts of the assignment to other group members. Not only did I do a
written part for each paper, but I gathered all of the props we needed for our
oral presentation, and I typed all of the five papers assigned. I was also
taking four other classes at the time. By the fourth paper, I decided to
persuade some of the other group members to edit and finalize it. I learned a
lot about delegation and leadership when I discovered that they were happy to
help out.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;95. Tell me about a time when you had to deal
with a difficult person. How did you handle the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was an agent we had a monthly incentives as team. I had to work with a
group to meet our number and I had some personality clashes with one of the
group members. However, I realized the importance of meeting our number in a
prompt and efficient manner. I made it a point to put my differences aside and
complete my part, along with offering assistance to the other group members. As
a result, we exceeded our targets without any conflict and we got the monthly
incentives.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;96. Tell me about a time you had to handle
multiple responsibilities. How did you organize the work you needed to do?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I became team lead OIC for 4 months. I was successful because I practiced good
time-management skills and I made a to-do list every day. As I completed each
task, I checked it off the list. It is funny how something so simple can keep
you so organized. As a result of my to-do lists, I was able to visualize my
daily progress.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;97. Tell me about a time when you had to make a
decision, but didn&#39;t have all the information you needed.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had to make a decision recently between two configurations on one of our
routers. Time was quickly moving away from me, and I had to have all the
equipment back up in a matter of minutes. I chose the configuration that I had
the most data on because I knew at least that I could better troubleshoot it if
there was a problem. My decision was the right one.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;98. What suggestions do you have for our
organization?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
After examining several sources, including your company&#39;s annual report and Web
site, as well as some of your competitors&#39; sources, I see that you have a
strong product line with good demographic segments, in a growing industry. I
did notice that your competitors seem to direct more of their efforts to the
baby boom market, and while that is certainly a large market for your products,
I think you have a great opportunity to expand your target market and increase
your market share by marketing your product line to the Baby Boomers&#39; kids --
Generation Y. These teens and preteens are extremely brand conscious and have a
high discretionary income -- and you are in a great position to attract them to
your product and build a very large core of brand loyal consumers on top of
your existing customer base.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;99. What is the most significant contribution you
made to the company during a past job or internship?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My organization was undergoing an accreditation process. I developed two
detailed accreditation self-evaluation reports that documented how the
organization met accreditation standards. These self-evaluations served as
basis for accreditation site visits and enabled all eligible programs to be
accredited in record time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;100. What is the biggest mistake you&#39;ve made?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The biggest mistake in my life that I have made is taking for granted the
sacrifices my parents endured for me. I look back and realize that everything
they did for me was so that I could succeed in life. I am thankful now and do
everything to my best ability to make them proud because I am so thankful that
they have been there for me so that I can give back to society and to my job
the opportunities that they never had.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;102. Give me a specific example of a time when a
co-worker or classmate criticized your work in front of others. How did you
respond? How has that event shaped the way you communicate with others?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Another manager became upset with me since some projects were not being
completed. Without discussing the situation with me first, she criticized me in
front of one of the employees I directly supervised. I was upset that she made
me look bad in front of my workers, but I remained calm and asked her to step
into the office so that we could talk about it in more detail. We discussed the
problem, and she learned that the non-completion of the tasks was not my fault.
Another manager did not receive his instructions telling him the tasks he
needed to complete. After that I learned not to jump to conclusions when
dealing with others that I work and that sometimes a miscommunication can lead
to a much larger problem. I&#39;ve learned to get the complete facts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;103. Give me a specific example of a time when
you sold your supervisor or professor on an idea or concept. How did you proceed?
What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last summer, I wanted to help organize a summer camp for local low-income
children. My supervisor knew the demand would be there but feared we would not
have enough staff. I convinced her that since I went to the facility daily, I
could network with acquaintances and convince them of the importance of this
camp. My supervisor trusted me. We had hundreds of children sign up for the
program, and I had reached so many people that we were able fully staff the camp,
as well as have a backup supply of people who were willing to volunteer their
time and services to the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;104. Describe the system you use for keeping
track of multiple projects. How do you track your progress so that you can meet
deadlines? How do you stay focused?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I keep an electronic hand-held organizer that I synchronize with a schedule on
my computer. I keep track of each task in order of priority and due date. I use
an electronic organizer because it is very portable and has an alarm to remind
me of about what is due so I don&#39;t have to waste time by looking at my
organizer every hour. I start with the projects with the closest due date and
the highest priority. I take these tasks and then schedule times in my calendar
for me to work on them to ensure I meet deadlines. I stay focused by going over
my organizer each night before bed so I know immediately what I have
accomplished and where I need to start the next day. Here let me show you&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;105. Tell me about a time when you came up with
an innovative solution to a challenge your company/class/organization was facing.
What was the challenge? What role did others play?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The trucks at Wal-Mart come loaded by personnel at by a distribution center,
box-by-box. After receiving a few trucks, I noticed that my employees were
unloading broken merchandise that took a lot of time to clean up before the
rest of the truck could be finished. The broken glass, paint, or whatever
material it was prevented the employees from preceding farther into the truck,
causing more person-hours than normal. I noticed that the merchandise was
broken because heavier boxes were on top of lighter boxes. After a couple of
days of this situation, productivity decreasing, I learned that the rest of the
stores in my district faced the same problem. As a result, I asked each store
to take pictures of the mess so the distribution centers could see exactly what
was happening. I also asked each one to write down how many additional
person-hours it took to clean up the mess. After we gathered this information
for a four-week period, we had a pretty a good estimate of how much the company
was losing, approximately $9.50 per person-hour...an average of $125 per store
times 15 stores times 30 nights a month amounted to a substantial sum. We took
the information as a group to our district manager. Once he realized how much
money his district was losing each month because of broken merchandise in the
trucks, he contacted his regional manager, and the trucks after that were
loaded more carefully. The district made our Profit and Loss the next month by
a 9 percent increase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;106. Describe a specific problem you solved for
your employer or professor. How did you approach the problem? What role did
others play? What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I was working as a receptionist at an apartment complex, a tenant argued
that he had turned in his rent payment the day it was due. He stated that he
had slipped it under the door because our office was closed for the day. I
decided to consult my manager because I realized that maybe the office needed a
sign that stated that we did not accept rent money that is slipped under the
door. My boss agreed, and we posted the sign. We never again had a problem with
tenants who claimed they&#39;d paid their rent that way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;107. Describe a time when you got co-workers or
classmates who dislike each other to work together. How did you accomplish this?
What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I worked for a law firm, my co-workers and I had a huge mailing to
complete. We had the choice of working more efficiently as a team -- or
individually in a much more time-consuming manner. My two co-workers did not
care for each other and they wanted to complete the mail-out on an individual
level. When I presented them with the evidence that we would finish at least an
hour earlier by working together, they decided that working together was the
right path to take. As a result, we finished the mail-out in a short period of
time and could work on other tasks that day.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;108. Tell me about a time when you failed to meet
a deadline. What things did you fail to do? What were the repercussions? What
did you learn?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently failed to meet a deadline in my communications course with a project
I had to do on the Internet. I did not meet the deadline because I
underestimated the amount of time the assignment would take me to complete.
Therefore, the assignment was incomplete when I turned it in. As a result I
lost points on my final grade.I learned the importance of examining tasks more
carefully so I can better estimate the amount of time required to complete
them. I also learned to build some flex time into projects so that if my
estimates are wrong, I&#39;ll still have time to complete the tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;109. Describe a time when you put your needs
aside to help a co-worker or classmate understand a task. How did you assist
him or her? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I was studying right before a major finance test. As the class came into the
classroom a couple of students indicated that did not understand a concept that
I did. Although there was a small section of material that I had not completely
mastered, I realized that I knew enough about that section that I could perform
well enough to earn a good grade. I knew that the section that the other
students did not understand was a major portion of the exam since the professor
had an interest in this particular subject. I stopped what I was doing to
explain to the small group about the Multiplier Effect of Bank Reserves on the
overall supply of money. Those students learned enough from what I taught them
that they did well on the exam. I missed a few points on the section of
material that I had not mastered, but I did well enough to get an A, and the
satisfaction I got from teaching others the concept made me feel proud.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;110. Give two examples of things you&#39;ve done in
previous jobs or school that demonstrate your willingness to work hard.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day we had inventory at Best Buy, I worked a 13-hour day. I did this
because I knew we were understaffed and that a lot of the lower-level employees
who would be working with the inventory team were very nervous about being in
charge of the inventory when many of them had never done it before.
Conveniently, I used to work for the inventory company that was handling our
store, so I still had a fairly deep understanding of their processes and
methods. I typically work 8-9 hour shifts, but I stayed longer after my shift
to ensure that our lower-level employees felt comfortable and that the
inventory got started on time and that it took off in the right direction. I
met with a few of the the lower-level employees, and I told them a few tips on
how to solve problems they may encounter, and it worked; they all seemed to
feel a little more comfortable. Then I walked the store and made sure that it
was presentable for our guests and in case we got a surprise visit from
headquarters. I couldn&#39;t stay for the inventory myself because I had class in
the morning, and it would&#39;ve put me over my 40 hours for the week, but I was
glad I could stay long enough to make everyone feel a little more comfortable,
and that I had time to make them all feel appreciated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Another example of
something that merited a lot of effort on my behalf was my marketing research
paper. I enjoy group projects because I enjoy learning about the perspectives
of others; however, sometimes the burdens appear to outweigh the benefits.
Having a group project such as this one with 5-6 team members was a difficult
task when most of us had school and jobs to juggle. We created an online survey
and sent it to everyone on our contact list. We were doing research for a museum,
and they had a contact list of award-winning artists whose perspectives they
wanted us to use in our project. Anyone whose email didn&#39;t work or who didn&#39;t
fill out the survey we tried to contact over the phone. Then we ran all of that
data through SPSS and started to create our paper -- in completion our paper
was 120 pages. The project was an amazing experience and I am so proud to say
I&#39;ve done it, I love having the opportunity to talk about what I have
accomplished, but it merited a great deal of effort and a lot of learning along
the way. My group was good; they were a solid group of people who were smart
and willing to put in the time, and we got the highest grade in the class.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;111. Describe the last time that you undertook a
project that demanded a lot of initiative.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my internship with World Market, we were asked to pick an area or a
problem and create a way to improve World Market process. I noticed that our
food vendors were not really pulling their weight -- with the economic downturn
and the price of gas especially, our sales are down right now, which often
means decreased payroll -- so at this juncture it was critical that our vendors
perform up to par so we don&#39;t have to waste our payroll hours doing their work.
Initially I just wanted to change our vendor survey. The survey had 4 questions
for each vendor, who got rated green (good) or red (bad) on each question --
that was it. So I turned it into 10 questions that each fell under the
categories of one of the initial 4 questions. I also changed the rating scale
to a 1-5 scale, 1-2 were red, 3-4 were yellow, and 5 was green. I did a Likert
scale rather than a simple red, yellow, green concept because I wanted to be
better able to track improvement. This didn&#39;t seem like enough to me; I decided
there were so many other ways I could tweak the process. So then I created a
new vendor scorecard (their feedback -- this shows them their weekly ratings in
each area) and a new Vendor notes card (this is where any comments go and shows
them any specific dates we had problems with their products, like spoiled milk,
for example). I also created a new vendor expectations guide that was a little
more professional and attuned to be consistent with the changed I made to the
survey. Finally I created an idea for development, putting the survey on a hand-held
scanning device so the Team Leader in charge of that area of the store could
take the scanner around with her as she did the survey, increasing its
accuracy. The survey would also show the vendors&#39; scorecard history (last
month, quarterly average, biannual average, and annual average) so we could
determine whether or not the vendor was improving.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;112.What is the most competitive work or school
situation you have experienced? How did you handle it? What was the result?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked at a retail store, where we had a competition to win an extra discount
at the store. Our task was to get more credit-card applications than any other
employee. I handled this task by presenting the customer with the benefits of
signing up for the credit card and taking the time to explain to them what
exactly they were getting into. This seemed to be a great way to deal with this
task because people appreciated the honesty and were happy to get the card
because of the benefits. I did very well with this task and ended up wining the
contest.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;113. Describe a project or situation that best
demonstrates your analytical abilities.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
During my Marketing Research course, we were assigned a group project to do
marketing research for a local business. After we collected all of the data, we
had to analyze the data in a meaningful way for the business and report the
results. It turned out that I had the strongest analytical abilities in the
group, so I led the rest of the group in analyzing the data. Because of my
analytical skills, we found that the business had been targeting the wrong
market all along and were able to show the owner the market segment that the
business should be targeting.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;114. Give an example of when you took a risk to
achieve a goal. What was the outcome?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I decided to study abroad in the spring of 2007, I had to weigh the pros
and cons of the decision. People who study abroad typically get worse grades
abroad than at home because of the educational and cultural differences, so I
had to consider the risk to my GPA. I also had to consider how expensive it
would be to live abroad without being allowed to have a job, so there was a
financial risk as well. On top of this, when studying abroad at this particular
university, because of the difference in education, I was allowed to take only
3 courses, which was significant to me because I already was on a strict
schedule from switching majors so late in my college career. So I also had to
consider the risk of cramming my schedule with difficult classes in my senior
year. But I knew that this was going to be a life-changing experience that I
may never get to participate in again. So I took the risk and studied abroad.
Now, I have that experience, and it has made me a better candidate for places
in my career. It shows that I can overcome great challenges and have been
immersed into foreign culture, which is important in my career in the art
industry.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;115. Tell about a time when you built rapport
quickly with someone under difficult conditions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
While managing a high-end mall jewelry store in which the clientele are usually
quite well-mannered and soft-spoken, I returned from a lunch break to find one
of our newer sales associates struggling with an irate and somewhat irrational
customer. Voices were escalating, with the customer spewing negative comments
that could be heard from within the mall. While maintaining good relationships
with our customers is a hallmark of our company, this particular situation was
not ordinary by any means. I could tell the sales associate was in over his
head with this encounter, so I quickly walked into the conversation -- argument
-- and proceeded to ask the customer several key questions so that I could both
calm her down while also discovering more about her situation so that I could
then defuse the confrontation and restore order in the store. In the process of
talking with her, I found we had a common love of dogs and were able to talk
about our dogs -- sharing some funny stories -- before getting back to her
specific problem with the store. In the end, it turns out the company that
handles our credit card had been double-billing her account, and I was able to
make a phone call and solve her problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;116. Some people consider themselves to be
&quot;big picture people&quot; and others are detail oriented. Which are you?
Give an example hat illustrates your preference.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I believe that to be successful, you have to be both a big-picture person and
detail oriented. You can&#39;t get caught up in just the details or you will lose
sight of the long-term goals. And you can&#39;t get caught up in just looking at
the big picture, or you will fail because of the lack of detail. As the group
leader of a project for my marketing class, I definitely had to be both a
big-picture person and detail oriented. I had to make sure that everyone was
doing their part and working toward the goal of the project while, at the same
time, checking every piece of the paper to make sure even the minuscule parts
of the paper were correct and in place. Through using both skills, we earned an
A on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;117. Describe a situation where you felt you had
not communicated well. How did you correct the situation?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Recently I had a situation where I was giving a presentation to a company and
one of the upper managers had to step out during my presentation. He returned
after I was done and was taking down my setup, and he asked if he could ask a
question, I jokingly replied &quot;no more questions&quot; and then offered,
&quot;yes, of course, I would be happy to answer a question for you.&quot;
Despite the fact that he had laughed at my initial joke, it was clear to me
that it had not been received well. I then made certain that I went up to him
and apologized and made it clear that I meant no disrespect and that sometimes
I just become comfortable with people very quickly. He told me that I needed to
be aware of my audience. This is something I have always known, but I believe
the sting of this specific event has really brought it to light for me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;118. Describe a time when you took personal
accountability for a conflict and initiated contact with the individual(s)
involved to explain your actions.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As a member of the executive board of my fraternity, I was involved in
decisions with where to do our community-service projects at times. At one
point, the community-service chairman asked me where I thought he should make
the next event. I told him we should do an event at the Boys and Girls Club.
Some fraternity members complained to the community-service chairman for the
decision because they wanted an easier event. I took responsibility for the
choice and spoke to the individuals about my reasoning. I told them that I felt
the event would make more of a difference in the community than cleaning up a
road as we usually do since it would allow us to be mentors to troubled youth
as well as provide them with a cleaner building to use. It was better than
simply doing manual labor and ended up being a successful event that everyone
plans on doing again in the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;119. Give me an example of when you were able to
meet the personal and professional (or academic) demands in your life yet still
maintained a healthy balance.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My sophomore summer I studied abroad in Europe for six weeks with a program
through my university. We were in Innsbruck, Austria, and I loved everything
about the town and its surroundings, as well as every place I traveled to on
the weekends. There was always something to see or do that was more fun and
exciting than class, but I also knew that I couldn&#39;t make bad grades that would
lower my GPA. To get the most time out of my weekend travels and weekdays in
Innsbruck, I always did homework on the train on the weekends and for a few
hours every day after class. I ended my summer abroad with many new friends,
good grades, and great stories to tell of the cities I saw and adventures I
went on.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;120. Everyone has made some poor decisions or has
done something that just did not turn out right. Give an example of when this
has happened to you.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
In my freshman psychology class, we had to do a group project and presentation,
and we got to pick our group members. I was a freshman, and inexperienced with
group projects, so I picked two of my friends, even though I knew that they
were not hard workers and didn&#39;t care about their grades. At the time, I didn&#39;t
care that they weren&#39;t good students, I just wanted to be comfortable with the
people I was working with. I ended up doing most of the project very last
minute and by myself because I couldn&#39;t get them to work on it with me. The
project and presentation were both really bad, and all three of our final
grades were almost 10 points lower because of it. Needless to say, I never
picked a friend as a group member, again, unless I knew they were diligent in
school. I learned to be more strategic about team members and also how to
motivate people who are not as enthusiastic as I am.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;121. What do you do when you are faced with an
obstacle to an important project? Give an example.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When faced with an obstacle to an important project, I always find a way to
complete the project in the best manner possible. As an intern at the insurance
company I worked for last summer, I was responsible for designing the marketing
materials that are handed out at the conventions and to insurance agents to
keep the company on top of their minds. Since I was unfamiliar with the materials
and the designing software, it took me a little while to get a grasp on it. By
the end of the workday on the deadline, I did not have all of the materials
completed. So I spoke to my supervisor and tried to work something out. She
told me that I was not allowed to do more than a certain number of hours in a
week and that the materials needed to be done to turn in to production early
the next morning. So I suggested that I stay after work that day to complete
the project without hourly compensation. After a little persuasion, she allowed
it, and I had the materials completed for the next morning successfully.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;122. Tell about the most difficult or frustrating
individual that you&#39;ve ever had to work with, and how you managed to work with
that person.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I had a boss who would micro-manage every single project, often causing missed
deadlines and frustration throughout the department. We all worried about our
department&#39;s reputation within the organization, but since he was our boss, we
felt helpless to try and change anything. It was indeed frustrating knowing you
could complete a project on time, only to have your boss need to stop you and
question what you were doing and suggest changes. But I got the idea that maybe
if I talked with the boss and showed him that we could get more done as a
department if we all worked together to have better communications and to trust
each other to ask for help and direction when we needed it. Since we worked
together, rather than against each other, the boss gained confidence in us to
do our jobs, and we were able to do our jobs and also regain the reputation of
the department.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;123. Tell about a time when your trustworthiness
was challenged. How did you react/respond?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
For my public-relations course, we had to do a group project to make a
public-relations campaign for an organization. At the same time, I had three
other group projects and six classes that were becoming extremely challenging
to juggle. Some of the group members knew this, so they expressed their concern
and some doubt after I offered to take a significant portion of the project
upon myself. I persuaded them to trust me and told them about the many things I
am able to successfully juggle. I asked them to let me prove it to them, so in
the end I completed my part early and we earned a high grade on the project.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by M. Kearney]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;124. Describe a situation when you were able to
have a positive influence on the actions of others.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Last semester my organization raised more than $1,500 for a local organization,
The Children&#39;s Home Society. It was a last-minute fundraiser. We did this over
the course of a week, and it was right before the holiday season. There were 16
children who we were looking to help, and the goal of our campus was to raise
$200 per child. Ultimately the campus just took the total amount raised and
divided it by the number of children; it came out to about $179/child. This
money was to help get these underprivileged kids who came from broken homes a
good holiday season. What the math comes out to is that we made this happen for
approximately 9 children. I was the one who took on this challenge and made and
distributed fliers to the business-school faculty. I orchestrated the event,
and I like to think that everyone in our organization feels as good about it as
I do. I get goose bumps talking about it because it is one of the things of
which I am most proud -- I really feel like I had a positive impact on a few
lives, and that is what I live for -- I hope I made others in my organization
feel the same. I am fairly certain I did.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;125. Tell about a recent job or campus experience
that you would describe as a real learning experience? What did you learn from
the job or experience?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
My recent internship would be the greatest learning experience I have had
lately. The format of the internship is to work in each of the varying
departments for a few days to get the lay of the land,. We were supposed to
spend the rest of our 10 weeks working on our projects and running the store
(acting as manager). I learned a lot about the processes of this specific
organization and how they all work together, but I also learned a lot about
applying management techniques. We had multiple training sessions that honed my
leadership skills, but the application was where I really learned. I learned a
lot about how to effectively interact with people. I made sure that before I
would coach a team member on how to do something correctly, according to brand,
that I knew exactly why that was the way we chose to do it, because I wanted
them to understand. I learned that understanding is the key to implementing --
I guess that&#39;s why I&#39;ve always liked math, if I understand why I need to do a
formula a certain way, then I will remember it and even appreciate it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;126. Describe a team experience you found
disappointing. What could you have done to prevent it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I recently worked on a project where we had to make a film, a documentary of
sorts, on any topic we wanted -- it was really just about the medium of film.
My team picked the project of exploring Diet Fad trends through the decades; we
thought it would be amusing to see the crazy things people have done for a
better body image over the years. Although the project turned out very well,
and I am pleased with the end result, I was disappointed in the communication,
or lack thereof. Because of everything else I had going on this semester, I had
opted not to be the group leader and thus the main communicator -- which was
good for me. I like taking on the leadership role but once in a while I sit
back and make sure somebody else does it so I still know how to be a supportive
follower. Regardless, some of the group members did not turn in their research
at the deadline, and our leader did not follow up with them on it. After it was
a week overdue I had to jump in and map out a timeline for our team so we could
get the project done. I had wanted to make sure we did not put it off because I
knew film editing would be much more time consuming than we would anticipate.
We got everything done with time to spare but most of our work ended up being
during the busiest week of the semester for me and for some of the other
members, so I wish the communications had been more thorough earlier on in the
project. To improve the situation I could have jumped in earlier and been in
touch with the leader about following up with the rest of the team, but I
wasn&#39;t certain she hadn&#39;t followed up with them until I brought it up in class
and they all asked, &quot;wasn&#39;t that due last week?&quot; The lesson I learned
was to ensure that I am a consistently active participant even when I am not
the leader; that way I am still maximizing my relationships with the group and
working to improve my skills as well as those of the people working with me.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R (situation-action-result)
technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;127. Recall a situation in which communications
were poor. How did you handle it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked on a team with several members, and while we worked in the same
building, we often used email to communicate with each other. One of the
members was not as comfortable with email as the rest of the team, and would
always slow the team process down by repeatedly asking people to repeat or
rephrase their emails -- always reading way too much into whatever was written
in the emails. At one point, after an agonizing day of emails back and forth
trying to explain a critical part of the work, I decided I simply needed to go to
her office and talk with her about the problem. We met, and I listened to her
issues, and together we worked out a solution in which the team still did most
of its communications via email, but whenever this team member did not
understand something, instead of sending a confusing collection of emails, she
would either pick up the phone or walk to the other person&#39;s office and solve
the miscommunication quickly and efficiently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;128. Describe a time when you had to make a
difficult choice between your personal and professional (or academic) life.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
At the very beginning of my senior year of college, my best friend from home
passed away. Classes hadn&#39;t even been in session for a week when I heard of the
car wreck on Saturday night; at first the news wasn&#39;t very bad, but as days
went on her condition got worse, and by Tuesday, the doctors declared that she
would be brain dead forever. I was the mediator between her family and our
friends, so when they made the difficult decision to let her go, I was the
first to know and had to keep everyone else informed. I was in total shock in
the beginning, so I immediately told my professors the situation and that I
might be going home for the rest of the week. After getting upset and dealing
with the pain that Tuesday afternoon, I realized that I couldn&#39;t skip a whole
week of classes to go home because I would be way too far behind, and I didn&#39;t
want to start my senior year like that. Even though I really wanted to be home
with my family and friends during that whole week, the funeral wasn&#39;t until
that Saturday, I didn&#39;t have Friday classes, and it was Labor Day weekend, so
there was no class on Monday. I ended up finishing the week at school and still
got to have a nice, long weekend at home to mourn over my great loss.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Carly Watson]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;129. On occasion we are confronted by dishonesty
in the workplace or in school. Tell about such an occurrence and how you
handled it.&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I worked for a magazine that had two main competitors, and at the time I worked
there, the economy was a bit slow, and the competition for readers and
advertiser among these three publications was fierce. We had just finished a
market-research study that showed that our audience was just a bit larger and
more attractive (better educated, higher incomes) than our competition. We sent
the good news to our publisher, who called us in for a meeting to tell us he
wanted to combine some numbers to make our position appear even stronger -- and
then put those numbers in an ad campaign touting how much better we were than
our competition. We told the publisher that he was mistaken and that you could
not combine the numbers the way he suggested, but he replied he knew that, but
no one else would, and it would strengthen our position in a bad market. It
took a lot of courage, but after the meeting, I went back and talked with him
one-on-one so as not to embarrass him in front of my colleagues, and told him
that what he was doing was dishonest -- and could get us all fired. I knew I
risked getting fired for even talking to him this way, but I felt pretty sure
he was not dishonest at heart. He did not decide right then, bit he did call
back the next day to say he decided not to run the ad.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Also, remember the S-A-R
(situation-action-result) technique and see a&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;http://www.quintcareers.com/SAR_story.html&quot;&gt;&lt;span style=&quot;color: #006633;&quot;&gt;sample
S-A-R story&lt;/span&gt;&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;130. What are the most important rewards you
expect to gain from your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I expect to be challenged and grow as a result of my career. I would like to
improve myself as a person and as an asset to this company and this industry. I
am confident that this position is one that will hone my leadership skills,
improve my knowledge of the industry, and challenge me such that I continue to
grow and improve within the company.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;131. How would you define &quot;success&quot; for
someone in your chosen career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Success is being able to attract new patients and physicians while ensuring the
happiness of those who are current. It is the ability to brand the company
effectively toward a target market to ensure continued customer loyalty.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;132. What qualifications do you have that will
make you successful in this company?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I began as an intern for Atlanta Medical System in August of 2007 and have been
working as the Public Relations Assistant since January 2008. Because of this
experience, I have a comprehensive understanding of the hospital itself and the
Tenet Healthcare System. I also earned by marketing degree from Georgia Tech in
May of 2008 and throughout my college career participated in numerous
organizations that gave me the opportunity to have hands-on event-planning and
management experience. I planned the first annual Alpha Delta Pi Big Catch fishing
tournament at the Georgia Tech that raised more than $4,000 for the Ronald
McDonald House Charities, and I was the Marketing and Public Relations Chair
for the Student Alumni Association at my university and handled all Homecoming
promotions, as well as promotions for other events.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;133. What skills have you acquired from your work
experience/internships and part-time jobs?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
As part of my internship with Target, I completed various training courses
ranging in subject area from ways to work with employees and coaching them on
how to improve, to creating my own individual development plan fostering my
current and future growth. I was also put in the role of Leader on Duty, where
I was the acting store manager, as early as my second week with the company. My
internship with Quintessential Careers taught me a great deal about working
with a smaller, family business. I took the initiative to plan and implement
our big events. My internship with Siemens made my experiences all inclusive as
it gave me the opportunity to be one of the central components of such a large
company and I was able to truly understand the impact of the political and
legal systems on this industry&#39;s competitive environment.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;134. What have you learned from your experiences
outside the workplace/classroom?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have learned that the real world is much different from what you learn in the
classroom, that some things you learn are similar to what you were taught, but
that for the most part learning is achieved through the process of doing. In
the world of health-care marketing, things happen at a fast pace, and you must
take everything one day at a time while still keeping an eye on the future.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;135. What criteria are you using to choose
companies to interview with?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to work for a small company, preferably a family business like yours. I
want a company that has similar values like honesty, individual development,
and broadmindedness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;[contributed by Renee
Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;136. If you were hiring for this position, what
qualities would you look for (in a new college grad)?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I would be looking for someone who has great communications skills, who can
communicate with a variety of stakeholder groups, always keeping on message. I
would also want someone who had a good mix of teamwork and leadership skills. I
would seek a graduate who had a strong blend of academic success and industry
experience. Finally, I would want someone who is ambitious, but also willing to
learn from others within the organization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Interestingly, I would
want a college grad who had the same experiences and skills sets that I bring to
you.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;137. How would you describe your leadership
skills?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I am a leader who likes to give the people I am leading the ability to shine. I
think it is important to take everyone&#39;s opinion into consideration and be
willing to listen to what they have to say. I think my job as a leader is to
organize things and keep them in order. Being the leader does not mean I know
everything there is to know because I can not possibly know more than everyone
else about every topic. It is just not plausible.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;138. Which is more important: creativity or
efficiency? Why?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I think that the key is a balance between the two, with efficiency being the
most important. You could have an extremely creative piece, but if the message
of the piece is not clear then it is not efficient and a waste of resources.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;139. How has college changed you as a person?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have grown up during my college years. I am able to communicate better, think
strategically, and multitask more than ever before. I can handle an appropriate
level of stress and still get things done.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;140. What have you accomplished that shows your
initiative and willingness to work?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
A 120-hour internship while going to school full-time. I juggled the two
effectively, completing my internship and classes with all A&#39;s. I was also able
to apply the things I learned in each one to the other.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Renee Poulin]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;141. What was the toughest challenge you&#39;ve ever
faced?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
The day after I turned 15 I had to get a job to help support my Mom and myself
as my Mom struggled to find employment. During my sophomore year of high school
I worked two jobs, approximately 45 hours a week, to help pay the bills. It was
tough managing homework, six extracurricular organizations, and two jobs, but
in the end I learned a valuable lesson about hard work and the value of a dollar.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Jessica S.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;142. What two or three things are most important
to you in your job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I want to be happy. I want to work in a job that I am passionate about, and for
a company that respects and rewards my contributions. I want to have co-workers
whom I like and respect. I think these things all work together for a positive
work environment -- which increases productivity -- resulting in happy
employees and a happy employer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;I also seek fulfillment. I
don&#39;t want to work in a job that I feel is below what I am capable of doing. I
seek a job that will challenge me to perform at the highest levels and seek
ongoing professional development so that I can be even better at my job, making
an even stronger contribution to my employer. From everything I&#39;ve researched
and seen, this job that I&#39;m interviewing for meets all my criteria.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;143. Some people work best as part of a group --
others prefer the role of individual contributor. How would you describe
yourself?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like a mix of both. I like to work in a group and get group input. I think a
lot of good ideas come from talking things out with other people. I also like
to work by myself on some projects because I think there are some projects that
are just done better if one person is working on them.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Keri]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;144. When given an important assignment, how do
you approach it?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I like to make a list, a timeline of how and by when things need to be done. I
really like to get started on the assignment immediately because I&#39;ve found
that once I get started on a project I tend to get gradually more excited about
it and involved in it, and I want to expand the project more and more as I go
on. By getting started earlier, I can get the most out of the project and
maximize it as much as possible while providing time to give it that extra
review.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;145. If there were one area you&#39;ve always wanted
to improve upon, what would that be?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Sometimes I have trouble admitting to people that I am not understanding
something they want me to do or am struggling with a certain task, I can be
reluctant to ask others for help. This is something that I want to improve on
and am taking steps toward becoming better at asking those around me for help
when I need it.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;146. When you have been made aware of, or have
discovered for yourself, a problem in your school or work performance, what was
your course of action?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I realized my freshman year that my writing was not up to par. I struggled not
only in my first-year English courses, but in other courses that required
writing papers. I used the university&#39;s writing lab as much as possible, but
toward the end of that first year, I knew I needed to do more to overcome my
deficiencies. My solution was taking two additional writing courses over the
summer between my freshman and sophomore years to truly grasp the fundamentals
of writing, but then to also take my writing to the next level. Some of my
proudest moments later in college have been when professors have noted on my
papers that they were impressed with my writing abilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;147. What kinds of things have you done at school
or on the job that were beyond expectations?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
When I received a research grant, the requirement was to present our
information at some sort of poster contest. Instead of doing this, however, I
was involved with a professional organization and presented my findings to
faculty around the country at its annual conference. I was the only student
presenter at the conference, and my presentation was one of the most highly
attended. It was made clear to me that I went above and beyond by presenting at
this convention as opposed to a poster competition.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;148. What, in your opinion, are the key
ingredients in guiding and maintaining successful business relationships?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Communication is the key ingredient to guiding and maintaining successful
business relationships. Being able to clearly communicate your ideas to others
allows you to build and maintain a relationship with others. It is also very
important to be an active listener and address any concerns or questions the
other party might have. Also, to maintain a successful business relationship,
you have to be able to compromise and do what is best for both parties
involved.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Lauren Spalding]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;149. What sorts of things have you done to become
better qualified for your career?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
I have experience in multiple fields and under very different circumstances. I
have obtained internships that were very diverse so I could get the most out of
each experience and feel like I am well versed in the areas of management and
marketing. I have taken myriad classes at my university that have helped
prepare me for a successful career in business. Further, my participation in
our co-ed professional business fraternity has given me the opportunity to
interact with other businesses and develop myself further personally and
professionally.&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;br /&gt;
[contributed by Cynthia Buenger]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;150. What motivates you to go the extra mile on a
project or job?&lt;/span&gt;&lt;/b&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Sample
excellent response:&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;&lt;br /&gt;
Fortunately, I am highly self-motivated and do not require a great deal of
external motivation on projects and jobs. I have an extremely strong work
ethic, and I am not really capable of doing anything less than going the extra
mile. I enjoy the satisfaction of completing a a project that goes above and
beyond expectations. Sure, I like to be praised for my work as much as the next
person does, but the real reward comes in seeing an outstanding finished
project, knowing my role in accomplishing the project, and realizing that I put
more than my best effort into it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h4 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;We&#39;ve
pulled together a list of common behavioral-interview questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;One of the keys to success in interviewing is
practice, so we encourage you to take the time to work out answers to these
questions using one of the suggested methods, such as the&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/STAR_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;STAR approach&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Be sure not to memorize answers; the key to
interviewing success is simply being prepared for the questions and having a
mental outline to follow in responding to each question. For more tips, read
our article,&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/behavioral_interviewing.html&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Behavioral Interviewing Strategies&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Looking for some sample excellent answers to behavioral
interview questions? Then go to our&lt;span class=&quot;apple-converted-space&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: &amp;quot;Tahoma&amp;quot;,&amp;quot;sans-serif&amp;quot;; font-size: 9.0pt;&quot;&gt;&lt;a href=&quot;http://www.quintcareers.com/interview_question_database/&quot;&gt;&lt;span style=&quot;background: white; color: #006633;&quot;&gt;Job Interview Questions Database&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;&quot;&gt;, where we have traditional, behavioral,
and mixed interview questions for both experienced job-seekers and college
students and recent grads.&lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;h3 style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Here is
one list of sample behavioral-based interview questions:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a situation in which you were able to use persuasion to successfully convince
someone to see things your way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you were faced with a stressful situation that demonstrated your
coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you used good judgment and logic in
solving a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you set a goal and were able to meet or achieve
it.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to use your presentation skills to influence
someone&#39;s opinion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me a specific example of a time when you had to conform to a policy with which
you did not agree.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Please
discuss an important written document you were required to complete.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had to go above and beyond the call of duty in order
to get a job done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you had too many things to do and you were required to
prioritize your tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you had to make a split second decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;What
is your typical way of dealing with conflict? Give me an example.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time you were able to successfully deal with another person even
when that individual may not have personally liked you (or vice versa).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a difficult decision you&#39;ve made in the last year.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when something you tried to accomplish and failed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of when you showed initiative and took the lead.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a recent situation in which you had to deal with a very upset customer
or co-worker.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you motivated others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you delegated a project effectively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Give
me an example of a time when you used your fact-finding skills to solve a
problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you missed an obvious solution to a problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Describe
a time when you anticipated potential problems and developed preventive
measures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
&lt;!--[if !supportLists]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Wingdings; font-size: 9pt;&quot;&gt;ü&lt;span style=&quot;font: 7.0pt &amp;quot;Times New Roman&amp;quot;;&quot;&gt;&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;!--[endif]--&gt;&lt;span lang=&quot;EN-US&quot; style=&quot;font-family: Tahoma, sans-serif; font-size: 9pt;&quot;&gt;Tell
me about a time when you were forced to make an unpopular decision.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
&lt;div style=&quot;background: white; margin-bottom: .0001pt; margin: 0in; text-indent: 3.75pt;&quot;&gt;
&lt;br /&gt;&lt;/div&gt;
&lt;div class=&quot;MsoNormal&quot; style=&quot;background: white; margin-left: .5in; mso-list: l2 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;&quot;&gt;
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tell me about a time you had to fire a friend.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
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a time when you set your sights too high (or too low).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/div&gt;
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</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/3320544446417918871/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/3320544446417918871' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/3320544446417918871'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/3320544446417918871'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2013/07/job-interview-tips.html' title='Job Interview Tips'/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-7361755287317431285</id><published>2011-03-01T02:47:00.002-08:00</published><updated>2011-03-01T02:48:07.013-08:00</updated><title type='text'></title><content type='html'>VENTILATORY ASSISTANCE (MECHANICAL)&lt;br /&gt;Many patients on ventilators are now being transferred from the intensive care unit (ICU) to medical-surgical units with problems including (1) neuromuscular deficits, such as quadriplegia with phrenic nerve injury or high C-spine injuries, ¬Guillain-Barré syndrome, and amyotrophic lateral sclerosis (ALS); (2) COPD with respiratory muscle atrophy and malnutrition (inability to wean); and (3) restrictive conditions of chest or lungs, such as kyphoscoliosis and interstitial fibrosis.&lt;br /&gt;The expectation is that the majority of patients will be weaned before discharge. That is the focus of this plan of care. However, some patients are either unsuccessful at weaning or are not candidates for weaning. For those patients, portions of this plan of care would need to be modified for the discharge care setting, that is, an extended care facility or home.&lt;br /&gt;Types of Ventilators&lt;br /&gt;Volume-cycled ventilators are the primary choice for long-term ventilation of patients whose permanent changes in lung compliance and resistance require increased pressure to provide adequate ventilation (e.g., COPD).&lt;br /&gt;Pressure-cycled ventilators are desirable for patients with relatively normal lung compliance who cannot initiate or sustain respiration because of muscular/phrenic nerve involvement (e.g., quadriplegics).&lt;br /&gt;CARE SETTING&lt;br /&gt;Patients on ventilators may be cared for in any setting; however, weaning is usually attempted/accomplished in the acute, subacute, or rehabilitation setting.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Cardiac surgery: postoperative care&lt;br /&gt;Chronic obstructive pulmonary disease (COPD) and asthma&lt;br /&gt;Hemothorax/pneumothorax&lt;br /&gt;Spinal cord injury (acute rehabilitative phase)&lt;br /&gt;Total nutritional support: parenteral/enteral feeding&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Patient Assessment Database&lt;br /&gt;Gathered data depend on the underlying pathophysiology and/or reason for ventilatory support. Refer to the appropriate plan of care.&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 9.5 days (or more)&lt;br /&gt;considerations: If ventilator-dependent, may require changes in physical layout of home, acquisition of equipment/supplies, provision of a backup power source, instruction of SO/caregivers, provision for continuation of plan of care, assistance with transportation, and coordination of resources/support systems&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Pulmonary function studies: Determine the ability of the lungs to exchange oxygen and carbon dioxide, and include but are not limited to the following:&lt;br /&gt;Vital capacity (VC): Is reduced in restrictive chest or lung conditions; normal or increased in COPD; normal to decreased in neuromuscular diseases (Guillain-Barré syndrome); and decreased in conditions limiting thoracic movement (kyphoscoliosis).&lt;br /&gt;Forced vital capacity (FVC): Measured by spirometry, is reduced in restrictive conditions and in asthma, and is normal to reduced in COPD.&lt;br /&gt;Tidal volume (VT): May be decreased in both restrictive and obstructive processes.&lt;br /&gt;Negative inspiratory force (NIF): Can be substituted for vital capacity to help determine whether patient can initiate a breath.&lt;br /&gt;Minute ventilation (VE): Measures volume of air inhaled and exhaled in 1 min of normal breathing. This reflects muscle endurance and is a major determinant of work of breathing.&lt;br /&gt;Inspiratory pressure (Pimax): Measures respiratory muscle strength (less than -20 cm H2O is considered insufficient for weaning).&lt;br /&gt;Forced expiratory volume (FEV): Usually decreased in COPD.&lt;br /&gt;Flow-volume (F-V) loops: Abnormal loops are indicative of large and small airway obstructive disease and restrictive diseases, when far advanced.&lt;br /&gt;ABGs: Assesses status of oxygenation, ventilation, and acid-base balance.&lt;br /&gt;Chest x-ray: Monitors resolution/progression of underlying condition (e.g., adult respiratory distress syndrome [ARDS]) or complications (e.g., atelectasis, pneumonia).&lt;br /&gt;Nutritional assessment: Done to identify nutritional and electrolyte imbalances that might interfere with successful weaning.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Promote adequate ventilation and oxygenation.&lt;br /&gt;2. Prevent complications.&lt;br /&gt;3. Provide emotional support for patient/SO.&lt;br /&gt;4. Provide information about disease process/prognosis and treatment needs.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Respiratory function maximized/adequate to meet individual needs.&lt;br /&gt;2. Complications prevented/minimized.&lt;br /&gt;3. Effective means of communication established.&lt;br /&gt;4. Disease process/prognosis and therapeutic regimen understood (including home ventilatory support if indicated).&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Breathing Pattern, ineffective/Spontaneous Ventilation, impaired&lt;br /&gt;May be related to&lt;br /&gt;Respiratory center depression&lt;br /&gt;Respiratory muscle weakness/paralysis&lt;br /&gt;Noncompliant lung tissue (decreased lung expansion)&lt;br /&gt;Alteration of patient’s usual O2/CO2 ratio&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Changes in rate and depth of respirations&lt;br /&gt;Dyspnea/increased work of breathing, use of accessory muscles&lt;br /&gt;Reduced VC/total lung volume&lt;br /&gt;Tachypnea/bradypnea or cessation of respirations when off the ventilator&lt;br /&gt;Cyanosis&lt;br /&gt;Decreased PO2 and SaO2; increased PCO2&lt;br /&gt;Increased restlessness, apprehension, and metabolic rate&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Ventilation (NOC)&lt;br /&gt;Reestablish/maintain effective respiratory pattern via ventilator with absence of retractions/use of accessory muscles, cyanosis, or other signs of hypoxia; ABGs/oxygen saturation within acceptable range.&lt;br /&gt;Participate in efforts to wean (as appropriate) within individual ability.&lt;br /&gt;CAREGIVER WILL:&lt;br /&gt;Demonstrate behaviors necessary to maintain patient’s respiratory function.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Mechanical Ventilation (NIC)&lt;br /&gt;Independent&lt;br /&gt;Investigate etiology of respiratory failure.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe overall breathing pattern. Note respiratory rate, distinguishing between spontaneous respirations and ventilator breaths.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate chest periodically, noting presence/absence and equality of breath sounds, adventitious breath sounds, and symmetry of chest movement.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Count patient’s respirations for one full minute and compare with desired/ventilator set rate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Verify that patient’s respirations are in phase with the ventilator.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Elevate head of bed or place in orthopedic chair if possible.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Place in prone position when tolerated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Inflate tracheal/ET cuff properly using minimal leak/occlusive technique. Check cuff inflation every 4–8 hr and whenever cuff is deflated/reinflated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Check tubing for obstruction, e.g., kinking or accumulation of water. Drain tubing as indicated, avoiding draining toward patient or back into the reservoir.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Understanding the underlying cause of patient’s particular ventilatory problem is essential to the care of patient, e.g., decisions about future patient capabilities/ventilation needs and most appropriate type of ventilatory support.&lt;br /&gt;&lt;br /&gt;Patients on ventilators can experience hyperventilation/hypoventilation, or dyspnea/”air hunger,” and attempt to correct deficiency by overbreathing.&lt;br /&gt;&lt;br /&gt;Provides information regarding airflow through the tracheobronchial tree and the presence/absence of fluid, mucus obstruction. Note: Frequent crackles or rhonchi that do not clear with coughing/suctioning may indicate developing complications (atelectasis, pneumonia, acute bronchospasm, pulmonary edema). Changes in chest symmetry may indicate improper placement of the ET, development of barotrauma.&lt;br /&gt;&lt;br /&gt;Respirations vary, depending on problem requiring ventilatory assistance, e.g., patient may be totally ventilator-dependent, or be able to take breath(s) on own between ventilator-delivered breaths. Rapid patient respirations can produce respiratory alkalosis and/or prevent desired volume from being delivered by ventilator. Slow patient respirations/ hypoventilation increases PaCO2 levels and may cause acidosis.&lt;br /&gt;&lt;br /&gt;Adjustments may be required in tidal volume, respiratory rate, and/or dead space of the ventilator, or patient may need sedation to synchronize respirations and reduce work of breathing/energy expenditure.&lt;br /&gt;&lt;br /&gt;Elevation of patient’s head or getting out of bed while still on the ventilator is both physically and psychologically beneficial.&lt;br /&gt;&lt;br /&gt;Prone position relaxes abdominal muscles, improving diaphragmatic excursion, increasing PaO2.&lt;br /&gt;&lt;br /&gt;The cuff must be properly inflated to ensure adequate ventilation/delivery of desired tidal volume. Note: In long-term patients, the cuff may be deflated most of the time or a noncuffed tracheostomy tube used.&lt;br /&gt;&lt;br /&gt;Kinks in tubing prevent adequate volume delivery and increase airway pressure. Water prevents proper gas distribution and predisposes to bacterial growth.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Mechanical Ventilation (NIC)&lt;br /&gt;Independent&lt;br /&gt;Check ventilator alarms for proper functioning. Do not turn off alarms, even for suctioning. Remove from ventilator and ventilate manually if source of ventilator alarm cannot be quickly identified and rectified. Ascertain that alarms can be heard in the nurses’ station.&lt;br /&gt;&lt;br /&gt;Keep resuscitation bag at bedside and ventilate manually whenever indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist patient in “taking control” of breathing if weaning is attempted/ ventilatory support is interrupted during procedure/activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;Assess ventilator settings routinely and readjust as indicated:&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note operating mode of ventilation, i.e., continuous mandatory ventilation (CMV), assist control (ACV), intermittent mandatory (IMV), pressure support (PSV), inverse ratio (IRV);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe oxygen concentration percentage (FIO2); verify that oxygen line is in proper outlet/tank; monitor in-line oxygen analyzer or perform periodic oxygen analysis;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe end-tidal CO2 (ETCO2) values.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ventilators have a series of visual and audible alarms, e.g., oxygen, low/high pressure, inspiratory:expiratory (I:E) ratio. Turning off/failure to reset alarms places patient at risk for unobserved ventilator failure or respiratory distress/arrest.&lt;br /&gt;&lt;br /&gt;Provides/restores adequate ventilation when patient or equipment problems require patient to be temporarily removed from the ventilator.&lt;br /&gt;&lt;br /&gt;Coaching patient to take slower, deeper breaths, practice abdominal/pursed-lip breathing, assume position of comfort, and use relaxation techniques can be helpful in maximizing respiratory function.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Controls/settings are adjusted according to patient’s primary disease and results of diagnostic testing to maintain parameters within appropriate limits.&lt;br /&gt;&lt;br /&gt;Patient’s respiratory requirements, presence or absence of an  underlying disease process, and the extent to which patient can participate in ventilatory effort determine parameters of each setting. PSV, a relatively new mode, has  advantages for patients who are on long-term ventilation because it allows patient to strengthen pulmonary musculature without compromising oxygenation and ventilation during the weaning process. Research suggests that intermittent trials of unassisted breathing work faster (for weaning) than methods involving partial ventilatory support.&lt;br /&gt;&lt;br /&gt;FIO2 is adjusted (21%–100%) to maintain an acceptable oxygen percentage and saturation (e.g., 90%) for patient’s condition. Because machine dials are not always accurate, an oxygen analyzer may be used to ascertain whether patient is receiving the desired concentration of oxygen. Note: FIO2 of 0.6 or below reduces risk of absorption atelectasis and surfactant inactivation.&lt;br /&gt;&lt;br /&gt;Measures the amount of exhaled CO2 with each breath and is displayed graphically to spot CO2 exchange problems early before they show up on ABGs. Values are affected by matching of ventilation in lung with perfusion of pulmonary capillaries.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt; ACTIONS/INTERVENTIONS&lt;br /&gt;Mechanical Ventilation (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Assess VE (respiratory rate and VT);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess VT (10–15 mL/kg). Verify proper function of spirometer, bellows, or computer readout of delivered volume. Note alterations from desired volume delivery;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note airway pressure;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor I:E ratio;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Check sigh rate intervals (usually 11⁄2 to 2 times VT);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note inspired humidity and temperature. Use heat moisture exchanger (HME) as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Respiratory rate of 10–15/min may be appropriate except for patient with COPD and CO2 retention. In these patients, VE should be adjusted to achieve patient’s baseline PaCO2, not necessarily a “normal” PaCO2.&lt;br /&gt;&lt;br /&gt;Monitors amount of air inspired and expired. Changes may indicate alteration in lung compliance or leakage through machine/around tube cuff (if used). Note: Smaller tidal volume may be required in patients with decreased lung compliance (e.g., ARDS).&lt;br /&gt;&lt;br /&gt;Airway pressure should remain relatively constant. Increased pressure alarm reading reflects (1) increased airway resistance as may occur with bronchospasm; (2) retained secretions; and/or (3) decreased lung compliance as may occur with obstruction of the ET, development of atelectasis, ARDS, pulmonary edema, worsening COPD, or pneumothorax. Low airway pressure alarms may be triggered by pathophysiological conditions causing hypoventilation, e.g., disconnection from ventilator, low ET cuff pressure, ET displaced above the vocal cords, patient “overbreathing” or out of phase with the ventilator.&lt;br /&gt;&lt;br /&gt;Expiratory phase is usually twice the length of the inspiratory rate, but may be longer to compensate for air-trapping to improve gas exchange in the COPD patient.&lt;br /&gt;&lt;br /&gt;Sighing promotes maximal ventilation of alveoli to prevent/reduce atelectasis and enhances movement of secretions.&lt;br /&gt;&lt;br /&gt;Usual warming and humidifying function of nasopharynx is bypassed with intubation. Dehydration can dry up normal pulmonary fluids, cause secretions to thicken, and increase risk of infection. Temperature should be maintained at about body temperature to reduce risk of damage to cilia and hyperthermia reactions. The introduction of a heated wire circuit to the traditional system significantly reduces the problem of “rainout” (condensation in the tubing).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Airway Clearance, ineffective&lt;br /&gt;May be related to&lt;br /&gt;Foreign body (artificial airway) in the trachea&lt;br /&gt;Inability to cough/ineffective cough&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Changes in rate or depth of respiration&lt;br /&gt;Cyanosis&lt;br /&gt;Abnormal breath sounds&lt;br /&gt;Anxiety/restlessness&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Airway Patency (NOC)&lt;br /&gt;Maintain patent airway with breath sounds clear.&lt;br /&gt;Be free of aspiration.&lt;br /&gt;CAREGIVER WILL:&lt;br /&gt;Identify potential complications and initiate appropriate actions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Artificial Airway Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess airway patency.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Evaluate chest movement and auscultate for bilateral breath sounds.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor ET placement. Note lip line marking and compare with desired placement. Secure tube carefully with tape or tube holder. Obtain assistance when retaping or repositioning tube.&lt;br /&gt;&lt;br /&gt;Note excessive coughing, increased dyspnea (using a 0–10 scale), high-pressure alarm sounding on ventilator, visible secretions in endotracheal/tracheostomy tube, increased rhonchi. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Obstruction may be caused by accumulation of secretions, mucous plugs, hemorrhage, bronchospasm, and/or problems with the position of tracheostomy/ET.&lt;br /&gt;&lt;br /&gt;Symmetrical chest movement with breath sounds throughout lung fields indicates proper tube placement/unobstructed airflow. Lower airway obstruction (e.g., pneumonia/atelectasis) produces changes in breath sounds such as rhonchi, wheezing.&lt;br /&gt;&lt;br /&gt;The ET may slip into the right main-stem bronchus, thereby obstructing airflow to the left lung and putting patient at risk for a tension pneumothorax.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;The intubated patient often has an ineffective cough reflex, or patient may have neuromuscular or neurosensory impairment, altering ability to cough. These patients are dependent on alternative means such as suctioning to remove secretions. Note: Research supports use of a dyspnea rating scale (like those used to measure pain) to more accurately quantify and measure changes in dyspnea as experienced by patient.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Artificial Airway Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Suction as needed when patient is coughing or experiencing respiratory distress, limiting duration of suction to 15 sec or less. Choose appropriate suction catheter. Hyperventilate before and after each catheter pass, using 100% oxygen if appropriate (using vent rather than Ambu bag, which has an increased risk of barotrauma). Suction continuously or intermittently during withdrawal.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Use inline catheter suction when available.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Instruct patient in coughing techniques during suctioning, e.g., splinting, timing of breathing, and “quad cough” as indicated.&lt;br /&gt;&lt;br /&gt;Reposition/turn periodically.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage/provide fluids within individual capability.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Provide chest physiotherapy as indicated, e.g., postural drainage, percussion.&lt;br /&gt;&lt;br /&gt;Administer IV and aerosol bronchodilators as indicated, e.g., aminophylline, metaproterenol sulfate (Alupent), isoetharine hydrochloride (Bronkosol).&lt;br /&gt;&lt;br /&gt;Assist with fiberoptic broncoscopy, if indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Suctioning should not be routine, and duration should be limited to reduce hazard of hypoxia. Suction catheter diameter should be less than 50% of the internal diameter of the endotracheal/tracheostomy tube for prevention of hypoxia. Hyperoxygenation with ventilator sigh on 100% oxygen may be desired to reduce atelectasis and to reduce accidental hypoxia. Note: Instilling normal saline (NS) is no longer recommended, because research reveals that the fluid pools at the distal end of the endotracheal/tracheal tube, impairing oxygenation and increaseing bronchospasm and the risk of infection.&lt;br /&gt;&lt;br /&gt;Reduces risk of infection for healthcare workers and helps maintain oxygen saturation and PEEP, when used.&lt;br /&gt;&lt;br /&gt;Enhances effectiveness of cough effort and secretion clearing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes drainage of secretions and ventilation to all lung segments, reducing risk of atelectasis.&lt;br /&gt;&lt;br /&gt;Helps liquefy secretions, enhancing expectoration.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes ventilation of all lung segments and aids drainage of secretions.&lt;br /&gt;&lt;br /&gt;Promotes ventilation and removal of secretions by relaxation of smooth muscle/bronchospasm.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be performed to remove secretions/mucous plugs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Communication, impaired verbal&lt;br /&gt;May be related to&lt;br /&gt;Physical barrier, e.g., endotracheal/tracheostomy tube&lt;br /&gt;Neuromuscular weakness/paralysis&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Inability to speak&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Communication: Expressive Ability (NOC)&lt;br /&gt;Establish method of communication in which needs can be understood.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Communication Enhancement:&lt;br /&gt;Speech Deficit (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess patient’s ability to communicate by alternative means.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Establish means of communication, e.g., maintain eye contact; ask yes/no questions; provide magic slate, paper/pencil, picture/alphabet board; use sign language as appropriate; validate meaning of attempted communications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Consider form of communication when placing IV.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Place call light/bell within reach, making certain patient is alert and physically capable of using it. Answer call light/bell immediately. Anticipate needs. Tell patient that nurse is immediately available should assistance be required.&lt;br /&gt;&lt;br /&gt;Place note at central call station informing staff that patient is unable to speak.&lt;br /&gt;&lt;br /&gt;Encourage family/SO to talk with patient, providing information about family and daily happenings.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Evaluate need for/appropriateness of talking tracheostomy tube. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reasons for long-term ventilatory support are various; patient may be alert and be adept at writing (e.g., chronic COPD with inability to be weaned) or may be lethargic, comatose, or paralyzed. Method of communicating with patient is therefore highly individualized. Note: The inability to talk while intubated is a primary cause of feelings of fear.&lt;br /&gt;&lt;br /&gt;Eye contact assures patient of interest in communicating; if patient is able to move head, blink eyes, or is comfortable with simple gestures, a great deal can be done with yes/no questions. Pointing to letter boards or writing is often tiring to patients, who can then become frustrated with the effort needed to attempt conversations. Use of picture boards that express a concept or routine needs may simplify communication. Family members/other caregivers may be able to assist/interpret needs.&lt;br /&gt;&lt;br /&gt;IV positioned in hand/wrist may limit ability to write or sign.&lt;br /&gt;&lt;br /&gt;Ventilator-dependent patient may be better able to relax, feel safe (not abandoned), and breathe with the ventilator knowing that nurse is vigilant and needs will be met.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Alerts all staff members to respond to patient at the bedside instead of over the intercom.&lt;br /&gt;&lt;br /&gt;SO may feel self-conscious in one-sided conversation, but knowledge that he or she is assisting patient to regain/maintain contact with reality and enabling patient to feel part of family unit can reduce feelings of awkwardness.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patients with adequate cognitive/muscular skills may have the ability to manipulate talking tracheostomy tube.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fear/Anxiety [specify level]&lt;br /&gt;May be related to&lt;br /&gt;Situational crises; threat to self-concept&lt;br /&gt;Threat of death/dependency on mechanical support&lt;br /&gt;Change in health/socioeconomic status/role functioning&lt;br /&gt;Interpersonal transmission/contagion&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Increased muscle/facial tension&lt;br /&gt;Insomnia; restlessness&lt;br /&gt;Hypervigilance&lt;br /&gt;Feelings of inadequacy&lt;br /&gt;Fearfulness, uncertainty, apprehension&lt;br /&gt;Focus on self/negative self-talk&lt;br /&gt;Expressed concern regarding changes in life events&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Fear Control/Anxiety Control (NOC)&lt;br /&gt;Verbalize/communicate awareness of feelings and healthy ways to deal with them.&lt;br /&gt;Demonstrate problem-solving skills/behaviors to cope with current situation.&lt;br /&gt;Report anxiety/fear is reduced to manageable level.&lt;br /&gt;Appear relaxed and sleeping/resting appropriately.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Identify patient’s perception of threat represented by situation. Determine current respiratory status/adequacy of ventilation.&lt;br /&gt;&lt;br /&gt;Observe/monitor physical responses, e.g., restlessness, changes in vital signs, repetitive movements. Note congruency of verbal/nonverbal communication.&lt;br /&gt;&lt;br /&gt;Encourage patient/SO to acknowledge and express fears.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Acknowledge the anxiety and fear of the situation. Avoid meaningless reassurance that everything will be all right.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify/review with patient/SO the safety precautions being taken, e.g., backup power and oxygen supplies, emergency equipment at hand for suction. Discuss/review the meanings of alarm system.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Defines scope of individual problem, separate from physiological causes, and influences choice of interventions.&lt;br /&gt;&lt;br /&gt;Useful in evaluating extent/degree of concerns, especially when compared with “verbal” comments.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides opportunity for dealing with concerns, clarifies reality of fears, and reduces anxiety to a more manageable level.&lt;br /&gt;&lt;br /&gt;Validates the reality of the situation without minimizing the emotional impact. Provides opportunity for patient/SO to accept and begin to deal with what has happened, reducing anxiety.&lt;br /&gt;&lt;br /&gt;Provides reassurance to help allay unnecessary anxiety,  reduce concerns of the unknown, and preplan for response in emergency situation.&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note reactions of SO. Provide opportunity for discussion of personal feelings/concerns and future expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify previous coping strengths of patient/SO and current areas of control/ability.&lt;br /&gt;&lt;br /&gt;Demonstrate/encourage use of relaxation techniques, e.g., focused breathing, guided imagery, progressive relaxation. Provide music therapy, biofeedback as appropriate.&lt;br /&gt;&lt;br /&gt;Provide/encourage sedentary diversional activities within individual capabilities, e.g., handicrafts, writing, television.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Refer to support groups and therapy as needed. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Family members have individual responses to what is happening, and their anxiety may be communicated to patient, intensifying these emotions.&lt;br /&gt;&lt;br /&gt;Focuses attention on own capabilities, increasing sense of control.&lt;br /&gt;&lt;br /&gt;Provides active management of situation to reduce feelings of helplessness.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Although handicapped by dependence on ventilator, activities that are normal/desired by the individual should be encouraged to enhance quality of life.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be necessary to provide additional assistance if patient/SO are not managing anxiety or when patient is “identified with the machine.”&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Oral Mucous Membrane, impaired&lt;br /&gt;Risk factors may include&lt;br /&gt;Inability to swallow oral fluids&lt;br /&gt;Presence of tube in mouth&lt;br /&gt;Lack of or decreased salivation&lt;br /&gt;Ineffective oral hygiene&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Tissue Integrity: Skin and Mucous Membrane (NOC)&lt;br /&gt;Report/demonstrate a decrease in symptoms.&lt;br /&gt;CAREGIVER WILL:&lt;br /&gt;Identify specific interventions to promote healthy oral mucosa as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Oral Health Maintenance (NIC)&lt;br /&gt;Independent&lt;br /&gt;Routinely inspect oral cavity, teeth, gums for sores, lesions, bleeding.&lt;br /&gt;&lt;br /&gt;Administer mouth care routinely and as needed, especially in patient with an oral intubation tube, e.g., cleanse mouth with water, saline, or preferred mouthwash. Brush teeth with soft toothbrush, Waterpik, or moistened swab.&lt;br /&gt;&lt;br /&gt;Change position of ET/airway on a regular/prn schedule as appropriate.&lt;br /&gt;&lt;br /&gt;Apply lip balm; administer oral lubricant solution. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Early identification of problems provides opportunity for appropriate intervention/preventive measures.&lt;br /&gt;&lt;br /&gt;Prevents drying/ulceration of mucous membrane and reduces medium for bacterial growth. Promotes comfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of lip and oral mucous membrane ulceration.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintains moisture, prevents drying.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Nutrition: imbalanced, less than body requirements&lt;br /&gt;May be related to&lt;br /&gt;Altered ability to ingest and properly digest food&lt;br /&gt;Increased metabolic demands&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Weight loss; poor muscle tone&lt;br /&gt;Aversion to eating; reported altered taste sensation&lt;br /&gt;Sore, inflamed buccal cavity&lt;br /&gt;Absence of/hyperactive bowel sounds&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Nutritional Status (NOC)&lt;br /&gt;Indicate understanding of individual dietary needs.&lt;br /&gt;Demonstrate progressive weight gain toward goal with normalization of laboratory values.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Nutrition Therapy (NIC)&lt;br /&gt;Independent&lt;br /&gt;Evaluate ability to eat.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe/monitor for generalized muscle wasting, loss of subcutaneous fat.&lt;br /&gt;&lt;br /&gt;Weigh as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Document oral intake if/when resumed. Offer foods that patient enjoys.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide small frequent feedings of soft/easily digested foods if able to swallow.&lt;br /&gt;&lt;br /&gt;Encourage/administer fluid intake of at least 2500 mL/day within cardiac tolerance.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess GI function: Presence/quality of bowel sounds; note changes in abdominal girth, nausea/vomiting. Observe/document changes in bowel movements, e.g., diarrhea/constipation. Test all stools for occult blood.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Adjust diet to meet respiratory needs as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer tube feeding/hyperalimentation as needed. (Refer to CP: Total Nutritional Support: Parenteral/Enteral Feeding.)&lt;br /&gt;&lt;br /&gt;Monitor laboratory studies as indicated, e.g., prealbumin, serum transferrin, BUN/creatinine (Cr), glucose. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patients with a tracheostomy tube may be able to eat, but patients with ETs must be tube fed or parenterally nourished.&lt;br /&gt;&lt;br /&gt;These symptoms are indicative of depletion of muscle energy and can reduce respiratory muscle function.&lt;br /&gt;&lt;br /&gt;Significant and recent weight loss (7%–10% body weight) and poor nutritional intake provide clues regarding catabolism, muscle glycogen stores, and ventilatory drive sensitivity.&lt;br /&gt;&lt;br /&gt;Appetite is usually poor and intake of essential nutrients may be reduced. Offering favorite foods can enhance oral intake.&lt;br /&gt;&lt;br /&gt;Prevents excessive fatigue, enhances intake, and reduces risk of gastric distress.&lt;br /&gt;&lt;br /&gt;Prevents dehydration that can be exacerbated by increased insensible losses (e.g., ventilator/intubation) and reduces risk of constipation.&lt;br /&gt;&lt;br /&gt;A functioning GI system is essential for the proper utilization of enteral feedings. Mechanically ventilated patients are at risk of developing abdominal distension (trapped air or ileus) and gastric bleeding (stress ulcers).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;High intake of carbohydrates, protein, and calories may be desired/needed during ventilation to improve respiratory muscle function. Carbohydrates may be reduced and fat somewhat increased just before weaning attempts to prevent excessive CO2 production and reduced respiratory drive.&lt;br /&gt;&lt;br /&gt;Provides adequate nutrients to meet individual needs when oral intake is insufficient/not appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides information about adequacy of nutritional support/need for change.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Infection, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Inadequate primary defenses (traumatized lung tissue, decreased ciliary action, stasis of body fluids)&lt;br /&gt;Inadequate secondary defenses (immunosuppression)&lt;br /&gt;Chronic disease, malnutrition&lt;br /&gt;Invasive procedure (intubation)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT/CAREGIVER WILL:&lt;br /&gt;Knowledge: Infection Control (NOC)&lt;br /&gt;Indicate understanding of individual risk factors.&lt;br /&gt;Identify interventions to prevent/reduce risk of infection.&lt;br /&gt;Demonstrate techniques to promote safe environment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note risk factors for occurrence of infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe color/odor/characteristics of sputum. Note drainage around tracheostomy tube.&lt;br /&gt;&lt;br /&gt;Reduce nosocomial risk factors via proper handwashing by all caregivers, maintaining sterile suction techniques, reducing the number of times the ventilator tubes are open, and providing clean nebulizer/tubing changes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage deep breathing, coughing, and frequent position changes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate breath sounds.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor/screen visitors. Avoid contact with persons with URI. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Intubation, prolonged mechanical ventilation, trauma, general debilitation, malnutrition, age, and invasive procedures are factors that potentiate patient’s risk of acquiring infection and prolonging recovery. Awareness of individual risk factors provides opportunity to limit effects and help prevent ventilator-associated pneumonia (VAP).&lt;br /&gt;&lt;br /&gt;Yellow/green, purulent odorous sputum is indicative of infection; thick, tenacious sputum suggests dehydration.&lt;br /&gt;&lt;br /&gt;These factors may be the simplest but are the most important keys to prevention of hospital-acquired infection. Note: Centers for Disease Control and Prevention (CDC) guidelines recommend changing tubing no more often than every 48 hr. Research indicates that less frequent tubing changes (every 5–7 days) may even be acceptable.&lt;br /&gt;&lt;br /&gt;Maximizes lung expansion and mobilization of secretions to prevent/reduce atelectasis and accumulation of sticky, thick secretions.&lt;br /&gt;&lt;br /&gt;Presence of rhonchi/wheezes suggests retained secretions requiring expectoration/suctioning.&lt;br /&gt;&lt;br /&gt;Individual is already compromised and is at increased risk for development of infections.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Instruct patient/SO in proper secretion disposal, e.g., tissues, soiled tracheostomy dressings.&lt;br /&gt;&lt;br /&gt;Provide respiratory isolation when indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain adequate hydration and nutrition. Encourage fluids to 2500 mL/day within cardiac tolerance.&lt;br /&gt;&lt;br /&gt;Measure pH of gastric secretions, and monitor use of antacid medications as indicated.&lt;br /&gt;&lt;br /&gt;Encourage self-care/activities to limit of tolerance. Assist with graded exercise program.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Obtain sputum cultures as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer antimicrobials as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces transmission of fluid-borne organisms.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Depending on specific diagnosis, patient may require protection from others or must prevent transmission of infection to others (e.g., tuberculosis).&lt;br /&gt;&lt;br /&gt;Helps improve general resistance to disease and reduces risk of infection from static secretions.&lt;br /&gt;&lt;br /&gt;Maintaining acid level of stomach around 7.2 pH may help reduce risk of nosocomial infection and stress ulcers.&lt;br /&gt;&lt;br /&gt;Improves general well-being and muscle strength and may stimulate immune system recovery.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be needed to identify pathogens and appropriate antimicrobials.&lt;br /&gt;&lt;br /&gt;If infection does occur, one or more agents may be used, depending on identified pathogen(s).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Ventilatory Weaning Response, risk for dysfunctional&lt;br /&gt;Risk factors may include&lt;br /&gt;Sleep disturbance&lt;br /&gt;Limited/insufficient energy stores&lt;br /&gt;Pain or discomfort&lt;br /&gt;Adverse environment (e.g., inadequate monitoring/support)&lt;br /&gt;Patient-perceived inability to wean; decreased motivation&lt;br /&gt;History of extended weaning&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Ventilation (NOC)&lt;br /&gt;Actively participate in the weaning process.&lt;br /&gt;Reestablish independent respiration with ABGs within acceptable range and free of signs of respiratory failure.&lt;br /&gt;Demonstrate increased tolerance for activity/participate in self-care within level of ability.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Mechanical Ventilatory Weaning (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess physical factors involved in weaning, e.g.:&lt;br /&gt;Stable heart rate/rhythm, BP, and clear breath sounds;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Fever;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Nutritional status and muscle strength;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Respiratory volumes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Determine psychological readiness.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Explain weaning techniques, e.g., T-piece, spontaneous intermittent maximal ventilation (SIMV), continuous positive airway pressure (CPAP), or NIPPV. Discuss individual plan and expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide undisturbed rest/sleep periods. Avoid stressful procedures/situations or nonessential activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Evaluate/document patient’s progress. Note restlessness; changes in BP, heart rate, respiratory rate; use of accessory muscles; discoordinated breathing with ventilator; increased concentration on breathing (mild dysfunction); patient’s concerns about possible machine malfunction; inability to cooperate/respond to coaching; color changes.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;The heart has to work harder to meet increased energy needs associated with weaning. Physician may defer weaning if tachycardia, pulmonary crackles, and/or hypertension are present.&lt;br /&gt;&lt;br /&gt;Increase of 1°F (0.6°C) in body temperature raises metabolic rate and oxygen demands by 7%.&lt;br /&gt;&lt;br /&gt;Weaning is hard work. Patient not only must be able to withstand the stress of weaning but also must have the stamina to breathe spontaneously for extended periods.&lt;br /&gt;&lt;br /&gt;Predictors of readiness to wean include (NIP) ≤-220, (PEP) ≤+120, (STV) &gt;5 mL/kg, (MC) &gt;10–15 mL/kg, (MV) ≤10 L/min.&lt;br /&gt;&lt;br /&gt;Weaning provokes anxiety for patient regarding concerns about ability to breathe on own and long-term need of ventilator.&lt;br /&gt;&lt;br /&gt;Assists patient to prepare for weaning process, helps limit fear of unknown, promotes cooperation, and enhances likelihood of a successful outcome. Note: Pressure support ventilation unloads respiratory muscles, allowing patient to “set” rate and volume and decelerating flow pattern because breath can be shaped to simulate a more normal respiratory pattern with higher gas flow on inspiration then tapering off. This increases patient comfort and is especially beneficial for patients at high risk for DVWR.&lt;br /&gt;&lt;br /&gt;Maximizes energy for weaning process; limits fatigue and oxygen consumption. Note: It takes approximately 12–14 hr of respiratory rest to rejuvenate tired respiratory muscles. For patients on assist/control, raising the rate to 20 breaths/min can also provide respiratory rest.&lt;br /&gt;&lt;br /&gt;Indicators that patient may require slower weaning/opportunity to stabilize or may need to stop program. Note: Moving from pressure/volume (e.g., assist/control) ventilator to T-piece may precipitate a “flash” form of heart failure requiring prompt intervention.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Mechanical Ventilatory Weaning (NIC)&lt;br /&gt;Independent&lt;br /&gt;Recognize/provide encouragement for patient’s efforts.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor response to activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Consult with dietitian, nutritional support team for adjustments in composition of diet.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor CBC, serum albumin and prealbumin, transferrin, total iron-binding capacity, and electrolytes (especially potassium, calcium, and phosphorus).&lt;br /&gt;&lt;br /&gt;Review chest x-ray and ABGs. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Positive feedback provides reassurance and support for continuation of weaning process.&lt;br /&gt;&lt;br /&gt;Excessive oxygen consumption/demand increases the possibility of failure.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduction of carbohydrates/fats may be required to prevent excessive production of CO2, which could alter respiratory drive.&lt;br /&gt;&lt;br /&gt;Verifies that nutrition is adequate to meet energy requirements for weaning.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Chest x-rays should show clear lungs or marked improvement in pulmonary congestion or infiltrates. ABGs should document satisfactory oxygenation on an FIO2 of 40% or less.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis and therapy, self-care and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall&lt;br /&gt;Misinterpretation of information; unfamiliarity with information resources&lt;br /&gt;Stress of situational crisis&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Questions about care, request for information&lt;br /&gt;Reluctance to learn new skills&lt;br /&gt;Inaccurate follow-through of instructions&lt;br /&gt;Development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT/SO/CAREGIVER WILL:&lt;br /&gt;Health-Seeking Behavior (NOC)&lt;br /&gt;Participate in learning process.&lt;br /&gt;Exhibit increased interest, shown by verbal/nonverbal cues.&lt;br /&gt;Assume responsibility for own learning and begin to look for information and to ask questions.&lt;br /&gt;Knowledge: Treatment Regimen (NOC)&lt;br /&gt;Indicate understanding of mechanical ventilation therapy.&lt;br /&gt;Demonstrate behaviors/new skills to meet individual needs/prevent complications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Learning Facilitation (NIC)&lt;br /&gt;Independent&lt;br /&gt;Determine ability and willingness to learn.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Schedule teaching sessions for quiet, nonstressful times when all participants are well rested.&lt;br /&gt;&lt;br /&gt;Arrange information in logical sequence, progressing from simple to more complex material at learners’ pace.&lt;br /&gt;&lt;br /&gt;Knowledge: Disease Process (NIC)&lt;br /&gt;&lt;br /&gt;Provide material in multiple formats, (e.g., books/pamphlets, audiovisuals, hands-ondemonstrations) and take-home instruction sheets as appropriate.&lt;br /&gt;&lt;br /&gt;Discuss specific condition requiring ventilatory support, what measures are being tried for weaning, short- and long-term goals of treatment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient/SO to evaluate impact of ventilatory dependence on their lifestyle and what changes they are willing or unwilling to make. Problem-solve solutions to issues raised.&lt;br /&gt;&lt;br /&gt;Promote participation in self-care/diversional activities and socialization as appropriate.&lt;br /&gt;&lt;br /&gt;Review issues of general well-being: role of nutrition, assistance with feeding/meal preparation, graded exercise/specific restrictions, rest periods alternated with activity.&lt;br /&gt;&lt;br /&gt;Recommend that SO/caregivers learn CPR.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Schedule team conference. Establish in-hospital training for caregivers if patient is to be discharged home on ventilator.&lt;br /&gt;&lt;br /&gt;Instruct caregiver and patient in handwashing techniques, use of sterile technique for suctioning, tracheostomy/stoma care, and chest physiotherapy.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Physical condition may preclude patient involvement in care before and after discharge. SO/caregiver may feel inadequate and afraid of machinery and have reservations about ability to learn or deal with overall situation.&lt;br /&gt;&lt;br /&gt;Enhances learners’ ability to focus on and absorb content provided.&lt;br /&gt;&lt;br /&gt;Allows learner to build on information learned in previous sessions, is less threatening/overwhelming.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Uses multiple senses to stimulate learning/ retention of information. Provides resources for review following discharge.&lt;br /&gt;&lt;br /&gt;Provides knowledge base to aid patient/SO in making informed decisions. Weaning efforts may continue for several weeks (extended period of time). Dependence is evidenced by repeatedly increased Pco2 and/or decline in PaO2 during weaning attempts, presence of dypsnea, anxiety, tachycardia, perspiration, cyanosis.&lt;br /&gt;&lt;br /&gt;Quality of life must be resolved by the ventilator-dependent patient and caregivers who need to understand that home ventilatory support is a 24-hr job that affects everyone.&lt;br /&gt;&lt;br /&gt;Refocuses attention toward more normal life activities, increases endurance, and helps prevent depersonalization.&lt;br /&gt;&lt;br /&gt;Enhances recuperation and ensures that individual needs will be met.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides sense of security about ability to handle emergency situations that might arise until help can be obtained.&lt;br /&gt;&lt;br /&gt;Team approach is needed to coordinate patient’s care and teaching program to meet individual needs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of infection and promotes optimal respiratory function.&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Knowledge: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Provide both demonstration and “hands-on” sessions, as well as written material, about specific type of ventilator to be used, function, and care of equipment.&lt;br /&gt;&lt;br /&gt;Discuss what/when to report to the healthcare provider, e.g., signs of respiratory distress, infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ascertain that all needed equipment is in place and that safety concerns have been addressed, e.g., alternative power source (generator, batteries); backup equipment; patient call/alarm system.&lt;br /&gt;&lt;br /&gt;Contact community/hospital-based services.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to vocational/occupational therapist. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enhances familiarity, reducing anxiety and promoting confidence in implementation of new tasks/skills.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps reduce general anxiety while promoting timely/appropriate evaluation and intervention to prevent complications.&lt;br /&gt;&lt;br /&gt;Predischarge preparations can ease the transfer process. Planning for potential problems increases sense of security for patient/SO.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Suppliers of home equipment, physical therapy, care providers, emergency power provider, social services; financial assistance, aid in procuring equipment/personnel, and facilitating transition to home.&lt;br /&gt;&lt;br /&gt;Some ventilator-dependent patients are able to resume vocations, either while on the ventilator or during the day (while ventilator-dependent at night).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;If patient is discharged on ventilator, the patient’s needs/concerns remain the same as noted in this plan of care, in addition to:&lt;br /&gt;Self-Care deficit—decreased strength/endurance, inability to perform ADLs, depression, restrictions imposed by therapeutic intervention.&lt;br /&gt;Family Processes, interrupted—situational crisis.&lt;br /&gt;Caregiver Role Strain, risk for—severity of illness of care receiver, discharge of family member with significant home care needs, presence of situational stressors (economic vulnerability, changes in roles/responsibilities), duration of caregiving required, inexperience in caregiving.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/7361755287317431285/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/7361755287317431285' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/7361755287317431285'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/7361755287317431285'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/ventilatory-assistance-mechanical-many.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6943693881243675268</id><published>2011-03-01T02:47:00.001-08:00</published><updated>2011-03-01T02:47:30.235-08:00</updated><title type='text'></title><content type='html'>UROLITHIASIS (RENAL CALCULI)&lt;br /&gt;Kidney stones (calculi) are formed of mineral deposits, most commonly calcium oxalate and calcium phosphate; however, uric acid, struvite, and cystine are also calculus formers. Although renal calculi can form anywhere in the urinary tract, they are most commonly found in the renal pelvis and calyces. Renal calculi can remain asymptomatic until passed into a ureter and/or urine flow is obstructed, when the potential for renal damage is acute.&lt;br /&gt;CARE SETTING&lt;br /&gt;Acute episodes may require inpatient treatment on a medical or surgical unit.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Fluid and electrolyte imbalances&lt;br /&gt;Metabolic acidosis (primary base bicarbonate deficiency)&lt;br /&gt;Metabolic alkalosis (primary base bicarbonate excess)&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Renal failure: acute&lt;br /&gt;Patient Assessment Database&lt;br /&gt;Dependent on size, location, and etiology of calculi.&lt;br /&gt;ACTIVITY/REST&lt;br /&gt;May report: Sedentary occupation or occupation in which patient is exposed to high environmental temperatures&lt;br /&gt; Activity restrictions/immobility due to a preexisting condition (e.g., debilitating disease, spinal cord injury)&lt;br /&gt;CIRCULATION&lt;br /&gt;May exhibit: Elevated BP/pulse (pain, anxiety, kidney failure)&lt;br /&gt; Warm, flushed skin; pallor&lt;br /&gt;ELIMINATION&lt;br /&gt;May report: History of recent/chronic UTI; previous obstruction (calculi)&lt;br /&gt; Decreased urinary output, bladder fullness&lt;br /&gt; Burning, urgency with urination&lt;br /&gt; Diarrhea&lt;br /&gt;May exhibit: Oliguria, hematuria, pyuria&lt;br /&gt; Alterations in voiding pattern&lt;br /&gt;FOOD/FLUID&lt;br /&gt;May report: Nausea/vomiting, abdominal tenderness&lt;br /&gt; Diet high in purines, calcium oxalate, and/or phosphates&lt;br /&gt; Insufficient fluid intake; does not drink fluids well&lt;br /&gt;May exhibit: Abdominal distension; decreased/absent bowel sounds&lt;br /&gt; Vomiting&lt;br /&gt;PAIN/DISCOMFORT&lt;br /&gt;May report: Acute episode of excruciating, colicky pain with location depending on stone location, e.g., in the flank in the region of the costovertebral angle; may radiate to back, abdomen, and down to the groin/genitalia. Constant dull pain suggests calculi located in the renal pelvis or calyces.&lt;br /&gt; Pain may be described as acute, severe, not relieved by positioning or any other measures&lt;br /&gt;May exhibit: Guarding; distraction behaviors; self-focusing&lt;br /&gt; Tenderness in renal areas on palpation&lt;br /&gt;SAFETY&lt;br /&gt;May report: Use of alcohol&lt;br /&gt; Fever; chills&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: Family history of calculi, kidney disease, hypertension, gout, chronic UTI&lt;br /&gt; History of small-bowel disease, previous abdominal surgery, hyperparathyroidism&lt;br /&gt; Use of antibiotics, antihypertensives, sodium bicarbonate, allopurinol, phosphates, thiazides, excessive intake of calcium or vitamin D&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 2.9 days&lt;br /&gt;considerations: &lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Urinalysis: Color may be yellow, dark brown, bloody. Commonly shows RBCs, WBCs, crystals (cystine, uric acid, calcium oxalate), casts, minerals, bacteria, pus; pH may be less than 5 (promotes cystine and uric acid stones) or higher than 7.5 (promotes magnesium, struvite, phosphate, or calcium phosphate stones).&lt;br /&gt;Urine (24-hr): Cr, uric acid, calcium, phosphorus, oxalate, or cystine may be elevated.&lt;br /&gt;Urine culture: May reveal UTI (Staphylococcus aureus, Proteus, Klebsiella, Pseudomonas).&lt;br /&gt;Biochemical survey: Elevated levels of magnesium, calcium, uric acid, phosphates, protein, electrolytes.&lt;br /&gt;Serum and urine BUN/Cr: Abnormal (high in serum/low in urine) secondary to high obstructive stone in kidney causing &lt;br /&gt;ischemia/necrosis.&lt;br /&gt;Serum chloride and bicarbonate levels: Elevation of chloride and decreased levels of bicarbonate suggest developing renal tubular acidosis.&lt;br /&gt;CBC:&lt;br /&gt;Hb/Hct: Abnormal if patient is severely dehydrated or polycythemia is present (encourages precipitation of solids), or patient is anemic (hemorrhage, kidney dysfunction/failure).&lt;br /&gt;RBCs: Usually normal.&lt;br /&gt;WBCs: May be increased, indicating infection/septicemia.&lt;br /&gt;Parathyroid hormone (PTH): May be increased if kidney failure present. (PTH stimulates reabsorption of calcium from bones, increasing circulating serum and urine calcium levels.)&lt;br /&gt;KUB x-ray: Shows presence of calculi and/or anatomical changes in the area of the kidneys or along the course of the ureter.&lt;br /&gt;IVP: Provides rapid confirmation of urolithiasis as a cause of abdominal or flank pain. Shows abnormalities in anatomical structures (distended ureter) and outline of calculi.&lt;br /&gt;Cystoureteroscopy: Direct visualization of bladder and ureter may reveal stone and/or obstructive effects.&lt;br /&gt;CT scan: Identifies/delineates calculi and other masses; kidney, ureteral, and bladder distension.&lt;br /&gt;Ultrasound of kidney: To determine obstructive changes, location of stone; without the risk of failure induced by contrast medium.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Alleviate pain.&lt;br /&gt;2. Maintain adequate renal functioning.&lt;br /&gt;3. Prevent complications.&lt;br /&gt;4. Provide information about disease process/prognosis and treatment needs.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Pain relieved/controlled.&lt;br /&gt;2. Fluid/electrolyte balance maintained.&lt;br /&gt;3. Complications prevented/minimized.&lt;br /&gt;4. Disease process/prognosis and therapeutic regimen understood.&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute&lt;br /&gt;May be related to&lt;br /&gt;Increased frequency/force of ureteral contractions&lt;br /&gt;Tissue trauma, edema formation; cellular ischemia&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reports of colicky pain&lt;br /&gt;Guarding/distraction behaviors, restlessness, moaning, self-focusing, facial mask of pain, muscle tension&lt;br /&gt;Autonomic responses&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Level (NOC)&lt;br /&gt;Report pain is relieved with spasms controlled.&lt;br /&gt;Appear relaxed, able to sleep/rest appropriately.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Document location, duration, intensity (0–10 scale), and radiation. Note nonverbal signs, e.g., elevated BP and pulse, restlessness, moaning, thrashing about.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Explain cause of pain and importance of notifying caregivers of changes in pain occurrence/characteristics.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide comfort measures, e.g., back rub, restful environment.&lt;br /&gt;&lt;br /&gt;Assist with/encourage use of focused breathing, guided imagery, diversional activities.&lt;br /&gt;&lt;br /&gt;Encourage/assist with frequent ambulation as indicated and increased fluid intake of at least 3–4 L/day within cardiac tolerance.&lt;br /&gt;&lt;br /&gt;Note reports of increased/persistent abdominal pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps evaluate site of obstruction and progress of calculi movement. Flank pain suggests that stones are in the kidney area, upper ureter. Flank pain radiates to back, abdomen, groin, genitalia because of proximity of nerve plexus and blood vessels supplying other areas. Sudden, severe pain may precipitate apprehension, restlessness, severe anxiety.&lt;br /&gt;&lt;br /&gt;Provides opportunity for timely administration of analgesia (helpful in enhancing patient’s coping ability and may reduce anxiety) and alerts caregivers to possibility of passing of stone/developing complications. Sudden cessation of pain usually indicates stone passage.&lt;br /&gt;&lt;br /&gt;Promotes relaxation, reduces muscle tension, and enhances coping.&lt;br /&gt;&lt;br /&gt;Redirects attention and aids in muscle relaxation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Renal colic can be worse in the supine position. Vigorous hydration promotes passing of stone, prevents urinary stasis, and aids in prevention of further stone formation.&lt;br /&gt;&lt;br /&gt;Complete obstruction of ureter can cause perforation and extravasation of urine into perirenal space. This represents an acute surgical emergency.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Administer medications as indicated:&lt;br /&gt;Narcotics, e.g., meperidine (Demerol), morphine;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Antispasmodics, e.g., flavoxate (Urispas), oxybutynin (Ditropan);&lt;br /&gt;&lt;br /&gt;Corticosteroids.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Apply warm compresses to back.&lt;br /&gt;&lt;br /&gt;Maintain patency of catheters when used. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Usually given during acute episode to decrease ureteral colic and promote muscle/mental relaxation.&lt;br /&gt;&lt;br /&gt;Decreasing reflex spasm may decrease colic and pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be used to reduce tissue edema to facilitate movement of stone.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Relieves muscle tension and may reduce reflex spasms.&lt;br /&gt;&lt;br /&gt;Prevents urinary stasis/retention, reduces risk of increased renal pressure and infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Urinary Elimination, impaired&lt;br /&gt;May be related to&lt;br /&gt;Stimulation of the bladder by calculi, renal or ureteral irritation&lt;br /&gt;Mechanical obstruction, inflammation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Urgency and frequency; oliguria (retention)&lt;br /&gt;Hematuria&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Urinary Elimination (NOC)&lt;br /&gt;Void in normal amounts and usual pattern.&lt;br /&gt;Experience no signs of obstruction.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Urinary Elimination Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor I&amp;O and characteristics of urine. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides information about kidney function and presence of complications, e.g., infection and hemorrhage. Bleeding may indicate increased obstruction or irritation of ureter. Note: Hemorrhage due to ureteral ulceration is rare.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Urinary Elimination Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;Determine patient’s normal voiding pattern and note variations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage increased fluid intake.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Strain all urine. Document any stones expelled and send to laboratory for analysis.&lt;br /&gt;&lt;br /&gt;Investigate reports of bladder fullness; palpate for suprapubic distension. Note decreased urine output, presence of periorbital/dependent edema.&lt;br /&gt;&lt;br /&gt;Observe for changes in mental status, behavior, or level of consciousness.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Monitor laboratory studies, e.g., electrolytes, BUN, Cr.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Obtain urine for culture and sensitivities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications as indicated, e.g.:&lt;br /&gt;Acetazolamide (Diamox), allopurinol (Zyloprim);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Hydrochlorothiazide (Esidrix, HydroDIURIL), chlorthalidone (Hygroton);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ammonium chloride; potassium or sodium phosphate;&lt;br /&gt;&lt;br /&gt;Antibiotics;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sodium bicarbonate;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ascorbic acid.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Urinary Elimination Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;&lt;br /&gt;Maintain patency of indwelling catheters (ureteral, urethral, or nephrostomy) when used.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Irrigate with acid or alkaline solutions as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prepare patient for/assist with endoscopic procedures, e.g.:&lt;br /&gt;Basket procedure;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ureteral stents;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Percutaneous or open pyelolithotomy, nephrolithotomy, ureterolithotomy;&lt;br /&gt;&lt;br /&gt;Percutaneous ultrasonic lithotripsy;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Extracorporeal shockwave lithotripsy (ESWL). RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Calculi may cause nerve excitability, which causes sensations of urgent need to void. Usually frequency and urgency increase as calculus nears ureterovesical junction.&lt;br /&gt;&lt;br /&gt;Increased hydration flushes bacteria, blood, and debris and may facilitate stone passage.&lt;br /&gt;&lt;br /&gt;Retrieval of calculi allows identification of type of stone and influences choice of therapy.&lt;br /&gt;&lt;br /&gt;Urinary retention may develop, causing tissue distension (bladder/kidney), and potentiates risk of infection, renal failure.&lt;br /&gt;&lt;br /&gt;Accumulation of uremic wastes and electrolyte imbalances can be toxic to the CNS.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Elevated BUN, Cr, and certain electrolytes indicate presence/degree of kidney dysfunction.&lt;br /&gt;&lt;br /&gt;Determines presence of UTI, which may be causing/complicating symptoms.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Increases urine pH (alkalinity) to reduce formation of acid stones. Antigout agents such as allopurinol (Zyloprim) also lower uric acid production and potential of stone formation.&lt;br /&gt;&lt;br /&gt;May be used to prevent urinary stasis and decrease calcium stone formation if not caused by underlying disease process such as primary hyperthyroidism or vitamin D abnormalities.&lt;br /&gt;&lt;br /&gt;Reduces phosphate stone formation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Presence of UTI/alkaline urine potentiates stone formation.&lt;br /&gt;&lt;br /&gt;Replaces losses incurred during bicarbonate wasting and/or alkalinization of urine; may reduce/prevent formation of some calculi.&lt;br /&gt;&lt;br /&gt;Acidifies urine to prevent recurrence of alkaline stone formation.&lt;br /&gt;&lt;br /&gt;RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be required to facilitate urine flow/prevent retention and corresponding complications. Note: Tubes may be occluded by stone fragments.&lt;br /&gt;&lt;br /&gt;Changing urine pH may help dissolve stones and prevent further stone formation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Calculi in the distal and midureter may be removed by endoscopic cystoscope with capture of the stone in a basketing catheter.&lt;br /&gt;&lt;br /&gt;Catheters are positioned above the stone to promote urethraldilation/stone passage. Continuous or intermittent irrigation can be carried out to flush kidneys/ureters and adjust pH of urine to permit dissolution of stone fragments following lithotripsy.&lt;br /&gt;&lt;br /&gt;Surgery may be necessary to remove stone that is too large to pass through ureters.&lt;br /&gt;&lt;br /&gt;Invasive shock wave treatment for stones in renal pelvis/calyx or upper ureters.&lt;br /&gt;&lt;br /&gt;Noninvasive procedure in which kidney stones are pulverized by shock waves delivered from outside the body.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fluid Volume, risk for deficient&lt;br /&gt;Risk factors may include&lt;br /&gt;Nausea/vomiting (generalized abdominal and pelvic nerve irritation from renal or ureteral colic)&lt;br /&gt;Postobstructive diuresis&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs or symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Hydration (NOC)&lt;br /&gt;Maintain adequate fluid balance as evidenced by vital signs and weight within patient’s normal range, palpable peripheral pulses, moist mucous membranes, good skin turgor.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Fluid/Electrolyte Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor I&amp;O.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Document incidence and note characteristics and frequency of vomiting and diarrhea, as well as accompanying or precipitating events.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Increase fluid intake to 3–4 L/day within cardiac tolerance.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor vital signs. Evaluate pulses, capillary refill, skin turgor, and mucous membranes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Weigh daily.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Monitor Hb/Hct, electrolytes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer IV fluids.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide appropriate diet, clear liquids, bland foods as tolerated.&lt;br /&gt;&lt;br /&gt;Administer medications as indicated: antiemetics, e.g., prochlorperazine (Compazine).&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Comparing actual and anticipated output may aid in evaluating presence/degree of renal stasis/impairment. Note: Impaired kidney functioning and decreased urinary output can result in higher circulating volumes with signs/symptoms of HF.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Nausea/vomiting and diarrhea are commonly associated with renal colic because celiac ganglion serves both kidneys and stomach. Documentation may help rule out other abdominal occurrences as a cause for pain or pinpoint calculi.&lt;br /&gt;&lt;br /&gt;Maintains fluid balance for homeostasis and “washing” action that may flush the stone(s) out. Dehydration and electrolyte imbalance may occur secondary to excessive fluid loss (vomiting and diarrhea).&lt;br /&gt;&lt;br /&gt;Indicators of hydration/circulating volume and need for intervention. Note: Decreased GFR stimulates production of renin, which acts to raise BP in an effort to increase renal blood flow.&lt;br /&gt;&lt;br /&gt;Rapid weight gain may be related to water retention.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assesses hydration and effectiveness of/need for interventions.&lt;br /&gt;&lt;br /&gt;Maintains circulating volume (if oral intake is insufficient), promoting renal function.&lt;br /&gt;&lt;br /&gt;Easily digested foods decrease GI activity/irritation and help maintain fluid and nutritional balance.&lt;br /&gt;&lt;br /&gt;Reduces nausea/vomiting.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall; information misinterpretation&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Questions; request for information; statement of misconception&lt;br /&gt;Inaccurate follow-through of instructions, development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Illness Care (NOC)&lt;br /&gt;Verbalize understanding of disease process and potential complications.&lt;br /&gt;Correlate symptoms with causative factors.&lt;br /&gt;Verbalize understanding of therapeutic needs.&lt;br /&gt;Initiate necessary lifestyle changes and participate in treatment regimen.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review disease process and future expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress importance of increased fluid intake, e.g., 3–4L/day or as much as 6–8 L/day. Encourage patient to notice dry mouth and excessive diuresis/diaphoresis and to increase fluid intake whether or not feeling thirsty.&lt;br /&gt;&lt;br /&gt;Review dietary regimen, as individually appropriate:&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Low-purine diet, e.g., limited lean meat, turkey, legumes, whole grains, alcohol;&lt;br /&gt;&lt;br /&gt;Low-calcium diet, e.g., limited milk, cheese, green leafy vegetables, yogurt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Low-oxalate diet, e.g., restrict chocolate, caffeine-containing beverages, beets, spinach.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides knowledge base from which patient can make informed choices.&lt;br /&gt;&lt;br /&gt;Flushes renal system, decreasing opportunity for urinary stasis and stone formation. Increased fluid losses/dehydration require additional intake beyond usual daily needs.&lt;br /&gt;&lt;br /&gt;Diet depends on the type of stone. Understanding reason for restrictions provides opportunity for patient to make informed choices, increases cooperation with regimen, and may prevent recurrence.&lt;br /&gt;&lt;br /&gt;Decreases oral intake of uric acid precursors.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of calcium stone formation. Note: Research suggests that restricting dietary calcium is not helpful in reducing calcium-stone formation, and researchers, although not advocating high-calcium diets, are urging that calcium limitation be reexamined.&lt;br /&gt;&lt;br /&gt;Reduces calcium oxalate stone formation.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Shorr regimen: low-calcium/phosphorus diet with aluminum carbonate gel 30–40 mL, 30 min pc/hs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss medication regimen; avoidance of OTC drugs, and reading all product/food ingredient labels.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage regular activity/exercise program.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Active-listen concerns about therapeutic regimen/lifestyle changes.&lt;br /&gt;&lt;br /&gt;Identify signs/symptoms requiring medical evaluation, e.g., recurrent pain, hematuria, oliguria.&lt;br /&gt;&lt;br /&gt;Demonstrate proper care of incisions/catheters if present. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents phosphatic calculi by forming an insoluble precipitate in the GI tract, reducing the load to the kidney nephron. Also effective against other forms of calcium calculi. Note: May cause constipation.&lt;br /&gt;&lt;br /&gt;Drugs will be given to acidify or alkalize urine, depending on underlying cause of stone formation. Ingestion of products containing individually contraindicated ingredients (e.g., calcium, phosphorus) potentiates recurrence of stones.&lt;br /&gt;&lt;br /&gt;Inactivity contributes to stone formation through calcium shifts and urinary stasis.&lt;br /&gt;&lt;br /&gt;Helps patient work through feelings and gain a sense of control over what is happening.&lt;br /&gt;&lt;br /&gt;With increased probability of recurrence of stones, prompt interventions may prevent serious complications.&lt;br /&gt;&lt;br /&gt;Promotes competent self-care and independence.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalizations (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Urinary Elimination, impaired—recurrence of calculi.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6943693881243675268/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6943693881243675268' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6943693881243675268'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6943693881243675268'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/urolithiasis-renal-calculi-kidney.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-4591702140721081265</id><published>2011-03-01T02:46:00.001-08:00</published><updated>2011-03-01T02:46:54.155-08:00</updated><title type='text'></title><content type='html'>URINARY DIVERSIONS/UROSTOMY (POSTOPERATIVE CARE)&lt;br /&gt;Incontinent urinary diversions: These ostomies require permanent stoma care and external collecting devices.&lt;br /&gt;Ileal conduit: Ureters are anastomosed to a segment of ileum, resected with the blood supply intact (usually 15–20 cm long). The proximal section is closed, and the distal end brought to skin opening to form a stoma (a passageway, not a storage reservoir).&lt;br /&gt;Colonic conduit: This is a similar procedure using a segment of colon.&lt;br /&gt;Ureterostomy: The ureter(s) is brought directly through the abdominal wall to form its own stoma.&lt;br /&gt;Continent urinary diversions: Continent urinary reservoirs (CURs) have become one of the major options for patients to improve their quality of life regarding stoma care and the ability to sleep and travel.&lt;br /&gt;Kock reservoir or Indiana (ileocecal) pouch: A section of intestine is used to form a pouch inside the patient’s abdomen, creating a reservoir that the patient periodically drains by inserting a catheter through the stoma, thus negating the need for an external collecting device.&lt;br /&gt;CARE SETTING&lt;br /&gt;Inpatient acute surgical unit.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Cancer&lt;br /&gt;Peritonitis&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Surgical intervention&lt;br /&gt;Patient Assessment Database&lt;br /&gt;Data depend on underlying problem, duration, and severity, e.g., malignant bladder tumor, congenital malformations, trauma, chronic infections, or intractable incontinence due to injury/disease of other body systems (e.g., multiple sclerosis). (Refer to appropriate CP.)&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 5.5 days&lt;br /&gt;considerations: May require assistance with management of ostomy and acquisition of supplies.&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Intravenous pyelogram (IVP): Visualizes size/location of kidneys and ureters and rules out presence of tumors elsewhere in urinary tract.&lt;br /&gt;Cystoscopy with biopsy: Determines tumor location/stage of malignancy. Ultraviolet cystoscopy outlines bladder lesion.&lt;br /&gt;Bone scan: Determines presence of metastatic disease.&lt;br /&gt;Bilateral pedal lymphangiogram: Determines involvement of pelvic nodes, where bladder tumor easily seeds because of close proximity.&lt;br /&gt;CT scan: Defines size of tumor mass, degree of pelvic spread.&lt;br /&gt;Urine cystoscopy: Detects tumor cells in urine (for determining presence and type of tumor).&lt;br /&gt;Endoscopy: Evaluates intestines for use as conduit.&lt;br /&gt;Conduitogram: Assesses length and emptying ability of the conduit and presence of stricture, obstruction, reflux, angulation, calculi, or tumor (may complicate or contraindicate use as a urinary diversion).&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Prevent complications.&lt;br /&gt;2. Assist patient/SO in physical and psychosocial adjustment.&lt;br /&gt;3. Support independence in self-care.&lt;br /&gt;4. Provide information about procedure/prognosis, treatment needs, potential complications, and resources.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Complications prevented/minimized.&lt;br /&gt;2. Adjusting to perceived/actual changes.&lt;br /&gt;3. Self-care needs met by self/with assistance as necessary.&lt;br /&gt;4. Procedure/prognosis, therapeutic regimen, potential complications understood and sources of support identified.&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Skin Integrity, risk for impaired&lt;br /&gt;Risk factors may include&lt;br /&gt;Absence of sphincter at stoma [actual] with continuous flow of urine&lt;br /&gt;Character/flow of urine from stoma&lt;br /&gt;Reaction to product/chemicals; improper fitting of appliance or removal of adhesive&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Tissue Integrity: Skin and Mucous Membranes (NOC)&lt;br /&gt;Maintain skin integrity.&lt;br /&gt;Risk Control (NOC)&lt;br /&gt;Identify individual risk factors.&lt;br /&gt;Demonstrate behaviors/techniques to promote healing/prevent skin breakdown.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Ostomy Care (NIC)&lt;br /&gt;Independent&lt;br /&gt;Inspect stoma/peristomal skin. Note irritation, bruises (dark, bluish color), rashes, status of sutures.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Clean with water and pat dry (or use hair dryer on cool setting).&lt;br /&gt;&lt;br /&gt;Handle stoma gently to prevent irritation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Measure stoma periodically, e.g., each appliance change for first 6 wk, then monthly times six.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply effective sealant barrier, e.g., Skin Prep or similar product. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitors healing process/effectiveness of appliance and identifies areas of concern, need for further evaluation/intervention. Stoma should be pink or reddish, similar to mucous membranes. Color changes may be temporary, but persistent changes may require surgical intervention. Early identification of stomal necrosis/ischemia or fungal infection provides for timely interventions to prevent skin necrosis.&lt;br /&gt;&lt;br /&gt;Maintaining a clean/dry area helps prevent skin breakdown.&lt;br /&gt;&lt;br /&gt;Mucosa has good blood supply and bleeds easily with rubbing or trauma.&lt;br /&gt;&lt;br /&gt;As postoperative edema resolves (during first 6 wk), size of appliance must be altered to ensure proper fit so that urine is collected as it flows from the stoma and contact with the skin is prevented.&lt;br /&gt;&lt;br /&gt;Protects skin from pouch adhesive, enhances adhesiveness of pouch, and facilitates removal of pouch when necessary.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Ostomy Care (NIC)&lt;br /&gt;Independent&lt;br /&gt;Make sure opening for adhesive backing of pouch is at least 1⁄16 in larger than the base of the stoma (Wound, Ostomy and Continence Nursing Society [WOCN] standard), with adequate adhesiveness left to apply pouch.&lt;br /&gt;&lt;br /&gt;Use a transparent, odor-proof drainable pouch. Keep gauze square/wick over stoma while cleansing area, and have patient cough or strain before applying pouch.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Avoid use of karaya-type appliances.&lt;br /&gt;&lt;br /&gt;Apply waterproof tape around pouch edges if desired.&lt;br /&gt;&lt;br /&gt;Connect collecting pouch to continuous bedside drainage system, when necessary.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Cleanse ostomy pouch on a routine basis, using vinegar solution.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Change pouch every 3–5 days or as needed for leakage. Remove appliance gently while supporting skin. Use adhesive removers as indicated and wash off completely.&lt;br /&gt;&lt;br /&gt;Investigate reports of burning/itching around stoma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Evaluate adhesive product and appliance fit on ongoing basis.&lt;br /&gt;&lt;br /&gt;Monitor for distension of lower abdomen (with ileal conduit); assess bowel sounds.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents trauma to the stoma tissue and protects the peristomal skin. Adequate adhesive area is important to maintain a seal. Note: Too tight a fit may cause stomal edema or stenosis.&lt;br /&gt;&lt;br /&gt;A transparent appliance during first 4–6 wk allows easy observation of stoma and stents (when used) without necessity of removing pouch and irritating skin. Covering stoma prevents urine from wetting the peristomal area during pouch changes. Coughing empties distal portion of conduit, followed by a brief pause in drainage to facilitate application of pouch.&lt;br /&gt;&lt;br /&gt;Will not protect skin because urine melts karaya.&lt;br /&gt;&lt;br /&gt;Reinforces anchoring.&lt;br /&gt;&lt;br /&gt;May be needed during times when rate of urine formation is increased, e.g., while IV fluids are administered. Weight of the urine can cause pouch to pull loose/leak when pouch becomes more than half full.&lt;br /&gt;&lt;br /&gt;Frequent pouch changes are irritating to the skin and should be avoided. Emptying and rinsing the pouch with vinegar not only removes bacteria but also deodorizes the pouch.&lt;br /&gt;&lt;br /&gt;Prevents tissue irritation/destruction associated with “pulling” pouch off.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Suggests peristomal irritation or possibly Candida infections, both requiring intervention. Note: Continuous exposure of skin to urine can cause hyperplasia around stoma, affecting pouch fit and increasing risk of infection.&lt;br /&gt;&lt;br /&gt;Provides opportunity for problem solving. Determines need for further intervention.&lt;br /&gt;&lt;br /&gt;Intestinal distension can cause tension on new suture lines with possibility of rupture.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Ostomy Care (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Consult with enterostomal nurse.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply antifungal spray or powder, as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helpful in problem solving and choosing products appropriate for patient needs, considering stoma characteristics, patient’s physical/mental status, and financial resources. In the presence of persistent or recurring problems, the ostomy nurse has a wider range of knowledge and resources. Note: WOCN standards mandate that patient be capable of changing an ostomy appliance before discharge, or receive home care until such time as patient or caregivers are competent.&lt;br /&gt;&lt;br /&gt;Assists in healing if peristomal irritation is caused by fungal infection. Note: These products can have potent side effects and should be used sparingly. Creams/ointments are to be avoided, because they interfere with adhesion of the appliance.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Body Image, disturbed&lt;br /&gt;May be related to&lt;br /&gt;Biophysical: presence of stoma; loss of control of urine elimination&lt;br /&gt;Psychosocial: altered body structure&lt;br /&gt;Disease process and associated treatment regimen, e.g., cancer&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Verbalization of change in body image, fear of rejection/reaction of others, and negative feelings about body&lt;br /&gt;Actual change in structure and/or function (ostomy)&lt;br /&gt;Not touching/looking at stoma, refusal to participate in care&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Body Image (NOC)&lt;br /&gt;Demonstrate beginning acceptance by viewing/touching stoma and participating in self-care.&lt;br /&gt;Verbalize feelings about stoma/illness; begin to deal constructively with situation.&lt;br /&gt;Verbalize acceptance of self in situation, incorporating change into self-concept without negating self-esteem.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Body Image Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review reason for surgery and future expectations. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient may find it easier to accept/deal with an ostomy done for chronic/long-term disease (e.g., intractable incontinence, infections) than for traumatic injury.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Body Image Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;Ascertain whether counseling was initiated when the possibility and/or necessity of urinary diversion was first discussed.&lt;br /&gt;&lt;br /&gt;Answer all questions concerning urostomy and its function.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient/SO to verbalize feelings. Acknowledge normality of feelings of anger, depression, and grief over loss. Discuss daily “ups and downs” that can occur after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note behaviors of withdrawal, increased dependency, manipulation, or noninvolvement in care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide opportunities for patient/SO to view and touch stoma, using the moment to point out positive signs of healing, normal appearance, and so forth.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide opportunity for patient to deal with ostomy through participation in self-care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain positive approach during care activities, avoiding expressions of disdain or revulsion. Do not take patient’s angry expressions personally.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Plan/schedule care activities with patient.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss possibility of contacting ostomy/urostomy visitor and make arrangements for visit if desired. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides information about patient’s/SO’s level of knowledge about individual situation and process of acceptance.&lt;br /&gt;&lt;br /&gt;Establishes rapport and conveys interest/concern of caregiver. Provides additional information for patient to consider.&lt;br /&gt;&lt;br /&gt;Provides opportunity to deal with issues/misconceptions. Helps patient/SO to realize that feelings experienced are not unusual and that feeling guilty for them is not necessary/helpful. Patient needs to recognize feelings before they can be dealt with effectively.&lt;br /&gt;&lt;br /&gt;Suggestive of problems in adjustment that may require further evaluation and more extensive therapy. May reflect grief response to loss of body part/function and worry over acceptance by others and fear of further disability/loss of life from cancer.&lt;br /&gt;&lt;br /&gt;Although integration of stoma into body image can take months or even years, looking at the stoma and hearing comments (made in a normal, matter-of-fact manner) can help patient with this acceptance. Touching stoma reassures patient/SO that it is not fragile and that slight movements of stoma actually reflect normal peristalsis.&lt;br /&gt;&lt;br /&gt;Independence in self-care helps improve self-esteem. In the case of a continent diversion, patient needs the energy, ability, and time to intubate the stoma four times a day.&lt;br /&gt;&lt;br /&gt;Assists patient/SO to accept body changes and feel all right about self. Anger is most often directed at the situation and lack of control individual has over what has happened (powerlessness), not the individual caregiver.&lt;br /&gt;&lt;br /&gt;Promotes sense of control and gives message that patient can handle this situation, enhancing self-esteem.&lt;br /&gt;&lt;br /&gt;Can provide a good support system. Helps reinforce teaching (shared experiences) and facilitates acceptance of change as patient realizes “life does go on” and can be relatively normal.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Body Image Enhancement (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss sexual functioning, medications that promote erection, and penile implant, if applicable, and alternative ways for sexual pleasuring. (Refer to ND: Sexual Dysfunction, risk for.)&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient may experience anticipatory anxiety, fear of failure in relation to sex after surgery, usually because of ignorance, lack of knowledge. Surgery that removes the bladder and prostate (removed with the bladder) may disrupt parasympathetic nerve fibers that control erection in men, although newer techniques are available that may be used in individual cases to preserve nerve function.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute&lt;br /&gt;May be related to&lt;br /&gt;Physical factors, e.g., disruption of skin/tissues (incisions/drains)&lt;br /&gt;Biological: activity of disease process (cancer, trauma)&lt;br /&gt;Psychological factors, e.g., fear, anxiety&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reports of pain&lt;br /&gt;Guarding/distraction behaviors, restlessness&lt;br /&gt;Self-focusing&lt;br /&gt;Autonomic responses, e.g., changes in vital signs&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Level (NOC)&lt;br /&gt;Verbalize relief/control of pain.&lt;br /&gt;Appear relaxed, able to sleep/rest appropriately.&lt;br /&gt;Pain Control (NOC)&lt;br /&gt;Perform general comfort measures.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess pain, noting location, characteristics, intensity(0–10 scale). RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps evaluate degree of discomfort and effectiveness of analgesia or may reveal developing complications, e.g., because abdominal pain usually subsides gradually by the third or fourth postoperative day, continued or increasing pain may reflect delayed healing, peristomal skin irritation, infection, intestinal obstruction.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Auscultate bowel sounds; note passage of flatus.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note urine flow and characteristics.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient to verbalize concerns. Active-listen these concerns and provide support by acceptance, remaining with patient and giving appropriate information.&lt;br /&gt;&lt;br /&gt;Provide comfort measures, e.g., back rub, repositioning(using body support measures as needed). Assure patient that position change will not injure stoma.&lt;br /&gt;&lt;br /&gt;Encourage use of relaxation techniques, e.g., guided imagery, visualization, diversional activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with ROM exercises and encourage early ambulation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Investigate and report abdominal muscle rigidity, involuntary guarding, and rebound tenderness.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer medications as indicated, e.g., narcotics, analgesics; patient-controlled analgesia (PCA).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide sitz baths, if indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply/monitor effects of transcutaneous electrical nerve stimulator (TENS) unit.&lt;br /&gt;&lt;br /&gt;Maintain patency of NG tube. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Indicates reestablishment of bowel function. Lack of return of bowel sounds/function within 72 hr may indicate presence of complication, e.g., peritonitis, hypokalemia, mechanical obstruction.&lt;br /&gt;&lt;br /&gt;Decreased flow may reflect urinary retention (due to edema) with increased pressure in upper urinary tract or leakage into peritoneal cavity (failure of anastomosis). Cloudy urine may be normal (presence of mucus) or indicate infectious process.&lt;br /&gt;&lt;br /&gt;Reduction of anxiety/fear can promote relaxation and comfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces muscle tension, promotes relaxation, and may enhance coping abilities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps patient rest more effectively and refocuses attention, which may enhance coping ability, reducing pain and discomfort.&lt;br /&gt;&lt;br /&gt;Reduces muscle/joint stiffness. Ambulation returns organs to normal position and promotes return of peristalsis/passage of flatus and feelings of general well-being.&lt;br /&gt;&lt;br /&gt;Suggestive of peritoneal inflammation, requiring prompt medical intervention.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Relieves pain, enhances comfort, and promotes rest. PCA may be more beneficial than intermittent analgesia, especially following radical resection.&lt;br /&gt;&lt;br /&gt;Relieves local discomfort, reduces edema, and promotes healing of perineal wound associated with radical procedure.&lt;br /&gt;&lt;br /&gt;Cutaneous stimulation may be used to block transmission of pain stimulus.&lt;br /&gt;&lt;br /&gt;Decompresses stomach/intestines; prevents abdominal distension when intestinal function is impaired.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Infection, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Inadequate primary defenses (e.g., break in skin/incision; reflux of urine into urinary tract)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Immune Status (NOC)&lt;br /&gt;Achieve timely wound healing, be free of purulent drainage or erythema, and be afebrile.&lt;br /&gt;Knowledge: Infection Control (NOC)&lt;br /&gt;Verbalize understanding of individual causative/risk factors.&lt;br /&gt;Demonstrate techniques, lifestyle changes to reduce risk.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Empty ostomy pouch when it becomes one-third full, once IV fluids and continuous pouch drainage have been discontinued.&lt;br /&gt;&lt;br /&gt;Document urine characteristics, and note whether changes are associated with reports of flank pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Test urine pH with Nitrazine paper (use fresh specimen, not from pouch); notify physician if greater than 6.5.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Report sudden cessation of urethral drainage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note red rash around stoma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Inspect incision line around stoma. Observe and document wound drainage, signs of incisional inflammation, systemic indicators of sepsis.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Change dressings as indicated when used.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess skin-fold areas in groin, perineum, under arms and breasts. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of urinary reflux and maintains integrity of appliance seal if pouch does not have an antireflux valve.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Cloudy odorous urine indicates infection (possibly pyelonephritis); however, urine normally contains mucus after a conduit procedure.&lt;br /&gt;&lt;br /&gt;Urine is normally acidic, which discourages bacterial growth/UTIs. Note: Presence of alkaline urine also creates favorable environment for stone formation in presence of hypercalciuria.&lt;br /&gt;&lt;br /&gt;Constant drainage usually subsides within 10 days; however, abrupt cessation may indicate plugging and lead to abscess formation.&lt;br /&gt;&lt;br /&gt;Rash is most commonly caused by yeast. Urine leakage or allergy to appliance or products may also cause red, irritated areas.&lt;br /&gt;&lt;br /&gt;Provides baseline/comparative reference. Complications may include interrupted anastomosis of intestine/bowel or ureteral conduit, with leakage of bowel contents into abdomen or urine into peritoneal cavity.&lt;br /&gt;&lt;br /&gt;Moist dressings act as a wick to the wound and provide media for bacterial growth.&lt;br /&gt;&lt;br /&gt;Use of antibiotics and trapping of moisture in skin-fold areas increases risk of Candida infections.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor vital signs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate breath sounds.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Use pouch with antireflux valve, if available.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Obtain specimens of exudates, urine, sputum, blood as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications as indicated, e.g.:&lt;br /&gt;Cephalosporins, e.g., cefoxitin (Mefoxin), cefazolin (Ancef);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Antifungal powder;&lt;br /&gt;&lt;br /&gt;Ascorbic acid/vitamin C.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with injection of IV methylene blue. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;An elevated temperature suggests incisional infection or UTI and/or respiratory complications.&lt;br /&gt;&lt;br /&gt;Patient is at high risk for development of respiratory complications because of length of time under anesthesia. Often this patient is older and may already have a compromised immune system. Also, painful abdominal incisions cause patient to breathe more shallowly than normal and to limit coughing effort. Accumulation of secretions in respiratorytract predisposes to atelectasis and infections.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents backflow of urine into stoma, reducing risk of infection.&lt;br /&gt;&lt;br /&gt;Identifies source of infection/most effective treatment. Infected urine may cause pyelonephritis. Note: Urine specimen must be obtained from the conduit because the pouch is considered contaminated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Given to treat identified infection or may be given prophylactically, especially with history of recurrent pyelonephritis.&lt;br /&gt;&lt;br /&gt;Used to treat yeast infections around stoma.&lt;br /&gt;&lt;br /&gt;Given to acidify urine, reduce bacterial growth/risk of infection. Note: Large doses of vitamin C can impair GI absorption of vitamin B12, potentiating pernicious anemia.&lt;br /&gt;&lt;br /&gt;Dye appearing in wound drainage signifies urine leakage into peritoneal cavity and need for surgical repair.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Urinary Elimination, impaired&lt;br /&gt;May be related to&lt;br /&gt;Surgical diversion; tissue trauma, postoperative edema&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Loss of continence&lt;br /&gt;Changes in amount, character of urine; urinary retention&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Urinary Elimination (NOC)&lt;br /&gt;Display continuous flow of urine, with output adequate for individual situation.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Urinary Elimination Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note presence of stents/ureteral catheters. Label “right” and “left” and observe urine flow through each.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Record urinary output; investigate sudden reduction/cessation of urine flow.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe and record color of urine. Note hematuria and/or bleeding from stoma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Position tubing and drainage pouch so that it allows unimpeded flow of urine. Monitor/protect placement of stents.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Demonstrate self-catheterization techniques and reservoir irrigations as appropriate. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Use of stents/ureteral catheters assists in healing of anastomosis by keeping it urine-free. It is necessary to verify that both kidneys/ureters are functional.&lt;br /&gt;&lt;br /&gt;Sudden decrease in urine flow may indicate obstruction/dysfunction (e.g., blockage by edema or mucus) or dehydration. Note: Reduced urinary output (not related to hypovolemia) associated with abdominal distension, fever, and clear/watery discharge from incision suggests urinary fistula, also requiring prompt intervention.&lt;br /&gt;&lt;br /&gt;Urine may be slightly pink, which should clear up in 2–3 days. Rubbing/washing stoma may cause temporary oozing because of vascular nature of tissues. Continued bleeding, frank blood in the pouch, or oozing around the base of stoma requires medical evaluation/intervention.&lt;br /&gt;&lt;br /&gt;Blocked drainage allows pressure to build within urinary tract, risking anastomosis leakage and damage to renal parenchyma. Note: Stents inserted to maintain patency of ureters during period of postoperative edema may be inadvertently dislodged, compromising urine flow.&lt;br /&gt;&lt;br /&gt;Patients with continent diversions do not require an external collection device. Periodic catheterization empties the internal reservoir and reduces risk of injury from overdistension. Daily irrigations remove accumulated mucus from the reservoir. Note: Patients with Kock pouches connected to the urethra are instructed to void every 2 hr during the day and every 3 hr during the night. This is done by bearing down and applying hand pressure on the lower abdomen to aid in emptying the reservoir.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Urinary Elimination Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Encourage increased fluids and maintain accurate intake.&lt;br /&gt;&lt;br /&gt;Monitor vital signs. Assess peripheral pulses, skin turgor, capillary refill, and oral mucosa. Weigh daily.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer IV fluids as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor electrolytes, ABGs, calcium.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prepare for diagnostic testing, procedures as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintains hydration and good urine flow.&lt;br /&gt;&lt;br /&gt;Indicators of fluid balance. Reflects level of hydration and effectiveness of fluid replacement therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assists in maintaining hydration/adequate circulating volume and urinary flow.&lt;br /&gt;&lt;br /&gt;Impaired renal function in patient with intestinal conduit increases risk of severe electrolyte and/or acid-base problems, e.g., hyperchloremic acidosis. Elevated calcium levels increase risk of crystal/stone formation, affecting both urinary flow and tissue integrity.&lt;br /&gt;&lt;br /&gt;Retrograde ileogram may be done to evaluate patency of conduit; nephrostomy tube or stents may be inserted to maintain urine flow until edema/obstruction is resolved.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Sexual Dysfunction, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Altered body structure/function; radical resection/treatment procedures&lt;br /&gt;Vulnerability/psychological concern about response of SO&lt;br /&gt;Disruption of sexual response pattern, e.g., erection difficulty&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Sexual Functioning (NOC)&lt;br /&gt;Verbalize understanding of relationship of physical condition to sexual problems.&lt;br /&gt;Identify satisfying/acceptable sexual practices and explore alternative methods.&lt;br /&gt;Resume sexual relationship as appropriate.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Sexual Counseling (NIC)&lt;br /&gt;Independent&lt;br /&gt;Ascertain patient’s/SO’s sexual relationship before the disease and/or surgery. Identify future expectations and desires.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review with patient/SO anatomy and physiology of sexual functioning in relation to own situation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reinforce information given by the physician. Encourage questions. Provide additional information as needed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss resumption of sexual activity approximately 6 wk after discharge, beginning slowly and progressing (e.g., cuddling/caressing until both partners are comfortable with body image/function changes). Include alternative methods of stimulation as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage dialogue between patient/SO. Suggest wearing pouch cover, T-shirt, or shortie nightgown.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress awareness of factors that might be distracting (e.g., unpleasant odors and pouch leakage).&lt;br /&gt;&lt;br /&gt;Encourage use of sense of humor.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Problem-solve alternative positions for coitus.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss/role-play possible interactions or approaches when dealing with new sexual partners.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide birth control information as appropriate and stress that impotence does not mean patient is necessarily sterile.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Mutilation and loss of privacy/control of a bodily function can affect patient’s view of personal sexuality. When coupled with the fear of rejection by SO, the desired level of intimacy can be greatly impaired. Sexual needs are very basic, and patient will be rehabilitated more successfully when a satisfying sexual relationship is continued/developed.&lt;br /&gt;&lt;br /&gt;Understanding normal physiology helps patient/SO understand the mechanisms of nerve damage and need for exploring alternative methods of satisfaction.&lt;br /&gt;&lt;br /&gt;Reiteration of previously given information assists patient/SO to hear and process the knowledge again, moving toward acceptance of individual limitations/restrictions and prognosis (e.g., that it may take up to 2 yr to regain potency after a radical procedure or that a penile prosthesis may be necessary).&lt;br /&gt;&lt;br /&gt;Knowing what to expect in progress of recovery helps patient avoid performance anxiety/reduce risk of “failure.” If the couple is willing to try new ideas, this can assist with adjustment and may help achieve sexual fulfillment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Disguising urostomy appliance may aid in reducing feelings of self-consciousness, embarrassment during sexual activity.&lt;br /&gt;&lt;br /&gt;Promotes resolution of solvable problems.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Laughter can help individuals deal more effectively with difficult situation and promote a positive sexual experience.&lt;br /&gt;&lt;br /&gt;Minimizing awkwardness of appliance and physical discomfort can enhance satisfaction.&lt;br /&gt;&lt;br /&gt;Rehearsal helps deal with actual situations when they arise, preventing self-consciousness about “different” body image.&lt;br /&gt;&lt;br /&gt;Confusion about impotency and sterility can lead to an unwanted pregnancy.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Sexual Counseling (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Arrange meeting with an ostomy visitor if appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to counseling/sex therapy as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sharing of how these problems have been resolved by others can be helpful and reduce sense of isolation.&lt;br /&gt;&lt;br /&gt;If problems persist longer than several months after surgery, a trained therapist may be required to facilitate communication between patient and SO.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall; information misinterpretation&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Questions; statement of misconception/misinformation&lt;br /&gt;Inaccurate follow-through of instruction/performance of urostomy care&lt;br /&gt;Inappropriate or exaggerated behaviors (e.g., hostile, agitated, apathetic, withdrawn)&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of condition/disease process, prognosis, and potential complications.&lt;br /&gt;Knowledge: Treatment Regimen (NOC)&lt;br /&gt;Verbalize understanding of therapeutic needs.&lt;br /&gt;Correctly perform necessary procedures, explain reasons for the action.&lt;br /&gt;Initiate necessary lifestyle changes.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Evaluate patient’s emotional and physical capabilities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review anatomy, physiology, and implications of surgical intervention. Discuss future expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Include written/picture resources. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;These factors affect patient’s ability to master tasks and willingness to assume responsibility for ostomy care.&lt;br /&gt;&lt;br /&gt;Provides knowledge base from which patient can make informed choices and an opportunity to clarify misconceptions regarding individual situation.&lt;br /&gt;&lt;br /&gt;Provides references after discharge to support patient efforts for independence in self-care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Instruct patient/SO in stomal care as appropriate. Allot time for return demonstrations and provide positive feedback for efforts.&lt;br /&gt;&lt;br /&gt;Ensure that stoma and appliance are odorless, nonleaking.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Demonstrate padding to absorb urethral drainage; ask patient to report changes in amount, odor, character.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Recommend routine clipping/trimming of hair around stoma to edges of pouch adhesive.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patients with Kock pouch to lengthen voiding interval by 1 hr each week unless discomfort noted.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Instruct patient in a progressive exercise program to include Kegel exercises and stop/start of urinary stream.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage optimal nutrition.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss use of acid-ash diet (e.g., cranberries, prunes, plums, cereals, rice, peanuts, noodles, cheese, poultry, fish); avoidance of salt substitutes, sodium bicarbonate, and antacids; and cautious use of products containing calcium.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss importance of maintaining normal weight.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress necessity of increased fluid intake of at least2–3 L/day; of cranberry juice or ascorbic acid/vitamin C tablets; avoidance of citrus fruits as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes positive management and reduces risk of improper ostomy care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;When patient feels confident about urostomy, energy/attention can be focused on other tasks.&lt;br /&gt;&lt;br /&gt;Small amount of leakage may continue for several weeks after prostate surgery with bladder left in place (temporary diversion procedure).&lt;br /&gt;&lt;br /&gt;Hair can be pulled out when the pouch is changed, causing irritation of hair follicles and increasing risk of local infection.&lt;br /&gt;&lt;br /&gt;Increases capacity of reservoir to achieve a more normal voiding pattern. Presence of discomfort suggests reservoir is full, necessitating prompt emptying.&lt;br /&gt;&lt;br /&gt;Improves tone of pelvic muscles and the external sphincter to enhance continence when patient voids through urethra.&lt;br /&gt;&lt;br /&gt;Promotes wound healing, increases utilization of energy to facilitate tissue repair. Anorexia may be present for several months postoperatively, requiring conscious effort to meet nutritional needs.&lt;br /&gt;&lt;br /&gt;May be useful in acidifying urine to decrease risk of infection and crystal/stone formation. Products containing bicarbonate/calcium potentiate risk of crystal/stone formation affecting both urinary flow and tissue integrity Note: Use of sulfa drugs requires alkaline urine for optimal absorption, so acid-ash diet/vitamin C supplements should be withheld.&lt;br /&gt;&lt;br /&gt;Changes in weight can affect size of stoma/appliance fit. Note: Weight loss of 10–20 lb is not uncommon because of intestinal involvement and anorexia.&lt;br /&gt;&lt;br /&gt;Maintains urinary output and promotes acidic urine to reduce risk of infection and stone formation. Note: Oranges/citrus fruits make urine alkaline and are therefore contraindicated. Large doses of vitamin C can inhibit vitamin B12 absorption, requiring periodic monitoring of vitamin B12 levels.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss resumption of presurgery level of activity and possibility of sleep disturbance, anorexia, loss of interest in usual activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage regular activity/exercise program.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify signs/symptoms requiring medical evaluation, e.g., changes in character, amount and flow of urine, unusual drainage from wound; fatigue/muscle weakness, anorexia, abdominal distension, confusion.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress importance of follow-up appointments.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify community resources, e.g., United Ostomy Association and local ostomy support group, enterostomal therapist, visiting nurse, pharmacy/medical supply house. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient should be able to manage same degree of activity as previously enjoyed and in some cases increase activity level except for contact sports. “Homecoming depression” may occur, lasting for up to 3 mo after surgery, requiring patience/support and ongoing evaluation.&lt;br /&gt;&lt;br /&gt;Immobility/inactivity increases urinary stasis and calcium shift out of bones, potentiating risk of stone formation and resultant urinary obstruction, infection.&lt;br /&gt;&lt;br /&gt;Early detection and prompt intervention of developing problems such as UTI, stricture, intestinal fistula may prevent more serious complications. Urinary electrolytes (especially chloride) are resorbed in the intestinal conduit, which leads to compensatory bicarbonate loss, lowered serum pH (metabolic acidosis), and potassium deficit.&lt;br /&gt;&lt;br /&gt;Monitors healing, disease process; provides opportunity for discussion of appliance fitting problems, generalized health, and adaptation to condition. Note: Extensive surgery requires prolonged recuperation for regaining strength and endurance.&lt;br /&gt;&lt;br /&gt;Continued support after discharge is essential to facilitate the recovery process and patient’s independence in care. Enterostomal nurse can be very helpful in solving appliance problems and identifying alternatives to meet individual patient needs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;In addition to postsurgical concerns:&lt;br /&gt;Urinary Elimination, impaired—anatomical diversion.&lt;br /&gt;Self-Esteem, situational low—loss of/altered control of body function.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/4591702140721081265/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/4591702140721081265' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/4591702140721081265'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/4591702140721081265'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/urinary-diversionsurostomy.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-8363033114990204164</id><published>2011-03-01T02:45:00.001-08:00</published><updated>2011-03-01T02:45:49.854-08:00</updated><title type='text'></title><content type='html'>UPPER GASTROINTESTINAL/ESOPHAGEAL BLEEDING&lt;br /&gt;Bleeding duodenal ulcer is the most frequent cause of massive upper gastrointestinal (GI) hemorrhage, but bleeding may also occur because of gastric ulcers, gastritis, and esophageal varices. Severe vomiting can precipitate gastric bleeding as a result of a tear in the mucosa at the gastroesophageal junction (Mallory-Weiss syndrome). Stress ulcers are often associated with severe burns, major trauma/surgery, or severe systemic disease. Esophagitis, esophageal/gastric carcinoma, hiatal hernia, hemophilia, leukemia, and disseminated intravascular coagulation (DIC) are less common causes of upper GI bleeding. Note: Eighty percent to 90% of ulcer patients are now found to have Helicobactor pylori as an underlying cause. Because this organism is easily treated with anti-infectives, complications such as perforation and GI bleeding have dropped dramatically.&lt;br /&gt;CARE SETTING&lt;br /&gt;Generally, a patient with severe, active bleeding is admitted directly to the critical care unit (CCU); however, a patient may develop GI bleeding on the medical-surgical unit or be admitted there for evaluation/treatment of subacute bleeding.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Cirrhosis of the liver&lt;br /&gt;Fluid and electrolyte imbalances, see Nursing Care Plan CD-ROM&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Renal failure: acute&lt;br /&gt;Subtotal gastrectomy/gastric resection, see Nursing Care Plan CD-ROM&lt;br /&gt;Patient Assessment Database&lt;br /&gt;ACTIVITY/REST&lt;br /&gt;May report: Weakness, fatigue&lt;br /&gt;May exhibit: Tachycardia, tachypnea/hyperventilation (response to activity)&lt;br /&gt;CIRCULATION&lt;br /&gt;May report: Palpitations&lt;br /&gt; Dizziness with position change&lt;br /&gt;May exhibit: Hypotension (including postural)&lt;br /&gt; Tachycardia, dysrhythmias (hypovolemia/hypoxemia)&lt;br /&gt; Weak/thready peripheral pulse&lt;br /&gt; Capillary refill slow/delayed (vasoconstriction)&lt;br /&gt; Skin color: pallor, cyanosis (depending on the amount of blood loss)&lt;br /&gt; Skin/mucous membrane moisture: Diaphoresis (reflecting shock state, acute pain, psychological response)&lt;br /&gt;EGO INTEGRITY&lt;br /&gt;May report: Acute or chronic stress factors (financial, relationships, job-related)&lt;br /&gt; Feelings of helplessness&lt;br /&gt;May exhibit: Signs of anxiety, e.g., restlessness, pallor, diaphoresis, narrowed focus, trembling, quivering voice&lt;br /&gt;ELIMINATION&lt;br /&gt;May report: Change in usual bowel patterns/characteristics of stool&lt;br /&gt;May exhibit: Abdominal tenderness, distension&lt;br /&gt; Bowel sounds often hyperactive during bleeding, hypoactive after bleeding subsides&lt;br /&gt; Character of stool: Diarrhea; dark bloody, tarry, or occasionally bright red stools; frothy, foul-smelling (steatorrhea); constipation may occur (changes in diet, antacid use)&lt;br /&gt; Urine output may be decreased, concentrated&lt;br /&gt;FOOD/FLUID&lt;br /&gt;May report: Anorexia, nausea, vomiting (protracted vomiting suggests pyloric outlet obstruction associated with duodenal ulcer)&lt;br /&gt; Problems with swallowing; belching, hiccups&lt;br /&gt; Heartburn, indigestion, burping with sour taste&lt;br /&gt; Bloating/distension, flatulence&lt;br /&gt; Food intolerances, e.g., spicy food, chocolate; special diet for preexisting ulcer disease&lt;br /&gt; Weight loss&lt;br /&gt;May exhibit: Vomitus: coffee-ground or bright red, with or without clots&lt;br /&gt; Mucous membranes dry, decreased mucus production, poor skin turgor (chronic bleeding)&lt;br /&gt; Urine specific gravity may be elevated&lt;br /&gt;NEUROSENSORY&lt;br /&gt;May report: Fainting, dizziness/lightheadedness, weakness&lt;br /&gt; Mental status: Level of consciousness (LOC) may be altered, ranging from slight drowsiness, disorientation/confusion, to stupor and coma (depending on circulating volume/oxygenation)&lt;br /&gt;PAIN/DISCOMFORT&lt;br /&gt;May report: Pain described as sharp, dull, burning, gnawing;  sudden, excruciating (can accompany perforation)&lt;br /&gt; Vague sensation of discomfort/distress following large meals and relieved by food (acute gastritis)&lt;br /&gt; Left to midepigastric pain and/or pain radiating to back, often accompanied by vomiting after eating and relieved by antacids (gastric ulcer)&lt;br /&gt; Localized right to midepigastric pain, gnawing, burning, occurring about 2–3 hr after meals when stomach is empty, and relieved by food or antacids (duodenal ulcers)&lt;br /&gt; Midepigastric pain and burning with regurgitation (chronic gastroesophageal reflux disease [GERD])&lt;br /&gt; Absence of pain (esophageal varices or gastritis)&lt;br /&gt; Precipitating factors may be foods (e.g., milk, chocolate, caffeine), smoking, alcohol, certain drugs (salicylates, reserpine, antibiotics, ibuprofen), psychological stressors&lt;br /&gt;May exhibit: Facial grimacing, guarding of affected area, pallor, diaphoresis, narrowed focus&lt;br /&gt;SAFETY&lt;br /&gt;May report: Drug allergies/sensitivities, e.g., acetylsalicylic acid (ASA)&lt;br /&gt;May exhibit: Temperature elevation&lt;br /&gt; Spider angiomas, palmar erythema (reflecting cirrhosis/portal hypertension)&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: Recent use of prescription/over-the-counter (OTC) drugs containing ASA, alcohol/recreational drugs, steroids, or nonsteroidal anti-inflammatory drugs (NSAIDs) (leading cause of drug-induced GI bleeding)&lt;br /&gt; Current complaint may reveal admission for related (e.g., anemia) or unrelated (e.g., head trauma) diagnosis, intestinal flu, or severe vomiting episode; long-standing health problems, e.g., cirrhosis, alcoholism, hepatitis, eating disorders&lt;br /&gt; History of previous hospitalizations for GI bleeding or related GI problems, e.g., peptic/gastric ulcer, gastritis, gastric surgery, irradiation of gastric area&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 5.3 days&lt;br /&gt;considerations: May require changes in therapeutic/medication regimen.&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Esophagogastroduodenoscopy (EGD): Key diagnostic test for upper and lower GI bleeding, done to visualize site of bleeding/ degree of tissue ulceration/injury.&lt;br /&gt;Gastrointestinal nuclear scan: Radionuclide uptake at sites of bleeding identifies site (not cause) of bleeding. Test is considered to be more sensitive than EGD, upper GI studies with barium, or angiography in detecting sites of lower GI bleeding or persistent bleeding anywhere in GI tract.&lt;br /&gt;Helicobacter pylori breath test: Patient drinks a carbon-enriched urea solution. If H. pylori is present, it breaks down the compound and releases CO2. H. pylori can also be detected by blood or tissue tests with blood test now being the most common.&lt;br /&gt;Barium swallow with x-ray: Done after bleeding has ceased for differential diagnosis of cause/site of lesion, presence of structural defects such as strictures.&lt;br /&gt;Gastric aspirate analysis: May be done in suspected peptic ulcer disease as indicated by low to normal pH and/or presence of blood; also in suspected gastric cancer (abnormal acidity, blood and/or abnormal cells on cytological examination).&lt;br /&gt;Gastric cultures: Determine presence of H. pylori (Gram-negative urease-producing bacteria), currently accepted as organism responsible for 90% of duodenal and 70%–80% of gastric ulcers.&lt;br /&gt;Angiography: GI vasculature may be reviewed if endoscopy is inconclusive or impractical. Demonstrates collateral circulation and possibly bleeding site.&lt;br /&gt;Stools: Testing for blood will be positive.&lt;br /&gt;Complete blood count (CBC), hemoglobin (Hb)/hematocrit (Hct): Decreased levels occur 6–24 hr after acute bleeding begins. Red blood cells (RBCs) and platelets may also be decreased. White blood cell (WBC) count may be elevated, reflecting body’s response to injury.&lt;br /&gt;Prothrombin time (PT) and activated partial thromboplastin time (aPTT); coagulation profile: Prolonged in active bleeding. May indicate need for replacement of coagulation factors (fresh frozen plasma [FFP]). Increased platelets with decreased clotting times may be the body’s attempt to restore hemostasis. Severe abnormalities may reveal coagulopathy, e.g., DIC, as cause of bleeding.&lt;br /&gt;Blood urea nitrogen (BUN): Elevated within 24–48 hr as blood proteins are broken down in the GI tract and kidney filtration is decreased.&lt;br /&gt;Creatinine (Cr): Usually not elevated if renal perfusion is maintained.&lt;br /&gt;Ammonia: May be elevated when severe liver dysfunction disrupts the metabolism and proper excretion of urea or when massive whole blood transfusions have been given.&lt;br /&gt;Arterial blood gases (ABGs): May reveal initial respiratory alkalosis (compensating for diminished blood flow through lungs). Later, metabolic acidosis develops in response to sluggish liver flow/accumulation of metabolic waste products.&lt;br /&gt;Sodium: May be elevated as a hormonal compensation to conserve body fluid.&lt;br /&gt;Potassium: May initially be depleted because of massive gastric emptying/vomiting or bloody diarrhea. Elevated potassium levels may occur after multiple transfusions of stored blood or with acute renal impairment.&lt;br /&gt;Serum gastrin analysis: Elevated level suggests Zollinger-Ellison syndrome or possible presence of multiple poorly healed ulcers. Normal or low in type B gastritis.&lt;br /&gt;Serum amylase: Elevated with posterior penetration of duodenal ulcer.&lt;br /&gt;Pepsinogen level: Increased by duodenal ulcer; low level suggestive of gastritis.&lt;br /&gt;Serum parietal cell antibodies: Presence suggestive of chronic gastritis.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Control hemorrhage.&lt;br /&gt;2. Achieve/maintain hemodynamic stability.&lt;br /&gt;3. Promote stress reduction.&lt;br /&gt;4. Provide information about disease process/prognosis, treatment needs, and potential complications.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Hemorrhage curtailed.&lt;br /&gt;2. Hemodynamically stable.&lt;br /&gt;3. Anxiety/fear reduced to manageable level.&lt;br /&gt;4. Disease process/prognosis, therapeutic regimen, and potential complications understood&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fluid Volume, deficient [isotonic]&lt;br /&gt;May be related to&lt;br /&gt;Active fluid volume loss (hemorrhage)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Hypotension, tachycardia, delayed capillary refill&lt;br /&gt;Changes in mentation, restlessness&lt;br /&gt;Concentrated/decreased urine&lt;br /&gt;Pallor, diaphoresis&lt;br /&gt;Hemoconcentration&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Hydration (NOC)&lt;br /&gt;Demonstrate improved fluid balance as evidenced by individually adequate urinary output with normal specific gravity, stable vital signs, moist mucous membranes, good skin turgor, prompt capillary refill.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Bleeding Reduction: Gastrointestinal (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note characteristics of vomitus and/or drainage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor vital signs; compare with patient’s normal/&lt;br /&gt;previous readings. Take blood pressure (BP) in lying, sitting, standing positions when possible.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note patient’s individual physiological response to bleeding, e.g., changes in mentation, weakness, restlessness, anxiety, pallor, diaphoresis, tachypnea, temperature elevation.&lt;br /&gt;&lt;br /&gt;Measure central venous pressure (CVP), if available. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be helpful in differentiating cause of gastric distress. Yellow-green bile content implies that the pylorus is open. Fecal content indicates bowel obstruction. Bright red blood signals recent or acute arterial bleeding, perhaps caused by gastric ulceration; dark red blood may be old blood (retained in intestine) or venous bleeding from varices. Coffee-ground appearance is suggestive of partially digested blood from slowly oozing area. Undigested food indicates obstruction or gastric tumor.&lt;br /&gt;&lt;br /&gt;Changes in BP and pulse may be used for rough estimate of blood loss (e.g., BP less than 90 mm Hg and pulse greater than 110 suggest a 25% decrease in volume, or approximately 1000 mL). Postural hypotension reflects a decrease in circulating volume. Note: Heart rate may not rise above normal until up to 30% of total blood volume is lost.&lt;br /&gt;&lt;br /&gt;Symptomatology may be useful in gauging severity/length of bleeding episode. Worsening of symptoms may reflect continued bleeding or inadequate fluid replacement.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reflects circulating volume and cardiac response to bleeding and fluid replacement, e.g., CVP values between 5 and 20 cm H2O usually reflect adequate volume.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Bleeding Reduction: Gastrointestinal (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor intake and output (I&amp;O), and correlate with weight changes. Measure blood/fluid losses via emesis, gastric suction/lavage, and stools.&lt;br /&gt;&lt;br /&gt;Keep accurate record of subtotals of solutions/blood products during replacement therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain bedrest; prevent vomiting and straining at stool. Schedule activities to provide undisturbed rest periods. Eliminate noxious stimuli.&lt;br /&gt;&lt;br /&gt;Elevate head of bed during antacid gavage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note signs of renewed bleeding after cessation of initial bleeding.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe for secondary bleeding, e.g., nose/gums, oozing from puncture sites, appearance of ecchymotic areas following minimal trauma.&lt;br /&gt;&lt;br /&gt;Provide clear/bland fluids when intake is resumed. Avoid caffeinated and carbonated beverages.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer IV fluids/volume expanders as indicated, e.g., 0.9% sodium chloride, lactated Ringer’s solution;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Fresh whole blood/packed RBCs; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides guidelines for fluid replacement.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Potential exists for overtransfusion of fluids, especially when volume expanders are given before blood transfusions.&lt;br /&gt;&lt;br /&gt;Activity/vomiting increases intra-abdominal pressure and can predispose to further bleeding.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents gastric reflux and aspiration of antacids, which can cause serious pulmonary complications.&lt;br /&gt;&lt;br /&gt;Increased abdominal fullness/distension, nausea or renewed vomiting, and bloody diarrhea may indicate rebleeding.&lt;br /&gt;&lt;br /&gt;Loss of/inadequate replacement of clotting factors may precipitate development of DIC.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;More easily digested and reduce risk of added irritation to inflamed tissues. Caffeine and carbonated beverages stimulate hydrochloric acid (HCl) production, possibly potentiating rebleeding.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Fluid replacement with isotonic crystalloid solutions depends on degree of hypovolemia and duration of bleeding (acute or chronic). Other volume expanders, such as albumin, may be infused until type and cross-matching can be completed and blood transfusions begun. Approximately 80%–90% of gastric bleeding is controlled by fluid resuscitation and medical management without transfusion of blood products.&lt;br /&gt;&lt;br /&gt;Fresh whole blood is indicated only for acute bleeding with severe volume and RBC depletion because stored blood may be deficient in clotting factors. Packed red blood cells (PRCs) are adequate for stable patients with subacute/chronic bleeding to increase oxygen-carrying capability. Note: PRCs are preferred for patients with heart failure (HF) to prevent fluid overload.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Bleeding Reduction: Gastrointestinal (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Platelets;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Fresh frozen plasma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Insert/maintain large-bore nasogastric (NG) tube in acute bleeding.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Perform gastric lavage with cool or room-temperature saline until aspirate is light pink or clear and free of clots. Simultaneous low-pressure gastric suctioning and continuous saline infusion through the air port of a Salem sump tube may also be used.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications, as indicated, e.g.:&lt;br /&gt;Cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), nizatidine (Axid);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sucralfate (Carafate);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Cisapride (Propulsid);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Misoprostol (Cytotec); RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Transfused more often than any other blood component, platelets are given to correct deficits in platelet number and clotting function. Clotting factors/components are depleted by two mechanisms: hemorrhagic loss and the clotting process at the site of bleeding.&lt;br /&gt;&lt;br /&gt;FFP is an excellent source for clotting factors. Administered to patients with coagulation deficiencies who are bleeding or about to undergo an invasive procedure.&lt;br /&gt;&lt;br /&gt;Provides avenue for removing irritating gastric secretions, blood, and clots; reduces nausea/vomiting; and facilitates diagnostic endoscopy. Note: Blood remaining in the stomach/intestines will be broken down into ammonia, which can produce a toxic central nervous system (CNS) effect, e.g., encephalopathy.&lt;br /&gt;&lt;br /&gt;Flushes out/breaks up clots and may reduce bleeding by local vasoconstriction. Facilitates visualization by endoscopy to locate bleeding source. Note: Research suggests that iced saline is no more effective than room temperature solution in controlling bleeding, and it may actually damage gastric mucosa and lower patient’s core temperature, which could prolong bleeding by inhibiting platelet function. Controversy also exists as to whether benefit is obtained from any gastric lavage, whether iced or room temperature.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Histamine (H2)-receptor antagonists may be given parenterally during bleeding to reduce hydrochloric acid production, increase gastric pH, and aid in healing. After bleeding subsides, patient may begin oral doses with meals.&lt;br /&gt;&lt;br /&gt;Antiulcer agent that coats the stomach, adheres to the ulcer surface, and reinforces the mucosal barrier. Note: Impairs absorption of some drugs, e.g., theophylline, digoxin, phenytoin, tetracycline, amitriptyline.&lt;br /&gt;&lt;br /&gt;Serotonin-4-receptor agonist used to treat peptic ulcer disease (PUD), reflux esophagitis.&lt;br /&gt;&lt;br /&gt;Aids in mucus production and inhibits acid secretions. Used to prevent gastric ulcers associated with NSAID use.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Bleeding Reduction: Gastrointestinal (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Antacids: e.g., aluminum-based (Amphojel, Basaljel), magnesium-based (e.g., Mylanta, Riopan);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Proton pump inhibitor: omeprazole (Prilosec), lansoprazole (Prevacid);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Belladonna, atropine;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Octreotide (Sandostatin);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Vasopressin (Pitressin);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Vitamin K1 (AquaMEPHYTON);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Phenobarbital;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Antiemetics, e.g., metoclopramide (Reglan), prochlorperazine (Compazine);&lt;br /&gt;&lt;br /&gt;Supplemental vitamin B12;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Anti-infectives, e.g., tetracycline (Achromycin), metronidazole (Flagyl), amoxicillin (Amoxil), clarithromycin (Biaxin). RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Antacids (administered orally or by gavage) may be used to reduce total acid load within the gastric lumen. Effectiveness is greatest for duodenal ulcers. Antacids maintain gastric pH level at 4.5 or higher and reduce risk of rebleeding. Note:Antacids block the gastric absorption of oral histamine antagonists and therefore should not be administered within 1 hr after oral administration of histamine blockers.&lt;br /&gt;&lt;br /&gt;Can completely inhibit acid secretion, has a long duration of action. Used for PUD and GERD or short-term therapy for duodenal ulcers (healing duodenal ulcers in 2–4 wk once severe bleeding is controlled). Typically given with antibiotics when H. pylori infection is present.&lt;br /&gt;&lt;br /&gt;Anticholinergics may be used to decrease gastric motility, particularly in peptic ulcer disease after acute bleeding has subsided.&lt;br /&gt;&lt;br /&gt;An analogue of the hormone somatostatin thought to help control esophageal bleeding by decreasing blood flow to the gut, thereby lowering pressure to the portal system.&lt;br /&gt;&lt;br /&gt;Administration of intra-arterial vasoconstrictors may be needed in severe, prolonged bleeding (varices). Note: Effects of vasopressin (Pitressin) are systemic, whereas octreotide is more regional.&lt;br /&gt;&lt;br /&gt;Promotes hepatic synthesis of coagulation factors to support clotting. Note: Use of sucralfate may decrease absorption of vitamin K.&lt;br /&gt;&lt;br /&gt;Mild sedatives may be given to promote rest, reduce intensity of bleeding, and alleviate pain. Note: Use with caution to avoid masking signs of developing hypovolemia.&lt;br /&gt;&lt;br /&gt;Alleviates nausea and prevents vomiting.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;In diffuse atrophic gastritis, the intrinsic factor necessary for vitamin B12 absorption from the GI tract is not secreted, and individual may develop pernicious anemia.&lt;br /&gt;&lt;br /&gt;Oral agents may be combined  with antacids or histamine blockers to treat infections causing chronic gastritis or peptic ulcers (H. pylori). Note: Some studies indicate that H. pylori is developing widespread resistance to metronidazole (Flagyl).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Bleeding Reduction: Gastrointestinal (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Monitor laboratory studies, e.g.:&lt;br /&gt;Hb, Hct, RBC count;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;BUN/Cr levels&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with/prepare for:&lt;br /&gt;Sclerotherapy, e.g., ethanolamine, polidocanol, or combination of sodium tetradecyl, alcohol, and sodium chloride;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Endoscopic variceal ligation (EVL);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Balloon tamponade;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Electrocoagulation or photocoagulation (laser) therapy;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Surgical intervention. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Aids in establishing blood replacement needs and monitoring effectiveness of therapy, e.g., one unit of whole blood should raise Hct two to three points. Levels may initially remain stable, because of loss of both plasma and RBCs. Note: Levels may not accurately reflect early/sudden blood loss, and low baseline levels may indicate preexisting anemia.&lt;br /&gt;&lt;br /&gt;BUN greater than 40 with normal Cr level indicates major bleeding. BUN should return to patient’s normal level approximately 12 hr after bleeding has ceased.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Injection of an irritating (sclerosing) agent into esophageal varices (to create thrombosis) is standard treatment to stop bleeding and/or prevent recurrence after initial bleeding is controlled. The percentage of rebleeding is still significant (50%–60%) following this therapy in patients with varices.&lt;br /&gt;&lt;br /&gt;This banding technique is used as an effective alternative to sclerotherapy. Active hemorrhage is controlled in a high percentage of patients with fewer complications than with sclerotherapy.&lt;br /&gt;&lt;br /&gt;Short-term intervention technique using Sengstaken-Blakemore tubes when medication or sclerotherapy fails to control esophageal bleed.&lt;br /&gt;&lt;br /&gt;Provides direct coagulation of bleeding sites, e.g., gastritis, duodenal ulcer, tumor, esophageal (Mallory-Weiss) tear.&lt;br /&gt;&lt;br /&gt;Total/partial gastrectomy, pyloroplasty, and/or vagotomy may be required to control/prevent future gastric bleeding. Shunt procedures (portacaval, splenorenal, mesocaval, or distal splenorenal) may be done to divert blood flow and reduce pressure within esophageal vessels when other measures fail.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Tissue Perfusion, risk for ineffective&lt;br /&gt;Risk factors may include&lt;br /&gt;Hypovolemia&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Circulation Status (NOC)&lt;br /&gt;Maintain/improve tissue perfusion as evidenced by stabilized vital signs, warm skin, palpable peripheral pulses, ABGs within patient norms, adequate urine output.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Shock Prevention (NIC)&lt;br /&gt;Independent&lt;br /&gt;Investigate changes in level of consciousness, reports of dizziness/headache.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Investigate reports of chest pain. Note location, quality, duration, and what relieves pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate apical pulse. Monitor cardiac rate/rhythm if continuous electrocardiogram (ECG) available/indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess skin for coolness, pallor, diaphoresis, delayed capillary refill, and weak, thready peripheral pulses.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note urinary output and specific gravity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note reports of abdominal pain, especially sudden, severe pain or pain radiating to shoulder.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Observe skin for pallor, redness. Massage with lotion. Change position frequently.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Changes may reflect inadequate cerebral perfusion as a result of reduced arterial blood pressure. Note: Changes in sensorium may also reflect elevated ammonia levels/hepatic encephalopathy in patient with liver disease.&lt;br /&gt;&lt;br /&gt;May reflect cardiac ischemia related to decreased perfusion. Note: Impaired oxygenation status resulting from blood loss can bring on myocardial infarction (MI) in patient with cardiac disease.&lt;br /&gt;&lt;br /&gt;Dysrhythmias and ischemic changes can occur as a result of hypotension, hypoxia, acidosis, electrolyte imbalance, or cooling near the heart if cold saline lavage is used to control bleeding.&lt;br /&gt;&lt;br /&gt;Vasoconstriction is a sympathetic response to lowered circulating volume and/or may occur as a side effect of vasopressin administration.&lt;br /&gt;&lt;br /&gt;Decreased systemic perfusion may cause kidney ischemia/failure manifested by decreased urine output. Acute tubular necrosis (ATN) may develop if hypovolemic state is prolonged.&lt;br /&gt;&lt;br /&gt;Pain caused by gastric ulcer is often relieved after acute bleeding because of buffering effects of blood. Continued severe or sudden pain may reflect ischemia due to vasoconstrictive therapy, bleeding into biliary tract (hematobilia), or perforation/onset of peritonitis.&lt;br /&gt;&lt;br /&gt;Compromised peripheral circulation increases risk of skin breakdown.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Shock Prevention (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Monitor ABGs/pulse oximetry.&lt;br /&gt;&lt;br /&gt;Provide supplemental oxygen if indicated.&lt;br /&gt;&lt;br /&gt;Administer IV fluids as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identifies hypoxemia, effectiveness of/need for therapy&lt;br /&gt;&lt;br /&gt;Treats hypoxemia and lactic acidosis during acute bleed.&lt;br /&gt;&lt;br /&gt;Maintains circulating volume and perfusion. Note: Use of lactated Ringer’s solution may be contraindicated in presence of hepatic failure because metabolism of lactate is impaired, and lactic acidosis may develop.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fear/Anxiety [specify level]&lt;br /&gt;May be related to&lt;br /&gt;Change in health status, threat of death&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Increased tension, restlessness, irritability, fearfulness&lt;br /&gt;Trembling, tachycardia, diaphoresis&lt;br /&gt;Lack of eye contact, focus on self&lt;br /&gt;Verbalization of specific concern&lt;br /&gt;Withdrawal, panic, or attack behavior&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Anxiety Control (NOC)&lt;br /&gt;Discuss fears/concerns recognizing healthy versus unhealthy fears.&lt;br /&gt;Verbalize appropriate range of feelings.&lt;br /&gt;Appear relaxed and report anxiety is reduced to a manageable level.&lt;br /&gt;Demonstrate problem solving and effective use of resources.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor physiological responses, e.g., tachypnea, palpitations, dizziness, headache, tingling sensations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Note behavioral cues, e.g., restlessness, irritability, lack of eye contact, combativeness/attack behavior.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage verbalization of concerns. Assist patient in expressing feelings by Active listening. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be indicative of the degree of fear patient is experiencing, but may also be related to physical condition/shock state.&lt;br /&gt;&lt;br /&gt;Indicators of degree of fear patient is experiencing; e.g., patient may feel out of control of the situation or reach a state of panic.&lt;br /&gt;&lt;br /&gt;Establishes a therapeutic relationship. Assist patient in dealing with feelings, and provides opportunity to clarify misconceptions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Acknowledge that this is a fearful situation and that others have expressed similar fears.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide accurate, concrete information about what is being done, e.g., sensations to expect, usual procedures undertaken.&lt;br /&gt;&lt;br /&gt;Provide a calm, restful environment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage significant other (SO) to stay with patient as able. Respond to call signal promptly. Use touch and eye contact as appropriate.&lt;br /&gt;&lt;br /&gt;Provide opportunity for SO to express feelings/concerns. Encourage SO to project positive, realistic attitude.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Demonstrate/encourage relaxation techniques, e.g., visualization, deep-breathing exercises, guided imagery.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Help patient identify and initiate positive coping behaviors used successfully in the past.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage and support patient in evaluation of lifestyle.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer medications as indicated, e.g.:&lt;br /&gt;Diazepam (Valium), clorazepate (Tranxene), alprazolam (Xanax).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to psychiatric clinical nurse specialist social services, spiritual advisor. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;When patient is expressing own fear, the validation that these feelings are normal can help patient to feel less isolated.&lt;br /&gt;&lt;br /&gt;Involves patient in plan of care and decreases unnecessary anxiety about unknowns.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Removing patient from outside stressors promotes relaxation, may enhance coping skills.&lt;br /&gt;&lt;br /&gt;Helps reduce fear of going through a frightening experience alone.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps SO to deal with own anxiety/fears that can be transmitted to patient. Promotes a supportive attitude that can facilitate recovery.&lt;br /&gt;&lt;br /&gt;Learning ways to relax can be helpful in reducing fear and anxiety. Because patient with GI bleeding is often a person who has difficulty relaxing, learning these skills can be important to recovery and prevention of recurrence.&lt;br /&gt;&lt;br /&gt;Successful behaviors can be fostered in dealing with current fear, enhancing patient’s sense of self-control and providing reassurance.&lt;br /&gt;&lt;br /&gt;Changes may be necessary to avoid recurrence of ulcer condition.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sedatives/antianxiety agents may be used on occasion to reduce anxiety and promote rest, particularly in patient with an ulcer.&lt;br /&gt;&lt;br /&gt;May need additional assistance during recovery to deal with consequences of emergency situation/adjustments to required/desired changes in lifestyle.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute/chronic&lt;br /&gt;May be related to&lt;br /&gt;Chemical burn of gastric mucosa, oral cavity&lt;br /&gt;Physical response, e.g., reflex muscle spasm in the stomach wall&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Communication of pain descriptors&lt;br /&gt;Abdominal guarding, rigid body posture, facial grimacing&lt;br /&gt;Autonomic responses, e.g., changes in vital signs (acute pain)&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Level (NOC)&lt;br /&gt;Verbalize relief of pain.&lt;br /&gt;Demonstrate relaxed body posture and be able to sleep/rest appropriately.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note reports of pain, including location, duration, intensity (0–10 scale).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review factors that aggravate or alleviate pain.&lt;br /&gt;&lt;br /&gt;Note nonverbal pain cues, e.g., restlessness, reluctance to move, abdominal guarding, tachycardia, diaphoresis. Investigate discrepancies between verbal and nonverbal cues.&lt;br /&gt;&lt;br /&gt;Provide small, frequent meals as indicated for individual patient.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify and limit foods that create discomfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with active/passive range of motion (ROM) exercises.&lt;br /&gt;&lt;br /&gt;Provide frequent oral care and comfort measures, e.g., back rub, position change.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Provide and implement prescribed dietary modifications. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Pain is not always present, but if present should be compared with patient’s previous pain symptoms. This comparison may assist in diagnosis of etiology of bleeding and development of complications.&lt;br /&gt;&lt;br /&gt;Helpful in establishing diagnosis and treatment needs.&lt;br /&gt;&lt;br /&gt;Nonverbal cues may be both physiological and psychological and may be used in conjunction with verbal cues to evaluate extent/severity of the problem.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Food has an acid neutralizing effect and dilutes the gastric contents. Small meals prevent distension and the release of gastrin.&lt;br /&gt;&lt;br /&gt;Specific foods that cause distress vary among individuals. Studies indicate pepper is harmful, and coffee (including decaffeinated) can precipitate dyspepsia.&lt;br /&gt;&lt;br /&gt;Reduces joint stiffness, minimizing pain/discomfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Halitosis from stagnant oral secretions is unappetizing and can aggravate nausea. Gingivitis and dental problems may arise.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient may receive nothing by mouth (NPO) initially. When oral intake is allowed, food choices depend on the diagnosis and etiology of the bleeding.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Use regular rather than skim milk, if milk is allowed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications, as indicated, e.g.:&lt;br /&gt;Analgesics, e.g., morphine sulfate;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Acetaminophen (Tylenol);&lt;br /&gt;&lt;br /&gt;Antacids;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Anticholinergics, e.g., belladonna, atropine. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Fat in regular milk may decrease gastric secretions; however, the calcium and protein content (especially in skim milk) increases them.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be narcotic of choice to relieve acute/severe pain and reduce peristaltic activity. Note: Meperidine (Demerol) has been associated with increased incidence of nausea/vomiting.&lt;br /&gt;&lt;br /&gt;Promotes general comfort and rest.&lt;br /&gt;&lt;br /&gt;Decreases gastric acidity by absorption or by chemical neutralization. Evaluate choice of antacid in regard to total health picture, e.g., sodium restriction.&lt;br /&gt;&lt;br /&gt;May be given at bedtime to decrease gastric motility, suppress acid production, delay gastric emptying, and alleviate nocturnal pain associated with gastric ulcer.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding disease process, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of information/recall&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Information misinterpretation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Verbalization of the problem, request for information, statement of misconceptions&lt;br /&gt;Inaccurate follow-through of instructions&lt;br /&gt;Development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of cause of own bleeding episode (if known) and treatment modalities used.&lt;br /&gt;Begin to discuss own role in preventing recurrence.&lt;br /&gt;Knowledge: Treatment Regimen (NOC)&lt;br /&gt;Identify/implement necessary lifestyle changes.&lt;br /&gt;Participate in treatment regimen.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Determine patient perception of cause of bleeding.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide/review information regarding etiology of bleeding, cause/effect, relationship of lifestyle behaviors, and ways to reduce risk/contributing factors. Encourage questions.&lt;br /&gt;&lt;br /&gt;Assist patient to identify relationship of food intake and precipitation of/relief from epigastric pain, including avoidance of gastric irritants, e.g., pepper; caffeine; alcohol; fruit juices; carbonated beverages; and extremely hot, cold, fatty, or spicy foods.&lt;br /&gt;&lt;br /&gt;Recommend small, frequent meals/snacks, chewing food slowly, eating at regular time, and avoiding “skipping” meals.&lt;br /&gt;&lt;br /&gt;Stress importance of reading labels on OTC drugs and either avoiding products containing aspirin or switching to enteric-coated aspirin.&lt;br /&gt;&lt;br /&gt;Review significance of signs/symptoms such as coffee-ground emesis, tarry stools, abdominal distension, severe epigastric/abdominal pain radiating to shoulder/back.&lt;br /&gt;&lt;br /&gt;Support use of stress management techniques, avoidance of emotional stress.&lt;br /&gt;&lt;br /&gt;Review drug regimen, possible side effects, and interaction with other drugs as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient to inform all healthcare providers of bleeding history.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss importance of cessation of smoking.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Establishes knowledge base and provides some insight into how the teaching plan needs to be constructed for this individual.&lt;br /&gt;&lt;br /&gt;Provides knowledge base from which patient can make informed choices/decisions about future and control of health problems.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Caffeine stimulates gastric acidity. Alcohol contributes to erosion of gastric mucosa. Although current research indicates that diet does not contribute to the development of PUD, individuals may find that certain foods/fluids increase gastric secretion and pain.&lt;br /&gt;&lt;br /&gt;Frequent eating keeps HCl neutralized, dilutes stomach contents to minimize action of acid on gastric mucosa. Small meals prevent gastric overdistension.&lt;br /&gt;&lt;br /&gt;Aspirin damages the protective mucosa, permitting gastric erosion, ulceration, and bleeding to occur.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prompt medical evaluation/intervention is required to prevent more serious complications, e.g., perforation, Zollinger-Ellison syndrome.&lt;br /&gt;&lt;br /&gt;Decreases extrinsic stimulation of HCl, reducing risk of recurrence of bleeding.&lt;br /&gt;&lt;br /&gt;Helpful to patient’s understanding of reason for taking drugs and what symptoms are important to report to healthcare provider. Note: Aluminum-containing antacids inhibit the intestinal absorption of some drugs and affect scheduling of drug intake. Some men may incur impotence when using prescription-strength cimetidine (Tagamet). Alternative drug choices are famotidine (Pepcid) and ranitidine (Zantac).&lt;br /&gt;&lt;br /&gt;May affect drug choices and/or concomitant prescriptions, e.g., misoprostol (Cytotec) can be given with NSAIDs to inhibit gastric acid secretion and reduce risk of gastric irritability/lesions resulting from NSAID therapy.&lt;br /&gt;&lt;br /&gt;Ulcer healing may be delayed in people who smoke, particularly in those treated with cimetidine (Tagamet). Smoking stimulates gastric acidity and is associated with increased risk of peptic ulcer development/recurrence.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Refer to support groups/counseling for lifestyle/behavior changes, reduction of associated risk factors, e.g., substance abuse/stop-smoking clinics. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Alcohol users have a higher incidence of gastritis/esophageal varices, and cigarette smoking is associated with peptic ulcers and delayed healing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Therapeutic Regimen: ineffective management—decisional conflicts (e.g., use of NSAIDs for arthritic/chronic pain condition), perceived benefits (e.g., cessation of smoking), economic difficulties (cost of medication).</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/8363033114990204164/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/8363033114990204164' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/8363033114990204164'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/8363033114990204164'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/upper-gastrointestinalesophageal.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-4199679943439719877</id><published>2011-03-01T02:44:00.003-08:00</published><updated>2011-03-01T02:44:54.728-08:00</updated><title type='text'></title><content type='html'>TRANSPLANTATION (POSTOPERATIVE AND LIFELONG)&lt;br /&gt;With current advances in technology and knowledge of immune responses at the molecular level, organ and tissue transplantation is becoming more commonplace. The most frequently transplanted organs are the kidney, liver, and heart. The major problem to be overcome is the immunologic response of the patient to donor tissues. The ability of the immune system to distinguish self from nonself is crucial to its proper functioning; therefore, in the process of transplantation, the donor/nonself can be rejected. The three forms of rejection are (1) hyperactive or hyperacute (within 48 hr), (2) acute (usually within 3–6 mo), and (3) chronic (occurring months or years after transplant). General postoperative care is similar to that for any other major abdominal or cardiothoracic surgery; however, special considerations necessitate meticulous measures to prevent infection and identify early signs of rejection.&lt;br /&gt;CARE SETTING&lt;br /&gt;Post-ICU plan of care addresses early recovery and long-term postdischarge community/clinic follow-up phases.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Refer to (1) specific surgical plans of care for general considerations (e.g., cardiac surgery), and (2) organ-specific plans (e.g., heart failure, renal failure, cirrhosis, hepatitis), relative to issues of target organ problems following transplantation.&lt;br /&gt;Peritonitis&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Sepsis/septicemia&lt;br /&gt;Surgical intervention&lt;br /&gt;Thrombophlebitis: deep vein thrombosis&lt;br /&gt;Patient Assessment Database&lt;br /&gt;Refer to specific plans of care for data reflecting specific organ failure necessitating transplantation.&lt;br /&gt;EGO INTEGRITY&lt;br /&gt;May report: Feelings of anxiety, fearfulness&lt;br /&gt; Multiple stressors: Impact of condition on personal relationships, ability to perform expected/ needed roles, loss of control, required lifestyle changes; financial concerns, cost of procedure/ future treatment needs; uncertainty of outcomes/personal mortality, spiritual conflicts; waiting period for suitable donation&lt;br /&gt; Concerns about changes in appearance (e.g., bloating, jaundice, major scars), aesthetic side effects of immunosuppressant medications&lt;br /&gt; Spiritual questioning (e.g., “Why me?” “Why should I benefit from someone else’s death?”)&lt;br /&gt;May exhibit: Anxiety, delirium, depression; cognitive and emotional behavior changes&lt;br /&gt;SEXUALITY&lt;br /&gt;May report: Loss of libido&lt;br /&gt; Concerns regarding sexual activity&lt;br /&gt;SOCIAL INTERACTIONS&lt;br /&gt;May report: Reactions of family members&lt;br /&gt; Conflicts regarding family member(s) ability/willingness to participate, e.g., financial, organ/bone marrow donation, postprocedure support&lt;br /&gt; Concern about benefiting from other person’s death&lt;br /&gt; Concern for family member who must take on new responsibilities as roles shift&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: Previous illnesses, hospitalizations, surgeries&lt;br /&gt; Lack of improvement/deterioration in condition&lt;br /&gt; Beliefs about transplantation&lt;br /&gt; History of alcohol/drug abuse, disease resulting in organ failure&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: Dependent on organ transplanted&lt;br /&gt;considerations: May need assistance with ADLs; shopping, transportation, ambulation; managing medication regimen&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES (DEPENDENT ON SPECIFIC ORGAN INVOLVEMENT)&lt;br /&gt;General preoperative screening studies include:&lt;br /&gt;Chest x-ray: Provides information about status of lungs and heart.&lt;br /&gt;CT/MRI scan: Reveals status of body systems and organs, including size, shape, and general function of major blood vessels; organ size for best match with donor organ; and potential sources of postoperative complications. Rules out presence of cancer, which would contraindicate transplantation.&lt;br /&gt;Total-body bone scan: Evaluates status of skeletal system to determine presence/absence of bone cancer.&lt;br /&gt;Specific blood and tissue typing: As may be required for donor-recipient matching.&lt;br /&gt;Dental evaluation: To rule out oral infection or abscessed teeth.&lt;br /&gt;Ear, nose, and throat evaluation: To rule out sinus infection.&lt;br /&gt;Renal function studies (e.g., IV pyelogram, creatinine clearance): Determines functional status of kidneys.&lt;br /&gt;Pulmonary function studies: Determines lung function and/or limitations that may complicate recovery.&lt;br /&gt;CBC: Identifies anemia, which can reduce oxygen-carrying capacity, and other blood factors that may affect recovery.&lt;br /&gt;Biochemical studies: Various tests done as indicated in addition to electrolytes, immune status.&lt;br /&gt;Screening tests: To detect presence/type of hepatitis; HIV, viral titer (e.g., CMV, herpes).&lt;br /&gt;ECG: Screens cardiac status, e.g., electrical conduction/dysrhythmias, signs of infarcts/hypertrophy.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Prevent infection.&lt;br /&gt;2. Maximize organ function.&lt;br /&gt;3. Promote independent functioning.&lt;br /&gt;4. Support family involvement and coping.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Free of signs of infection.&lt;br /&gt;2. Signs of rejection absent/minimized.&lt;br /&gt;3. New organ function adequate.&lt;br /&gt;4. Usual activities resumed.&lt;br /&gt;5. Patient/family education plan established.&lt;br /&gt;6. Plan in place to meet individual needs following discharge.&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Infection, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Medically induced immunosuppression, suppressed inflammatory response&lt;br /&gt;Antibiotic therapy&lt;br /&gt;Invasive procedures, broken skin/traumatized tissue&lt;br /&gt;Effects of chronic/debilitating disease&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Infection Status (NOC)&lt;br /&gt;Be free of signs of infection.&lt;br /&gt;Achieve timely wound healing.&lt;br /&gt;PATIENT/CAREGIVER WILL:&lt;br /&gt;Risk Control (NOC)&lt;br /&gt;Demonstrate techniques, lifestyle changes to promote safe environment.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Screen visitors/staff for signs of infection; make sure nurse caring for patient with new transplant is not caring for another patient with infection. Maintain protective isolation as indicated.&lt;br /&gt;&lt;br /&gt;Demonstrate and emphasize importance of proper handwashing techniques by patient and caregivers.&lt;br /&gt;&lt;br /&gt;Inspect all incisions/puncture sites. Evaluate healing progress.&lt;br /&gt;&lt;br /&gt;Provide meticulous care of invasive lines, incisions, wounds. Remove invasive devices as soon as possible.&lt;br /&gt;&lt;br /&gt;Encourage deep breathing, coughing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide/assist with frequent oral hygiene.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Obtain sterile specimens of wound drainage as appropriate.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Monitor laboratory tests, e.g., WBC count.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer anntimicrobials as indicated, e.g., levofloxacin (Levaquin), ciprofloxacin (Cipro). RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces possibility of patient’s contracting a nosocomial infection. Note: Total isolation is usually restricted to patients with lung transplants or individuals with neutropenia.&lt;br /&gt;&lt;br /&gt;First-line defense against infection/cross-contamination.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes early identification of onset of infection and prompt intervention.&lt;br /&gt;&lt;br /&gt;Minimizes potential for bacteria to reduce exposure/risk of infection.&lt;br /&gt;&lt;br /&gt;Mobilizes respiratory secretions and reduces risk of respiratory problems.&lt;br /&gt;&lt;br /&gt;Meticulous attention to oral mucosa is necessary because immunosuppression/antibiotic therapies increase risk of opportunistic oral/mucosal infections.&lt;br /&gt;&lt;br /&gt;Identifying organism allows for appropriate treatment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;An upward trend from baseline could signal infection; however, a low WBC count may result from immnosupressant therapy or from a viral infection.&lt;br /&gt;&lt;br /&gt;Antibiotics may be used to treat infections, but all must be monitored for side effects and drug interactions with cyclosporine and other immunosuppressaants required to prevent organ rejection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Anxiety [specify level]/Fear&lt;br /&gt;May be related to&lt;br /&gt;Unconscious conflict about essential values/beliefs&lt;br /&gt;Situational crises, interpersonal transmission/contagion&lt;br /&gt;Threat to self concept [perceived or actual]; organ rejection, threat of death&lt;br /&gt;Side effects of steroids and/or cyclosporine&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Increased tension, apprehension, uncertainty&lt;br /&gt;Expressed concerns&lt;br /&gt;Somatic complaints&lt;br /&gt;Sympathetic stimulation&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Anxiety [or] Fear Control (NOC)&lt;br /&gt;Appear relaxed and report anxiety is reduced to a manageable level.&lt;br /&gt;Verbalize awareness of feelings.&lt;br /&gt;Identify healthy ways to deal with anxiety.&lt;br /&gt;Use resources/support systems effectively.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss patient’s posttransplant expectations and fears, including physical appearance, lifestyle changes, and concern about recurrence of disease/condition that precipitated the need for the transplant.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient to discuss feelings and concerns about situation and to express fears.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss beliefs/concerns that are commonly held regarding source of organ.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Depending on past experience and exposure to others with transplants, patient may have unrealistic ideas and real concerns about what may happen (e.g., organ rejection, effects of required medications, limitations associated with immunosuppression). Even with effective preoperative  teaching, patient will continue to have new concerns or suppressed thoughts and beliefs, which can surface during recovery, e.g., recurrence of disease (such as hepatitis C) in the transplanted organ or chronic rejection.&lt;br /&gt;&lt;br /&gt;Helps identify issues and can lead to problem solving. Patient may experience anxiety about many things (e.g., physical limitations, cognitive changes, role changes in family). These anxieties change frequently; some are persistent, and new ones arise. Serious anxiety, delirium, and depression are the most commonly reported postoperative psychiatric problems.&lt;br /&gt;&lt;br /&gt;Cultural/spiritual beliefs may lead patient to question whether organ from someone of another race or particular group may change own sense of self-identity/sexuality. Note: Some patients may use denial to deal with concerns about the organ donor. A lack of interest or curiosity about the donor may indicate donor denial.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Anxiety Reduction (NIC)&lt;br /&gt;Independent&lt;br /&gt;Answer patient’s questions about donor honestly, but refrain from providing unrequested information.&lt;br /&gt;&lt;br /&gt;Identify/encourage use of previously successful coping behaviors.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Help patient focus on one “problem” at a time.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss possibility and normalcy of mood swings.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage open communication between SO/family and patient within safe environment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide opportunity for patient and SO/family to meet with other(s) who have experienced a similar and successful transplant.&lt;br /&gt;&lt;br /&gt;Identify possible actions to limit physical effects or manifestations of long-term steroid/cyclosporine use.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Refer to spiritual advisor as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to social worker, other professionals as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Excess information may add to survivor guilt, distracting patient from focusing on business of recovery.&lt;br /&gt;&lt;br /&gt;Under stress, patient may not remember what has worked in the past; discussion can refresh memories of successful behaviors and promote repetition.&lt;br /&gt;&lt;br /&gt;Dealing with one issue at a time seems to make it more manageable. Provides sense of success and opportunity to build on each success.&lt;br /&gt;&lt;br /&gt;Feelings of euphoria and depression are not uncommon, are usually short-lived, but may persist, especially with use of steroids.&lt;br /&gt;&lt;br /&gt;Free expression of feelings/beliefs can lead to clarification and problem solving of different views. When concerns or beliefs are hidden from one another, additional stress/adverse effects may result.&lt;br /&gt;&lt;br /&gt;Sharing experiences and hearing about successes and universal problems can lessen patient’s/SO’s anxieties, promote hope, and provide a role model.&lt;br /&gt;&lt;br /&gt;Learning about clothing styles, makeup techniques, use of bleach or mild depilatory to reduce facial hair can enhance patient’s appearance and reduce anxiety about social rejection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Facing one’s mortality may provoke feelings of anxiety and questions about one’s spiritual beliefs and practices.&lt;br /&gt;&lt;br /&gt;Provides assistance with readjustment to life following major life event.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Coping, [Individual] effective/Family, risk for compromised/disabled&lt;br /&gt;Risk factors may include&lt;br /&gt;Situational crises; family disorganization and role changes&lt;br /&gt;Prolonged disease exhausting supportive capacity of SO/family&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT/FAMILY WILL:&lt;br /&gt;Coping (NOC)&lt;br /&gt;Assess current situation accurately.&lt;br /&gt;Verbalize awareness of own coping abilities.&lt;br /&gt;Meet psychological needs as evidenced by appropriate expression of feelings, identifying options and resources.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Coping Enhancement/Family Integrity Promotion (NIC)&lt;br /&gt;Independent&lt;br /&gt;Encourage and support patient/family in evaluating lifestyle. Discuss implications for the future.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess patient’s/family’s current functional status and note how transplant is affecting ability to cope.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Determine additional outside stressors (e.g., family, social, work environment, or nursing/health care management).&lt;br /&gt;&lt;br /&gt;Provide ongoing information about expected progression of recuperation and potential course of recovery. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Help patients evaluate and choose activities that are important and begin to adjust to new lifestyle of wellness. Note: Transplant patients sometimes cannot evaluate the seriousness of their condition or do not comprehend the risks or benefits involved in transplantation. Additionally, there may be denial about the impact of long-term treatment requirements (i.e., use of immunosuppressant drugs, biopsies, blood tests, and clinic visits).&lt;br /&gt;&lt;br /&gt;Provides a starting point to identify needs and plan care. These people have been dealing with patient’s chronic disease, uncertainty of organ waiting period, and protracted postoperative recovery course, and they face a complicated medical regimen after discharge. All these factors place demands on time, energy, finances, and relationships.&lt;br /&gt;&lt;br /&gt;Illness and treatment demands may affect all areas of life, and problems need to be addressed and resolved to enable patient and SO to manage current situation optimally.&lt;br /&gt;&lt;br /&gt;Knowing what to expect helps individuals cope more effectively, encourages planning for future needs/lifestyle changes. Note: These patients normally require a longer postoperative recovery period because of effects of medication regimen, opportunistic infections, or episodes of organ rejection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Coping Enhancement/Family Integrity Promotion (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss normalcy of/monitor progression through states of acceptance of transplanted organ:&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Foreign body stage—organ feels strange, separate from own body;&lt;br /&gt;Partial internalization stage—protective of organ, restricts movement/activity, excessive concern regarding organ function/fragility;&lt;br /&gt;Complete internalization—acceptance of organ into self-concept, discusses organ only in response to direct questioning.&lt;br /&gt;&lt;br /&gt;Have individual/SO list previous methods of dealing with life problems and outcomes of actions.&lt;br /&gt;&lt;br /&gt;Active-listen and identify individual’s perceptions of what is happening, how transplant has affected view of self-family member.&lt;br /&gt;&lt;br /&gt;Encourage discussion between patient/family regarding future expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Involve in individual/family support groups.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to spiritual resource and/or psychiatric clinical nurse specialist/psychiatrist, social worker, as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sense that organ is “outside” body can be very frightening, while fixation on organ can be irritating to others.&lt;br /&gt;&lt;br /&gt;Understanding normalcy of feelings is reassuring. Note: Movement through stages is variable and regression is common, especially during early posttransplant period.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes problem solving in current situation, allows individual to build on past successes.&lt;br /&gt;&lt;br /&gt;Helps those involved to recognize own feelings and concerns regarding use of an organ from someone who died.&lt;br /&gt;&lt;br /&gt;Period of dependence during illness, concerns over possible organ rejection/life-threatening complications may lead to conflicts regarding patient’s return to an independent role.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides role models, source of practical advice, and emotional support to aid in problem solving.&lt;br /&gt;&lt;br /&gt;May be helpful in resolving lingering/difficult concerns. Note: During waiting period for transplant, relationships with family members may have been strained as a result of the varied stessors involved and because patients tend to feel closer to members of the healthcare team and other patients sharing the same experiences.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding prognosis, therapeutic regimen, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall&lt;br /&gt;Information misinterpretation&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Cognitive limitation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Request for information; statement of misconception&lt;br /&gt;Development of preventable complication&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Health Behaviors/Health Resources (NOC)&lt;br /&gt;Describe measures to reduce individual risk factors to recovery/general well-being.&lt;br /&gt;Initiate necessary lifestyle changes and participate in treatment regimen.&lt;br /&gt;Identify community resources.&lt;br /&gt;Develop plan to meet follow-up care needs.&lt;br /&gt;Assume responsibility for own learning and begin to look for information and ask questions.&lt;br /&gt;For routine postoperative instructions, refer to CP: Surgical Intervention.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Include SO/family in teaching.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide information via multiple media, including written format, depending on level of comprehension. Include presentations by various members of the transplant team as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review general signs/symptoms of rejection and infection (e.g., general malaise/fatigue, dyspnea, sudden weight gain, fever/chills, sore throat, delayed healing of wound, nausea/vomiting, syncope). Review indicators specific to transplanted organ (e.g., liver rejection: pain in liver or back, lighter-colored stools, jaundice, dark-colored urine).&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Emphasize necessity/verify patient ability to adhere to medical regimen and appropriate follow-up, including periodic laboratory tests (e.g., drug levels, lipid panels, organ function studies), routine examinations (e.g., dental, gynecologic), and specialty examinations (e.g., ophthalmology, gastroenterology).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Recommend that results of laboratory tests/diagnostic studies done locally be faxed to transplant center.&lt;br /&gt;&lt;br /&gt;Discuss need to seek medical attention earlier than was probably done in the past.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss managing immunosuppressant therapy, including “do’s and don’ts” of specific medications, anticipated and adverse effects, interaction with other drugs, appropriate use of OTC products; adjustment of prescribed medication dosage (e.g., prednisone) during periods of stress, or with gradual decrease in immunosuppression over months/years, as appropriate.&lt;br /&gt;&lt;br /&gt;Encourage patient/SO to maintain a working relationship with transplant team. Include family members, caregivers in education sessions and discharge planning as appropriate.&lt;br /&gt;&lt;br /&gt;Recommend wearing an identification tag (bracelet, necklace, etc.).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify community resources, including transplant club/support groups.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss self-monitoring routine and record keeping, e.g., chart temperature per protocol (before breakfast/dinner and when not feeling well); weigh daily before breakfast (in like clothing, same scale); blood pressure/pulse, changes in medication dosage, changes in health status/functional ability, etc.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Successful recovery and long-term wellness require a coordinated effort by patient and those regularly involved with patient.&lt;br /&gt;&lt;br /&gt;Enhances learning experience and provides references for postdischarge review/verification of recall. Use of team members, e.g., dietitian, physical/occupational therapists, provides for personalization of teaching plan to meet individual needs.&lt;br /&gt;&lt;br /&gt;Prompt recognition and timely intervention may limit severity of complication. Acute rejection usually develops within days of transplant or may be delayed for a number of months. If detected early, rejection process can be minimized or reversed with changes in drug regimen. Note: Chronic rejection developing after months/years is generally irreversible.&lt;br /&gt;&lt;br /&gt;RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Because lack of cooperation is a major cause of posttransplant complications and mortality, the patient/SO needs to understand that adherence to regimen is imperative. Routine follow-up/care by healthcare providers is necessary to maximize general well-being and to monitor effects of long-term medication regimen on other organ systems (e.g., nephrotoxic effects). Specialty examinations aid in monitoring new organ function and effect on other systems. Additionally, steroids (when used) may cause changes in visual acuity or development of cataracts/glaucoma.&lt;br /&gt;&lt;br /&gt;Long-term care is very complex and requires coordination and cooperation between all healthcare providers.&lt;br /&gt;&lt;br /&gt;Generally a “wait and see” attitude can be detrimental because a delay in treatment could result in organ damage/rejection.&lt;br /&gt;&lt;br /&gt;Multiple medications, often a triple therapy such as cyclosporine or tacrolimus (Prograf), sirolimus (Rapamune), and prednisone, are typically required on an ongoing/lifelong basis to prevent organ rejection. Additional drugs may be needed to manage adverse side effects of immunosuppressant therapy (e.g., infection, osteoporosis, peptic ulcers, hypertension).&lt;br /&gt;&lt;br /&gt;Promotes understanding and cooperation among those providing medical and psychological support in care of patient.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;In emergencies, provides immediate information to care providers relative to surgical/transplant history and medication regimen.&lt;br /&gt;&lt;br /&gt;Provides opportunity for patient and SO(s) to share experiences with others who are going through the same process. Providing anticipatory guidance may enhance problem solving.&lt;br /&gt;&lt;br /&gt;Helps care providers identify individual needs/development of complications.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Recommend frequent oral/dental care and periodic visual inspection of oral mucosa and gums.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review dietary needs. Determine optimal weight, discuss expected changes associated with medication regimen.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify risk factors/additional safety concerns relative to infections, e.g., avoid changing cat litter box or use of live virus vaccines; use gloves when gardening, and take proper care of wounds/tissue trauma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss necessity of handling skin carefully, avoiding strong sunlight and using sunscreen with SPF of 15 or higher.&lt;br /&gt;&lt;br /&gt;Review common postoperative care needs, e.g., routine wound care, need for adequate rest, avoidance of heavy lifting/physical labor or exercise (including contact sports), and activities that stretch or put pressure on incision; when/how to resume driving and sexual activity; dietary and fluid needs/restrictions.&lt;br /&gt;&lt;br /&gt;Provide information about potential sexual dysfunction and encourage open communication for future discussion/support as needed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage continuation of pre-illness daily routines and activities as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss participation in planned exercise program and inform about Transplant Olympics as appropriate/desired. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Immunosuppression increases susceptibility to common opportunistic infections affecting the mouth (e.g., Candida, herpes simplex). Ongoing drug regimen, such as cyclosporine, can cause hypertrophy of gums, or Rapamune can cause ulcerations of the oral mucosa.&lt;br /&gt;&lt;br /&gt;Requirements of normal healing, as well as effects of current stress, medications, and preoperative debilitation, can exacerbate nutritional deficiencies/imbalances and cause excessive weight loss; however, undesired weight gain can also occur because food tastes better, dietary restrictions are eliminated, and prednisone stimulates appetite.&lt;br /&gt;&lt;br /&gt;Awareness of possible risks (including unusual sources) enable patient/family to plan for avoidance. Cat litter can transmit infectious agents such as Listeria. Steroid-induced skin fragility increases risk of injury from minor trauma as a result of immunosuppression.&lt;br /&gt;&lt;br /&gt;Steroid therapy results in skin fragility and sun sensitivity. Broken/damaged skin provides an entry for bacteria.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces likelihood of complications, aids patient/SO in determining appropriateness of activities, and enhances patient’s sense of control and personal responsibility for altering activity level. Note: General advice for early phase: “If it hurts, don’t do it.”&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Decreased libido, erectile dysfunction, and impaired orgasmic ability often occur because of medication regimen, low hormone levels, impaired blood flow, fear of harm to transplanted organ, or emotional disturbances. Initially patient may be too focused on survival to address sexual issues/concerns.&lt;br /&gt;&lt;br /&gt;Enhances general well-being. Promotes focus on returning to “normal life,” reducing sense that everything is different now.&lt;br /&gt;&lt;br /&gt;Restores strength, promotes sense of well-being and self-esteem, reduces risk of osteoporosis and inappropriate weight gain, and decreases hypertension.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Identify employment concerns/risks specific to particular transplanted organ, job responsibilities, and workplace environment.&lt;br /&gt;&lt;br /&gt;Discuss travel needs, e.g., notify team contact person in advance regarding plans; hand carry medications when traveling by airplane; locate transplant center nearest to travel destination before leaving home.&lt;br /&gt;&lt;br /&gt;Stress importance of notifying future care providers of medication regimen. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides opportunity to problem-solve, plan for modifications, or seek alternative vocational options.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Frees patient to be involved in travel if desired. May need special instructions/precautions, depending on travel destination.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Status of immune system functioning may require prophylactic therapy for procedures (such as antibiotics with dental care).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATONS following acute hospitalization (depending on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Therapeutic Regimen: ineffective management—postdischarge concern, complexity of therapeutic regimen, side effects of medications, economic difficulties, prolonged nature of treatment.&lt;br /&gt;Infection, risk for—immunosuppression, antibiotic therapy.&lt;br /&gt;Protection, ineffective—drug therapies (corticosteroid, immune).&lt;br /&gt;Knowledg,e deficient [Learning Need}—participation in support groups; ongoing care in collaboration with transplant team; gradual decrease of immunosuppression over months and years.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/4199679943439719877/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/4199679943439719877' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/4199679943439719877'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/4199679943439719877'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/transplantation-postoperative-and.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6075027833914698490</id><published>2011-03-01T02:44:00.001-08:00</published><updated>2011-03-01T02:44:27.158-08:00</updated><title type='text'></title><content type='html'>TOTAL NUTRITIONAL SUPPORT: PARENTERAL/ENTERAL FEEDING&lt;br /&gt;Nutritional status is a key factor in patient’s overall immune function and a patient’s ability to mount a stress response. Underfeeding a patient may lead to increased nosocomial infections, poor wound healing, respiratory muscle dysfunction, and respiratory failure. Overfeeding patients, in contrast, may increase physiological stress and lead to problems such as hyperglycemia, fluid overload, azotemia, and hepatic dysfunction. Therefore, measuring energy expenditure and determining the patient’s caloric requirements and feeding status should be included in a thorough nutritional assessment. Specifically designed nutritional therapy can be administered by the parenteral or enteral route when the use of standard diets via the oral route is inadequate or not possible or enteral route when the use of standard diets via the oral route is inadequate or not possible to prevent/correct protein-calorie malnutrition.&lt;br /&gt; Enteral nutrition is preferred for the patient who has a functional GI tract but is unable to consume an adequate nutritional intake or for whom oral intake is contraindicated/impossible. Feeding may be done via NG or orogastric tube, esophagostomy, gastrostomy, duodenostomy, or jejunostomy.&lt;br /&gt; Parenteral nutrition may be chosen because of altered metabolic states or when mechanical or functional abnormalities of the GI tract prevent enteral feeding. Amino acids, fat, carbohydrates, trace elements, vitamins, and electrolytes may be infused via a central or peripheral vein.&lt;br /&gt;CARE SETTING&lt;br /&gt;May be any setting, including community/home care&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Burns: thermal/chemical/electrical (acute and convalescent phases)&lt;br /&gt;Cancer&lt;br /&gt;COPD&lt;br /&gt;Fluid and electrolyte imbalances&lt;br /&gt;Inflammatory bowel disease&lt;br /&gt;Pancreatitis&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Renal failure: chronic&lt;br /&gt;Surgical intervention&lt;br /&gt;Patient Assessment Database&lt;br /&gt;Clinical signs listed here depend on the degree and duration of malnutrition and include observations indicative of vitamin, mineral, and protein/calorie deficiencies.&lt;br /&gt;ACTIVITY/REST&lt;br /&gt;May exhibit: Muscle wasting (temporal, intercostal, gastrocnemius, dorsum of hand); thin extremities, flaccid muscles, decreased activity tolerance&lt;br /&gt;CIRCULATION&lt;br /&gt;May exhibit: Tachycardia, bradycardia&lt;br /&gt; Diaphoresis, cyanosis&lt;br /&gt;ELIMINATION&lt;br /&gt;May report: Diarrhea or constipation; flatulence associated with food intake&lt;br /&gt;May exhibit: Abdominal distension/increased girth, ascites; tenderness on palpation&lt;br /&gt; Stools may be loose, hard-formed, fatty, or clay-colored&lt;br /&gt;FOOD/FLUID&lt;br /&gt;May report: Recent weight loss/weight loss of 10% or more of body weight within previous 6 mo&lt;br /&gt; Problems with chewing, swallowing, choking, or saliva production&lt;br /&gt; Changes in the taste of food; anorexia, nausea/vomiting; inadequate oral intake (NPO) status for 7–10 days, long-term use of 5% dextrose intravenously&lt;br /&gt;May exhibit: Actual weight (measured) as compared with usual or pre-illness weight is less than 90% of ideal body weight for height, sex, and age or equal to or greater than 120% of ideal or usual body weight (patient risk in obesity is a tendency to overlook protein and calorie requirements). A distorted actual weight may occur because of the presence of edema, ascites, organomegaly, tumor bulk, anasarca, amputation&lt;br /&gt; Edentulous or ill-fitting dentures&lt;br /&gt; Bowel sounds diminished, hyperactive, or absent&lt;br /&gt; Thyroid, parotid enlargement&lt;br /&gt; Lips dry, cracked, red, swollen; angular stomatitis&lt;br /&gt; Tongue may be smooth, pale, slick, coated; color often magenta, beefy red; lingual papillae atrophy/swelling&lt;br /&gt; Gums swollen/bleeding, multiple caries&lt;br /&gt; Mucous membranes dry, pale, red, swollen&lt;br /&gt;NEUROSENSORY&lt;br /&gt;May exhibit: Lethargy, apathy, listlessness, irritability, disorientation, coma&lt;br /&gt; Gag/swallow reflex may be decreased/absent, e.g., cerebrovascular accident (CVA), head trauma, nerve injury&lt;br /&gt; Loss of balance and coordination&lt;br /&gt;RESPIRATION&lt;br /&gt;May exhibit: Increased respiratory rate; respiratory distress&lt;br /&gt; Dyspnea, increased sputum production&lt;br /&gt; Breath sounds; crackles (protein deficiency/related fluid shifts)&lt;br /&gt;SAFETY&lt;br /&gt;May report: Recent course of radiation therapy (radiation enteritis)&lt;br /&gt;May exhibit: Hair may be fragile, coarse, lackluster, falling out (alopecia), decreased pigmentation may be present&lt;br /&gt; Skin dry, scaly, tented; “flaky paint” dermatosis; edema; draining or unhealed wounds, pressure sores; ecchymoses, perifollicular petechiae, subcutaneous fat loss&lt;br /&gt; Eyes sunken, dull, dry, with pale conjunctiva; Bitot’s spots (triangular, shiny, gray spots on the conjunctiva seen in vitamin A deficiency) or scleral icterus&lt;br /&gt; Nails may be brittle, thin, flattened, ridged, spoon-shaped&lt;br /&gt;SEXUALITY&lt;br /&gt;May report: Loss of libido&lt;br /&gt; Amenorrhea&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: History/presence of conditions causing protracted protein/caloric losses, e.g., malabsorption or short-gut syndrome, diarrhea, acute pancreatitis, renal dialysis, fistulas, draining wounds, thermal injuries; problems with chewing/swallowing (e.g., CVA or Parkinson’s disease)&lt;br /&gt; Presence of factors known to alter nutritional requirements/increase energy demands, e.g., single or multiorgan failure; sepsis; fever; AIDS, cancer; trauma; extensive burns; use of steroids, antitumor agents, immunosuppressants&lt;br /&gt; Use of treatments that greatly alter intake and medications that cause untoward drug/nutrient interactions, e.g., laxatives, anticonvulsants, diuretics, antacids, narcotics, immunosuppresants, radiation, high-dose chemotherapy&lt;br /&gt; Illness of psychiatric origin, e.g., anorexia nervosa/bulimia&lt;br /&gt; Educational/social factors, e.g., lack of nutrition knowledge, kitchen facilities, reduced/limited financial resources&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 6.1 days, depending on underlying disease process&lt;br /&gt;considerations: necessitating therapy&lt;br /&gt; May require assistance with solution preparation, therapy supplies, and maintenance of feeding device for home nutritional care&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Weight: Ideal body weight (IBW): Men—106 lb for first 5’ plus 6 lb for each additional inch of height. Women—100 lb for first 5’ plus 5 lb for each additional inch of height. 120% of IBW is obese, 70%–79% of IBW is moderately underweight. Weight may be inaccurate as a result of factors such as edema, ascites.&lt;br /&gt;Anthropometrics: Includes measurement of weight-to-height ratio, osteometry, and ratios of lean-to-fat weight:&lt;br /&gt;Triceps skin-fold measurement: Estimates subcutaneous fat stores; fat reserves less than 10th percentile suggest advanced depletion; levels less than the 30th percentile suggest mild-to-moderate depletion.&lt;br /&gt;Midarm muscle circumference: Measures somatic muscle mass and is used in combination with triceps skin-fold measurement; a decrease of 15–20 percentiles from the expected value suggests a significant reduction.&lt;br /&gt;Visceral proteins: (Note: Recent research questions the reliability of serum albumin and transferrin as markers for malnutrition.)&lt;br /&gt;Serum albumin (the classic marker measured): Values of 2.7–3.4 g/dL indicate mild depletion; 2.1–2.7 g/dL, moderate depletion; and less than 2.1 g/dL, severe depletion. Decreased levels are due to poor protein intake, nephrotic syndrome, sepsis, burns, HF, cirrhosis, eclampsia, protein-losing enteropathy; above-normal values (more than 4.5 g/dL) are seen in dehydration. (Serum prealbumin has a shorter half-life than albumin, so body stores turn over quickly, theoretically making it a more sensitive indicator of improvement/change in protein status.)&lt;br /&gt;Serum transferrin: More sensitive to changes in visceral protein stores than albumin; levels of 150–200 mg/dL reflect mild depletion; 100–150 mg/dL, moderate depletion; and 100 mg/dL, severe depletion. Elevated values are seen with iron deficiency, pregnancy, hypoxia, and chronic blood loss. Decreased values are seen with pernicious anemia, chronic infection, liver disease, iron overload, and protein-losing enteropathy.&lt;br /&gt;Thyroxine-binding prealbumin: Reflects repaid changes in hepatic protein synthesis and thus is a more sensitive indicator of visceral protein depletion. Decreased levels less than 200 mEq/mL are noted with cirrhosis, inflammation, and surgical trauma.&lt;br /&gt;Amino acid profile: Alterations reflect an imbalance of plasma proteins with depressed levels of branched-chain amino acids (common with hepatic encephalopathy or sepsis).&lt;br /&gt;Tests of immune system:&lt;br /&gt;Total lymphocyte count: Less than 1500 cells/mm3 indicates leukopenia and results from decreased generation of T cells, which are very sensitive to malnutrition. Less than 800 cells/mm3 indicates severe depletion. Levels are also altered by severe stress, renal failure, cancer, infection, and administration of corticosteroids.&lt;br /&gt;Tests of micronutrients:&lt;br /&gt;Potassium: Deficiency occurs with inadequate intake and with loss of potassium-containing fluids (e.g., urine, diarrhea, vomiting, fistula drainage, continuous NG suctioning). Potassium is also lost from cells during muscle wasting and is excreted by the kidneys.&lt;br /&gt;Sodium: Levels depend on state of hydration/presence of active loss as may exist in excessive diuresis, GI suctioning, burns.&lt;br /&gt;Phosphorus: May be decreased, reflecting inadequate intake or increased cellular uptake; may be elevated in renal failure.&lt;br /&gt;Magnesium: Deficiency is common in alcoholics, chronic vomiting, diarrhea; may be elevated in renal failure.&lt;br /&gt;Calcium: Levels are decreased with conditions associated with hypoalbuminemia, e.g., renal failure (majority of calcium is bound to albumin). Absorption is decreased by fat malabsorption and low-protein diet.&lt;br /&gt;Zinc: Deficiency is seen in alcoholic cirrhosis; or may be secondary to hypoalbuminemia and GI losses (diarrhea).&lt;br /&gt;Tests reflecting protein (nitrogen) loss:&lt;br /&gt;Nitrogen balance studies: Nitrogen (protein) excretion via urine, stool, and insensible losses often exceeds nitrogen intake in the acutely ill, reflecting catabolic response to stress and use of endogenous protein stores for energy production (gluconeogenesis). BUN may be severely decreased as a result of chronic malnutrition and depletion of skeletal protein stores.&lt;br /&gt;24-hr creatinine excretion: Because Cr is concentrated in muscle mass, there is a correlation between lean body mass and 24-hr Cr excretion. Actual values are compared with ideal values (based on height and weight) times 100, known as the Cr height index: 60%–80% indicates moderate depletion; less than 60%, severe depletion.&lt;br /&gt;Tests of GI function (include Schilling test, D-xylose test, 72-hr stool fat, GI series): Determine malabsorption.&lt;br /&gt;Chest x-ray: May be normal or show evidence of pleural effusion; small heart silhouette.&lt;br /&gt;ECG: May be normal or demonstrate low voltage, dysrhythmias/patterns reflective of electrolyte imbalances.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Promote consistent intake of adequate calorie and protein requirements.&lt;br /&gt;2. Prevent complications.&lt;br /&gt;3. Minimize energy losses/needs.&lt;br /&gt;4. Provide information about condition, prognosis, and treatment needs.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Nutritional intake adequate for individual needs.&lt;br /&gt;2. Complications prevented/minimized.&lt;br /&gt;3. Fatigue alleviated.&lt;br /&gt;4. Condition, prognosis, and therapeutic regimen understood.&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Nutrition: imbalanced, less than body requirements&lt;br /&gt;May be related to&lt;br /&gt;Conditions that interfere with nutrient intake or increase nutrient need/metabolic demand, e.g., cancer and associated treatments, anorexia, surgical procedures, dysphagia/difficulty swallowing, depressed mental status/level of consciousness&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Body weight 10% or more under ideal&lt;br /&gt;Decreased subcutaneous fat/muscle mass, poor muscle tone&lt;br /&gt;Changes in gastric motility and stool characteristics&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Nutritional Status (NOC)&lt;br /&gt;Demonstrate stable weight or progressive weight gain toward goal with normalization of laboratory values and no signs of malnutrition.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Nutrition Therapy (NIC)&lt;br /&gt;Independent&lt;br /&gt;General&lt;br /&gt;Assess nutritional status continually, during daily nursing care, noting energy level; condition of skin, nails, hair, oral cavity; desire to eat/anorexia.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides the opportunity to observe deviations from normal patient baseline, and influences choice of interventions.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Nutrition Therapy (NIC)&lt;br /&gt;Independent&lt;br /&gt;General&lt;br /&gt;Weigh daily and compare with admission weight.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Document oral intake by use of 24-hour recall, food history, calorie counts as appropriate.&lt;br /&gt;&lt;br /&gt;Ensure accurate collection of specimens (urine and stool) for nitrogen balance studies.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer nutritional solutions at prescribed rate via infusion control device as needed. Adjust rate to deliver prescribed hourly intake. Do not increase rate to “catch up” if infusion slows.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Be familiar with electrolyte content of nutritional solutions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Schedule activities with adequate rest periods. Promote relaxation techniques. &lt;br /&gt;&lt;br /&gt;Total Parenteral Nutrition (TPN)&lt;br /&gt;&lt;br /&gt;Administration (NIC)&lt;br /&gt;&lt;br /&gt;Observe appropriate “hang” time of parenteral solutions per protocol.&lt;br /&gt;&lt;br /&gt;Monitor fingerstick glucose per protocol (e.g., qid during initiation of therapy).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enteral Tube Feeding (NIC)&lt;br /&gt;&lt;br /&gt;Assess GI function and tolerance to enteral feedings: note bowel sounds; reports of nausea/vomiting, abdominal discomfort; presence of diarrhea/constipation; development of weakness, lightheadedness, diaphoresis, tachycardia, abdominal cramping. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Establishes baseline, aids in monitoring effectiveness of therapeutic regimen, and alerts nurse to inappropriate trends in weight loss/gain.&lt;br /&gt;&lt;br /&gt;Identifies imbalance between estimated nutritional requirements and actual intake.&lt;br /&gt;&lt;br /&gt;Inaccurate collection can alter test results, leading to improper interpretation of patient’s current status and needs.&lt;br /&gt;&lt;br /&gt;Nutrition support prescriptions are based on individually estimated caloric and protein requirements. A consistent rate of nutrient administration ensures proper utilization with fewer side effects, such as hyperglycemia or dumping syndrome. Note: Continuous and cyclic infusion of enteral formulas are generally better tolerated than bolus feedings and result in improved absorption.&lt;br /&gt;&lt;br /&gt;Metabolic complications of nutritional support often result from a lack of appreciation of changes that can occur as a result of refeeding, e.g., hyperglycemic, hyperosmolar nonketotic coma (HHNC), electrolyte imbalances.&lt;br /&gt;&lt;br /&gt;Conserves energy/reduces calorie needs. (Refer to ND: Fatigue.)&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Effectiveness of IV vitamins diminishes and solution degrades after 24 hr.&lt;br /&gt;&lt;br /&gt;High glucose content of solutions may lead to pancreatic fatigue, requiring use of supplemental insulin to prevent HNC. Note: Fingerstick determination of glucose level is more accurate than urine testing because of variations in renal glucose threshold.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Because protein turnover of the GI mucosa occurs approximately every 3 days, the GI tract is at great risk for early dysfunction and atrophy from disease and malnutrition. Intolerance of formula/presence of dumping syndrome may require alteration of rate of administration/concentration or type of formula, or possibly change to parenteral administration.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Enteral Tube Feeding (NIC)&lt;br /&gt;Independent&lt;br /&gt;Check gastric residuals if bolus feedings are done and as otherwise indicated; hold feeding/return aspirate per protocol for type/rate of feeding used if residual is greater than predetermined level.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain patency of enteral feeding tubes by flushing with warm water before and after feeding and as indicated, e.g., between multiple doses of medications or when checking gastric residuals.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Transitional&lt;br /&gt;Stress importance of transition to oral feedings as appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess gag reflex, ability to chew/swallow, and motor skills when progressing to transitional feedings.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide self-help utensils as indicated, e.g., plate guard, utensils with built-up handles, lidded cups.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Create optimal environment, e.g., remove noxious stimuli, bedpans, soiled linens. Provide cheerful, attractive tray/ table, soft music, companionship.&lt;br /&gt;&lt;br /&gt;Allow adequate time for chewing, swallowing, savoring food; provide socialization and feeding assistance as indicated.&lt;br /&gt;&lt;br /&gt;Offer small, frequent feedings; incorporate patient likes/ dislikes in meal planning as much as possible, and include “home foods,” as appropriate.&lt;br /&gt;&lt;br /&gt;Provide calorie-containing beverages when oral intake is possible, e.g., juices/Jell-O water, dietary supplements (Sustacal, Ensure), add Polycase to beverages/water.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Refer to nutritional team/registered dietitian. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Delayed gastric emptying can be caused by a specific disease process, e.g., paralytic ileus/surgery, shock; by drug therapy (especially narcotics); or the protein/fat content of the individual formula. Note: Replacement of gastric aspirate reduces loss of gastric acid/electrolytes.&lt;br /&gt;&lt;br /&gt;Enteral formulas contain protein that can clog feeding tubes (more likely with small-bore or silicone than with polyurethane tubes), necessitating removal/replacement of tube. Note: Cranberry juice or colas are not recommended because they may actually cause an obstruction by promoting formula coagulation. Pancrelipase (a pancreatic enzyme) may be effective in clearing tubing of persistent clog.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Although patient may have little interest in food or desire to eat, transition to oral feedings is preferred in view of potential side effects/complications of nutritional support therapy.&lt;br /&gt;&lt;br /&gt;May require additional interventions, e.g., retraining by dysphagia expert (speech therapist) or long-term nutritional support.&lt;br /&gt;&lt;br /&gt;Patients with neuromuscular deficits, e.g., post-CVA, brain injury, may require use of special aids developed for feeding.&lt;br /&gt;&lt;br /&gt;Encourages patient’s attempts to eat, reduces anorexia, and introduces some of the social pleasures usually associated with mealtime.&lt;br /&gt;&lt;br /&gt;Patients need encouragement/assistance to overcome underlying problems such as anorexia, fatigue, muscular weakness.&lt;br /&gt;&lt;br /&gt;May enhance patient’s desire for food and amount of intake.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maximizes calorie intake when oral intake is limited/restricted.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Aids in identification of nutrient deficits and need for parenteral/enteral nutritional intervention.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Enteral Tube Feeding (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Calculate basal energy expenditure (BEE) using formula based on sex, height, weight, age, and estimated energy requirements.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review results of indirect calorimetry test if available.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enteral Feeding/TPN Administration (NIC)&lt;br /&gt;&lt;br /&gt;Assist with insertion and confirm proper placement of infusion/feeding line (e.g., chest x-ray for central venous catheter or aspiration of gastric contents from feeding tube) before administration of solutions.&lt;br /&gt;&lt;br /&gt;Administer dextrose-electrolyte or dextrose–amino acid and lipid emulsions (3-in-1) solutions as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Co-infuse lipid emulsions if 3-in-1 solutions are not used.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications, as indicated, e.g.:&lt;br /&gt;Multivitamin preparations;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Insulin;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Diphenoxylate with atropine (Lomotil), camphorated tincture of opium (paregoric), and metoclopramide(Reglan).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides an estimation of calorie and protein needs. Note: Although the BEE may more accurately determine individual needs, studies show that BEE is rarely measured and a standard formula for projecting energy requirements is to provide 30 Kcal/kg for weight maintenance, 25 Kcal/kg for weight loss, or  35 Kcal/kg for weight gain.&lt;br /&gt;&lt;br /&gt;Measures O2 consumption at basal or resting metabolic rate to aid in estimating calorie/protein requirements.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of feeding-induced complications, including pneumothorax/hemothorax, hydrothorax, air embolus, arterial puncture (central venous line), or aspiration (NG tube).&lt;br /&gt;&lt;br /&gt;Solutions provide calories, essential amino acids, and micronutrients, usually combined with lipids for complete nutrition known as total nutrient admixtures (TNA). Solutions are modified to meet specific needs, e.g., renal and liver failure (lower protein), respiratory failure (higher fat). Note: 3-in-1 solution bags are larger (2–3 L) and can infuse over a 24-hr period, eliminating the need for frequent bag changes and reducing line manipulation/risk of contamination.&lt;br /&gt;&lt;br /&gt;Useful in meeting excessive calorie requirements (e.g., burns) or as a source of essential fatty acids during long-term hyperalimentation. Note: Lipid solutions may be contraindicated in patients with alterations in fat metabolism or in the presence of pancreatitis, liver damage, anemia, coagulation disorders, pulmonary disease.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Water-soluble vitamins are added to parenteral solutions. Other vitamins may be given for identified deficiencies.&lt;br /&gt;&lt;br /&gt;High glucose content of solutions may require exogenous insulin for metabolism, especially in presence of pancreatic insufficiency or disease. Note: Insulin is usually now added directly to parenteral solution.&lt;br /&gt;&lt;br /&gt;GI side effects of enteral feeding may need to be controlled with antidiarrheal agents (Lomotil/paregoric) or peristaltic stimulants (Reglan) if more conservative measures such as alteration of rate/strength or type of formula are not successful.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Enteral Feeding/TPN Administration (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Monitor laboratory studies, e.g., serum glucose, electrolytes, transferrin, prealbumin/albumin, total protein, phosphate, BUN/Cr, liver enzymes, CBC, ABGs. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Serum chemistries, blood counts, and lipid profiles are performed before initiation of therapy, providing a baseline for comparison with repeat (monitoring) studies to determine therapy needs/complications. Untoward metabolic effects of TPN include hypokalemia, hyponatremia and fluid retention, hyperglycemia, hypophosphatemia, increased CO2 production resulting in respiratory compromise, elevation of liver function tests, renal dysfunction.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Infection, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Invasive procedures: insertion of venous catheter; surgically placed gastrostomy/jejunostomy feeding tube&lt;br /&gt;Malnutrition; chronic disease&lt;br /&gt;Environmental exposure: access devices in place for extended periods, improper preparation/handling/contamination of the feeding solution&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Immune Status (NOC)&lt;br /&gt;Experience no fever or chills.&lt;br /&gt;Demonstrate clean catheter insertion sites, free of drainage and erythema/edema.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Stress/model proper handwashing technique.&lt;br /&gt;&lt;br /&gt;Maintain sterile technique for invasive procedures, e.g., IV, urinary catheter insertion. Provide routine site/wound and perineal care as appropriate.&lt;br /&gt;&lt;br /&gt;Encourage frequent position changes and out of bed/ambulation as tolerated.&lt;br /&gt;&lt;br /&gt;Screen visitors/care providers for infectious processes, especially URI. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of cross-contamination.&lt;br /&gt;&lt;br /&gt;Prevents entry of bacteria, reducing risk of nosocomial infections.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Limits stasis of body fluids, promotes optimal functioning of organ systems, GI tract.&lt;br /&gt;&lt;br /&gt;Reduces risk of transmission viruses that are difficult to treat.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor/assist with respiratory exercises, use of adjuncts, e.g., incentive spirometer. Auscultate lungs for adventitious sounds.&lt;br /&gt;&lt;br /&gt;Assess vital signs, including temperature per protocol.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Parenteral TPN Administration (NIC)&lt;br /&gt;&lt;br /&gt;Maintain an optimal aseptic environment during bedside insertion of central venous catheters and during changes of TPN bottles and administration tubing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Secure external portion of catheter/administration tubing to dressing with tape. Note intactness of skin suture.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain a sterile occlusive dressing over catheter insertion site. Perform central/peripheral venous catheter dressing care per protocol.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Inspect insertion site of catheter for erythema, induration, drainage, tenderness.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refrigerate premixed solutions before use; observe a 24-hr hang time for amino acid or total nutrient admixtures solutions and a 12-hr hang time for IV fat emulsions.&lt;br /&gt;&lt;br /&gt;Monitor urinary output and serum glucose levels.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enteral Tube Feeding (NIC)&lt;br /&gt;&lt;br /&gt;Keep manipulations of enteral feeding system to a minimum and wash hands before opening system.&lt;br /&gt;&lt;br /&gt;Alternate nares for tube placement in long-term NG feedings.&lt;br /&gt;&lt;br /&gt;Provide daily/prn site care to abdominally placed feeding tubes. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes deep breathing to clear airways and reduce risk of pneumonia. Presence of wheezes suggests retained secretions, potential complications requiring intervention.&lt;br /&gt;&lt;br /&gt;A rise in pulse and temperature may provide warning of infectious process unless patient’s immune system is too compromised to respond.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Catheter-related sepsis may result from entry of pathogenic microorganisms through skin insertion tract or from touch contamination during manipulations of TPN system.&lt;br /&gt;&lt;br /&gt;Manipulation of catheter in/out of insertion site can result in tissue trauma (coring) and potentiate entry of skin organisms into catheter tract.&lt;br /&gt;&lt;br /&gt;Protects catheter insertion sites from potential sources of contamination. Note: Central venous catheter sites can easily become contaminated from tracheostomy/&lt;br /&gt;endotracheal secretions or from wounds of the head, neck, and chest.&lt;br /&gt;&lt;br /&gt;The catheter is a potential irritant to the surrounding skin and subcutaneous skin tract, and extended use may result in insertion site irritation and infection.&lt;br /&gt;&lt;br /&gt;TPN solutions and fat emulsions have been shown to support the growth of a variety of pathogenic organisms once contaminated.&lt;br /&gt;&lt;br /&gt;A rise in temperature or loss of glucose tolerance (glycosuria, hyperglycemia) are early indications of possible catheter-related sepsis.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Touch contamination of formula is caused by caregiver administration technique.&lt;br /&gt;&lt;br /&gt;Reduces risk of trauma/infection of paranasal tissue (especially important in facial trauma/burns).&lt;br /&gt;&lt;br /&gt;GI secretions leaking through or around gastrostomy/jejunostomy tube tracts can cause skin breakdown severe enough to require removal of the feeding tube.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Enteral Tube Feeding (NIC)&lt;br /&gt;Independent&lt;br /&gt;Refrigerate reconstituted enteral formulas before use; observe a hang time of 4–8 hr; discard unused formula after 24 hr.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Aseptically prepare parenteral solutions/enteral formulas for administration.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Notify physician if signs of infection present. Follow protocol for obtaining appropriate culture specimens, e.g., blood, solutions, and change bottle/tubing as indicated.&lt;br /&gt;&lt;br /&gt;Administer antibiotics as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enteral formulas easily support bacterial growth and can be contaminated during formula preparation. For example, bacterial growth has been shown to occur within 4 hr after contamination.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;TPN solutions should be prepared under a laminar flow hood in the pharmacy. Enteral formulas should be mixed in a clean environment in the dietary or pharmacy department, although with the advent of canned/modular formulas, this may not be necessary. Note: Additives to TPN solutions, as a rule, should not be made on the unit because of the potential for contamination and drug incompatibilities.&lt;br /&gt;&lt;br /&gt;Necessary to identify source of infection and initiate appropriate therapy. May require removal of TPN line and culture of catheter tip.&lt;br /&gt;&lt;br /&gt;May be given prophylactically or for specifically identified organism.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Injury, risk for [multifactor]&lt;br /&gt;Risk factors may include&lt;br /&gt;External environment: catheter-related complications (air emboli and septic thrombophlebitis)&lt;br /&gt;Internal factors: aspiration; effects of therapy/drug interactions&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Risk Control (NOC)&lt;br /&gt;Be free of complications associated with nutritional support.&lt;br /&gt;Modify environment/correct hazards to enhance safety for in-home therapy.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Surveillance (NIC)&lt;br /&gt;Independent&lt;br /&gt;Parenteral&lt;br /&gt;Maintain a closed central IV system using Luer-Lok connections/taping of all connections.&lt;br /&gt;&lt;br /&gt;Administer appropriate TPN solution via peripheral or central venous route (including peripherally inserted centeral catheter [PICC] lines and tunneled catheters).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor for potential drug/nutrient interactions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess catheter for signs of displacement out of central venous position, i.e., extended length of catheter on skin surface; leaking of IV solution onto dressing; patient complaints of neck/arm pain, tenderness at catheter site, or swelling of extremity on side of catheter insertion.&lt;br /&gt;&lt;br /&gt;Inspect peripheral TPN catheter site routinely and change sites at least every other day, or per protocol.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Investigate reports of severe chest pain/coughing in patients with central line. Turn patient to left side in Trendelenburg position if indicated and notify physician.&lt;br /&gt;&lt;br /&gt;Maintain an occlusive dressing on catheter insertion sites for 24 hr after subclavian catheter is removed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enteral&lt;br /&gt;Assess gastrostomy or jejunostomy tube sites for evidence used of malposition.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Review chest x-ray as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Inadvertent disconnection of central IV system can result in lethal air emboli.&lt;br /&gt;&lt;br /&gt;Solutions containing high concentrations of dextrose (more than 10%) must be delivered via a central vein because they result in chemical phlebitis when delivered through small peripheral veins.&lt;br /&gt;&lt;br /&gt;Various interactions are possible; for example, digoxin (in conjunction with diuretic therapy) can cause hypomagnesemia; hypokalemia may result from chronic use of laxatives, mineralocorticosteroids, diuretics, or amphotericin.&lt;br /&gt;&lt;br /&gt;Central venous catheter tip may slip out of superior vena cava and migrate into smaller innominate and jugular veins, causing a chemical thrombophlebitis. Incidence of subclavian or superior vena cava thrombosis is increased with extended use of central venous catheters.&lt;br /&gt;&lt;br /&gt;Peripheral TPN solutions (although less hyperosmolar) can still irritate small veins and cause phlebitis. Peripheral venous access is often limited in malnourished patients, but site should still be changed if signs of irritation develop.&lt;br /&gt;&lt;br /&gt;Suggests presence of air embolus requiring immediate intervention to displace air into apex of heart away from the pulmonary artery.&lt;br /&gt;&lt;br /&gt;Extended catheter use may result in development of catheter skin tract. Once the catheter is removed, air embolus is still a potential risk until skin tract has sealed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Indwelling and mushroom catheters are still frequently for feeding tubes inserted via the abdomen. Migration of the catheter balloon can result in duodenal or jejunal obstruction. Improperly sutured gastrostomy tubes may easily fall out.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Central parenteral line placement is routinely confirmed by x-ray.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Surveillance (NIC)&lt;br /&gt;Independent&lt;br /&gt;Consult with pharmacist in regard to site/time of delivery of drugs that might have action adversely affected by enteral formula. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Absorption of vitamin D is impaired by administration of mineral oil (inhibits micelle formation of bile salts) and by neomycin (inactivates bile salts). Aluminum-containing antacids bind with the phosphorus in the feeding solution, potentiating hypophosphatemia.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Aspiration, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Presence of GI tube, bolus tube feedings, medication administration&lt;br /&gt;Increased intragastric pressure, delayed gastric emptying&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Ventilation (NOC)&lt;br /&gt;Maintain clear airway, be free of signs of aspiration.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Aspiration Precautions (NIC)&lt;br /&gt;Independent&lt;br /&gt;Confirm placement of nasoenteral feeding tubes. Determine feeding tube position in stomach by x-ray, confirmation of pH of 0–5 of the gastric fluid withdrawn through tube, or auscultation of injected air before intermittent feedings. Observe for ability to speak/cough.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain aspiration precautions during enteral feedings, e.g.:&lt;br /&gt;Keep head of bed elevated at 30–45 degrees during feeding and at least 1 hr after feeding;&lt;br /&gt;&lt;br /&gt;Inflate tracheostomy cuff during and for 1 hr after intermittent feeding. Interrupt feeding when patient is in prone position; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Malplacement of nasoenteral feeding tubes may result in aspiration of enteral formula. Patients at particular risk include those who are intubated or obtunded and those who have had a CVA or surgery of the head/neck and upper GI system. Note: The reliability of the pH method is reduced if antacids or certain other medications have been given po/NG in the past 4 hr. Also when using auscultatory method to assess tube placement, air sounds can be transmitted to the epigastrium even if the tube is malpositioned (i.e., in lung or proximal jejunum).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of regurgitation/gastric reflux.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Aspiration of enteral formulas is highly irritating to the lung parenchyma and may result in pneumonia and respiratory compromise.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Aspiration Precautions (NIC)&lt;br /&gt;Independent&lt;br /&gt;Add blue food coloring to enteral formula as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor gastric residuals after bolus feedings (as previously noted in ND: Nutrition: imbalanced, less than body requirements).&lt;br /&gt;&lt;br /&gt;Note characteristics of sputum/tracheal aspirate. Investigate development of dyspnea, cough, tachypnea, cyanosis. Auscultate breath sounds.&lt;br /&gt;&lt;br /&gt;Note indicators of NG tube intolerance, e.g., absence of gag reflex, high risk of aspiration, frequent removal of NG feeding tubes.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Review abdominal x-ray if done. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Helps identify aspiration of enteral formula and/or tracheal esophageal fistula, if discovered in sputum/lung secretions. Note: Avoid use of methylene blue dye, which may cause false-positive guaiac test when assessing for GI bleeding.&lt;br /&gt;&lt;br /&gt;Presence of large gastric residuals may potentiate an incompetent esophageal sphincter, leading to vomiting and aspiration.&lt;br /&gt;&lt;br /&gt;Presence of formula in tracheal secretions or signs/symptoms reflecting respiratory distress suggest aspiration.&lt;br /&gt;&lt;br /&gt;May require consideration of surgically placed feeding tube/percutaneous endoscopic gastrostomy (PEG), jejunostomy for patient safety and consistency of enteral formula delivery.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Confirmation of placement of gastric feeding tube may be obtained by x-ray.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fluid Volume, risk for imbalance&lt;br /&gt;Risk factors may include&lt;br /&gt;Active loss and/or failure of regulatory mechanisms (specific to underlying disease process/trauma); complications of nutrition therapy, e.g., high-glucose solutions, hyperglycemia (hyperosmolar nonketotic coma and severe dehydration)&lt;br /&gt;Inability to obtain/ingest fluids&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Fluid Balance (NOC)&lt;br /&gt;Display moist skin/mucous membranes, stable vital signs, individually adequate urinary output; be free of edema and excessive weight loss/inappropriate gain.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Fluid Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess for clinical signs of dehydration (e.g., thirst, dry skin/mucous membranes, hypotension) or fluid excess(e.g., peripheral edema, tachycardia, adventitious breath sounds).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Incorporate knowledge of caloric density of enteral formulas into assessment of fluid balance.&lt;br /&gt;&lt;br /&gt;Provide additional water/flush tubing as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Record I&amp;O; calculate fluid balance. Measure urine specific gravity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Weigh daily or as indicated; evaluate changes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Monitor laboratory studies, e.g.:&lt;br /&gt;Serum potassium/phosphorus;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Hct;&lt;br /&gt;&lt;br /&gt;Serum albumin.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Dilute formula or change from hypertonic to isotonic formula as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Early detection and intervention may prevent occurrence of excessive fluctuation in fluid balance. Note: Severely malnourished patients have an increased risk of developing refeeding syndrome, e.g., life-threatening fluid overload, intracellular electrolyte shifts, and cardiac strain occurring during initial 3–5 days of therapy.&lt;br /&gt;&lt;br /&gt;Enteric solutions are usually concentrated and do not meet free water needs.&lt;br /&gt;&lt;br /&gt;With higher calorie formula, additional water is needed to prevent dehydration/HHNC.&lt;br /&gt;&lt;br /&gt;Excessive urinary losses may reflect developing HHNC. Specific gravity is an indicator of hydration and renal function.&lt;br /&gt;&lt;br /&gt;Rapid weight gain (reflecting fluid retention) can predispose/potentiate HF or pulmonary edema. Gain of more than 0.5 lb/day indicates fluid retention and not deposition of lean body mass.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Hypokalemia/phosphatemia can occur because of intracellular shifts during initial refeeding and may compromise cardiac function if not corrected.&lt;br /&gt;&lt;br /&gt;Reflects hydration/circulating volume.&lt;br /&gt;&lt;br /&gt;Hypoalbuminemia/decreased colloidal osmotic pressure leads to third spacing of fluid (edema).&lt;br /&gt;&lt;br /&gt;May decrease gastric intolerance, reducing occurrence of diarrhea and associated fluid losses.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Fatigue&lt;br /&gt;May be related to&lt;br /&gt;Decreased metabolic energy production; increased energy requirements (hypermetabolic states, healing process)&lt;br /&gt;Altered body chemistry: medications, chemotherapy&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Overwhelming lack of energy, inability to maintain usual routines/accomplish routine tasks&lt;br /&gt;Lethargy, impaired ability to concentrate&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Endurance (NOC)&lt;br /&gt;Report increased sense of well-being/energy level.&lt;br /&gt;Demonstrate measurable increase in physical activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Energy Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor physiological response to activity, e.g., changes in BP, or heart/respiratory rate.&lt;br /&gt;&lt;br /&gt;Establish realistic activity goals with patient.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Plan care to allow for rest periods. Schedule activities for periods when patient has most energy. Involve patient/SO in schedule planning.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient to do whatever possible, e.g., self-care, sitting up in chair, walking. Increase activity level as indicated.&lt;br /&gt;&lt;br /&gt;Provide passive/active ROM exercises to bedridden patients.&lt;br /&gt;&lt;br /&gt;Keep bed in low position, pathways clear of furniture; assist with ambulation.&lt;br /&gt;&lt;br /&gt;Assist with self-care needs as necessary.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Provide supplemental O2 as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Refer to physical/occupational therapy. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Tolerance varies greatly, depending on the stage of the disease process, nutritional state, and fluid balance.&lt;br /&gt;&lt;br /&gt;Provides for a sense of control and feelings of accomplishment.&lt;br /&gt;&lt;br /&gt;Frequent rest periods are needed to restore/conserve energy. Planning allows patient to be active during times when energy level is higher, which may restore a feeling of well-being and a sense of control.&lt;br /&gt;&lt;br /&gt;Increases strength/stamina and enables patient to become more active without undue fatigue.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;The development of healthy lean muscle mass depends on the provision of both isotonic and isometric exercises.&lt;br /&gt;&lt;br /&gt;Protects patient from injury during activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Generalized weakness may make ADLs almost impossible for patient to complete.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Presence of anemia/hypoxemia reduces O2 available for cellular uptake and contributes to fatigue.&lt;br /&gt;&lt;br /&gt;Programmed daily exercises and activities help patient maintain/increase strength and muscle tone and enhance sense of well-being.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall, information misinterpretation&lt;br /&gt;Cognitive limitation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Request for information, questions/statement of misconception&lt;br /&gt;Inaccurate follow-through of instructions/development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of condition/disease process and individual nutritional needs.&lt;br /&gt;Knowledge: Treatment Procedure (NOC)&lt;br /&gt;Correctly perform necessary procedures and explain reasons for the actions.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Prescribed Diet (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess patient’s/SO’s knowledge of nutritional state. Review individual situation, signs/symptoms of malnutrition, future expectations, transitional feeding needs.&lt;br /&gt;&lt;br /&gt;Discuss reasons for use of parenteral/enteral nutrition support.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide adequate time for teaching patient/SO when patient is going home on enteral/parenteral feedings. Document patient’s/SO’s understanding and ability/ competence to deliver safe home therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss proper handling, storage, preparation of nutritional solutions or blenderized feedings; also discuss aseptic or clean techniques for care of insertion sites and use of dressings.&lt;br /&gt;&lt;br /&gt;Review use/care of nutritional support devices.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review specific precautions depending on type of feeding, e.g., checking placement of tube, sitting upright for enteral feeding, maintaining patency of tube, anchoring of tubing and adequate length of tubing for nighttime feeding. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides information from which patient/SO can make informed choices. Knowledge of the interaction between malnutrition and illness is helpful in understanding need for special therapy.&lt;br /&gt;&lt;br /&gt;May experience anxiety regarding inability to eat and may not comprehend the nutritional value of the prescribed TPN/tube feedings.&lt;br /&gt;&lt;br /&gt;Generally, 3–4 days is sufficient for patient/SO to become proficient with tube feedings. Parenteral therapy is more complex, and patient/SO may require a week or longer to feel ready for home management; follow-up in the home is required.&lt;br /&gt;&lt;br /&gt;Reduces risk of formula-/solution-related problems, metabolic complications, and infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient understanding and cooperation are key to the safe insertion and maintenance of nutritional support access devices and prevention of complications.&lt;br /&gt;&lt;br /&gt;Promotes safe self-care and reduces risk of complications.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Prescribed Diet (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss/demonstrate reinsertion of enterostomal feeding tube if appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify signs/symptoms requiring medical evaluation, e.g., nausea/vomiting, abdominal cramping or bloating, diarrhea, rapid weight changes; erythema, drainage, foul odor at tube insertion site, fever/chills; coughing/choking or difficulty breathing during enteral feeding.&lt;br /&gt;&lt;br /&gt;Instruct patient/SO in glucose monitoring if indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss signs/symptoms and treatment of hyperglycemia/ hypoglycemia.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage use of diary for recording test results, physical feelings/reactions, activity level, oral intake if any, I&amp;O, weekly weight.&lt;br /&gt;&lt;br /&gt;Recommend daily exercise/activity to tolerance, scheduling of adequate rest periods.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ascertain that all supplies are in place in the home before discharge; make arrangements as needed with suppliers, e.g., hospital, pharmacy, medical equipment company, laboratory.&lt;br /&gt;&lt;br /&gt;Refer to nutritional support team, home healthcare agency, and counseling resources. Provide with immediate access phone numbers. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Tube may be changed routinely or inserted only for feedings. Intermittent feedings enhance patient mobility and aid in transition to regular feeding pattern.&lt;br /&gt;&lt;br /&gt;Early evaluation and treatment of problems (e.g., feeding intolerance, infection, aspiration) may prevent progression to more serious complications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Timely recognition of changes in blood glucose levels reduces risk of hyperglycemic or hypoglycemic reactions in patient on hyperalimentation.&lt;br /&gt;&lt;br /&gt;Hyperglycemia is more common for patients receiving parenteral feedings and those who have pancreas or liver disease or are taking large doses of corticosteroids. Rebound hypoglycemia can occur when feedings are intentionally/accidentally discontinued.&lt;br /&gt;&lt;br /&gt;Provides resource for review by healthcare providers for optimal management of individual situation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enhances gastric motility for enteral/transition feedings, promotes feelings of general well-being, and prevents undue fatigue.&lt;br /&gt;&lt;br /&gt;Provides for successful and competent home therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient/SO needs readily available support persons to assist with nutrition therapy, equipment problems, and emotional adjustments in long-term/home-based therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Fatigue—decreased metabolic energy production; increased energy requirements (hypermetabolic states, healing process); altered body chemistry, e.g., medications, chemotherapy.&lt;br /&gt;Injury, risk for—catheter-related complications (catheter breaks, dislodgement, occlusion), effects of therapy (e.g., electrolyte/fluid shifts, diarrhea)/drug interactions, aspiration.&lt;br /&gt;Infection, risk for—invasive tubes, environmental exposure, malnutrition, chronic disease.&lt;br /&gt;Family Processes, interrupted—situational crises.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6075027833914698490/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6075027833914698490' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6075027833914698490'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6075027833914698490'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/total-nutritional-support.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6119333641611486887</id><published>2011-03-01T02:43:00.003-08:00</published><updated>2011-03-01T02:43:47.646-08:00</updated><title type='text'></title><content type='html'>TOTAL JOINT REPLACEMENT&lt;br /&gt;Joint replacement is indicated for irreversibly damaged joints with loss of function and unremitting pain (e.g., degenerative and rheumatoid arthritis [RA]), selected fractures (e.g., hip/femoral neck), joint instability, and congenital hip disorders. The surgery can be performed on any joint except the spine. Hip and knee replacements are the most common procedures. The prosthesis may be metallic or polyethylene (or a combination) implanted with a methylmethacrylate cement, or it may be a porous, coated implant that encourages bony ingrowth.&lt;br /&gt;CARE SETTING&lt;br /&gt;Inpatient acute surgical unit and subacute or rehabilitation unit.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Fractures&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Rheumatoid arthritis&lt;br /&gt;Sepsis/septicemia&lt;br /&gt;Surgical intervention&lt;br /&gt;Thrombophlebitis: deep vein thrombosis&lt;br /&gt;Patient Assessment Database&lt;br /&gt;ACTIVITY/REST&lt;br /&gt;May report: History of occupation/participation in sports activities that wears on particular joint&lt;br /&gt; Difficulty walking; stiffness in joints (worse in the morning or after period of inactivity)&lt;br /&gt; Fatigue, generalized and muscle weakness&lt;br /&gt; Inability to participate in occupational/recreational activities at desired level&lt;br /&gt; Interruption of sleep, delayed falling asleep/awakened by pain; does not feel well rested&lt;br /&gt;May exhibit: Decreased ROM and muscle strength/tone&lt;br /&gt;HYGIENE&lt;br /&gt;May report: Difficulty performing ADLs&lt;br /&gt; Use of special equipment/mobility devices&lt;br /&gt; Need for assistance with some/all activities&lt;br /&gt;NEUROSENSORY&lt;br /&gt;May exhibit: Soft tissue swelling, nodules&lt;br /&gt; Muscle spasm, stiffness, deformity&lt;br /&gt; Impaired ROM of affected joints&lt;br /&gt;PAIN/DISCOMFORT&lt;br /&gt;May report: Pain (dull, aching, persistent) in affected joint(s), worsened by movement&lt;br /&gt;SAFETY&lt;br /&gt;May report: Traumatic injury/fractures affecting the joint&lt;br /&gt; Congenital deformities&lt;br /&gt; History of inflammatory, debilitating arthritis (RA or osteoarthritis); aseptic necrosis of the joint head&lt;br /&gt;May exhibit: Distorted joints&lt;br /&gt; Joint/tissue swelling, decreased ROM, changes in gait&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: Current medication use, e.g., anti-inflammatory, analgesics/narcotics, steroids, hormone replacement therapy (HRT), bone resorption inhibitor (e.g., Fosamax), calcium supplements&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 3–5 days (depending on joint replaced)&lt;br /&gt;considerations: May need assistance with transportation, self-care activities, homemaker/maintenance tasks, possible placement in rehab/extended-care facility for continued rehabilitation/assistance&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;X-rays: May reveal destruction of articular cartilage, bony demineralization, fractures, soft-tissue swelling; narrowing of joint space, joint subluxations or deformity.&lt;br /&gt;Bone scan, CT/MRI: Determine extent of degeneration and rule out malignancy.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Prevent complications.&lt;br /&gt;2. Promote optimal mobility.&lt;br /&gt;3. Alleviate pain.&lt;br /&gt;4. Provide information about diagnosis, prognosis, and treatment needs.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Complications prevented/minimized.&lt;br /&gt;2. Mobility increased.&lt;br /&gt;3. Pain relieved/controlled.&lt;br /&gt;4. Diagnosis, prognosis, and therapeutic regimen understood.&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Infection, risk for&lt;br /&gt;Risk factors may include&lt;br /&gt;Inadequate primary defenses (broken skin, exposure of joint)&lt;br /&gt;Inadequate secondary defenses/immunosuppression (long-term corticosteroid use, cancer)&lt;br /&gt;Invasive procedures; surgical manipulation; implantation of foreign body&lt;br /&gt;Decreased mobility&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Infection Status (NOC)&lt;br /&gt;Achieve timely wound healing, be free of purulent drainage or erythema, and be afebrile.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Promote good handwashing by staff and patient.&lt;br /&gt;&lt;br /&gt;Use strict aseptic or clean techniques as indicated to reinforce/change dressings and when handling drains. Instruct patient not to touch/scratch incision.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of cross-contamination.&lt;br /&gt;&lt;br /&gt;Prevents contamination and risk of wound infection, which could require removal of prosthesis.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Infection Protection (NIC)&lt;br /&gt;Independent&lt;br /&gt;Maintain patency of drainage devices (e.g., Hemovac/ Jackson-Pratt) when present. Note characteristics of wound drainage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess skin/incision color, temperature, and integrity; note presence of erythema/inflammation, loss of wound approximation.&lt;br /&gt;&lt;br /&gt;Investigate reports of increased incisional pain, changes in characteristics of pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor temperature. Note presence of chills.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage fluid intake, high-protein diet with roughage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Maintain reverse/protective isolation, if appropriate.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer antibiotics as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of infection by preventing accumulation of  blood and secretions in the joint space (medium for bacterial growth). Purulent, nonserous, odorous drainage is indicative of infection, and continuous drainage from incision may reflect developing skin tract, which can potentiate infectious process.&lt;br /&gt;&lt;br /&gt;Provides information about status of healing process and alerts staff to early signs of infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Deep, dull, aching pain in operative area may indicate developing infection in joint. Note: Infection is devastating, because joint cannot be saved once infection sets in, and prosthetic loss will occur.&lt;br /&gt;&lt;br /&gt;Although temperature elevations are common in early postoperative phase, elevations occurring 5 or more days postoperatively and/or presence of chills usually requires intervention to prevent more serious complications, e.g., sepsis, osteomyelitis, tissue necrosis, and prosthetic failure.&lt;br /&gt;&lt;br /&gt;Maintains fluid and nutritional balance to support tissue perfusion and provide nutrients necessary for cellular regeneration and tissue healing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be done initially to reduce contact with sources of possible infection, especially in elderly, immunosuppressed, or diabetic patient.&lt;br /&gt;&lt;br /&gt;Used prophylactically in the operating room and first 24 hr to prevent infection.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Mobility, impaired physical &lt;br /&gt;May be related to&lt;br /&gt;Pain and discomfort, musculoskeletal impairment&lt;br /&gt;Surgery/restrictive therapies&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reluctance to attempt movement, difficulty purposefully moving within the physical environment&lt;br /&gt;Reports of pain/discomfort on movement&lt;br /&gt;Limited ROM; decreased muscle strength/control&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Mobility Level (NOC)&lt;br /&gt;Maintain position of function, as evidenced by absence of contracture.&lt;br /&gt;Display increased strength and function of affected joint and limb.&lt;br /&gt;Participate in ADLs/rehabilitation program.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Positioning (NIC)&lt;br /&gt;Independent&lt;br /&gt;Maintain affected joint in prescribed position and body in alignment when in bed.&lt;br /&gt;&lt;br /&gt;Medicate before procedures/activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Turn on unoperated side using adequate number of personnel and maintaining operated extremity in prescribed alignment. Support position with pillows/wedges.&lt;br /&gt;&lt;br /&gt;Demonstrate/assist with transfer techniques and use of mobility aids, e.g., trapeze, walker.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Determine upper body strength as appropriate. Involve in exercise program.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Inspect skin, observe for reddened areas. Keep linens dry and wrinkle-free. Massage skin/bony prominences routinely. Protect operative heel, elevating whole length of leg with pillow and placing heel on water glove if burning sensation reported.&lt;br /&gt;&lt;br /&gt;Exercise Therapy: Joint Mobility (NIC)&lt;br /&gt;&lt;br /&gt;Perform/assist with ROM to unaffected joints. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides for stabilization of prosthesis and reduces risk of injury during recovery from effects of anesthesia.&lt;br /&gt;&lt;br /&gt;Muscle relaxants, narcotics/analgesics decrease pain, reduce muscle tension/spasm, and facilitate participation in therapy.&lt;br /&gt;&lt;br /&gt;Prevents dislocation of hip prosthesis and prolonged skin/tissue pressure, reducing risk of tissue ischemia/breakdown.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Facilitates self-care and patient’s independence. Proper transfer techniques prevent shearing abrasions of skin and falls.&lt;br /&gt;&lt;br /&gt;Replacement of lower extremity joint requires increased use of upper extremities for transfer activities and use of ambulation devices.&lt;br /&gt;&lt;br /&gt;Prevents skin irritation/breakdown.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patient with degenerative joint disease can quickly lose joint function during periods of restricted activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Exercise Therapy: Joint Mobility (NIC)&lt;br /&gt;Independent&lt;br /&gt;Medicate before procedures/activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promote participation in rehabilitative exercise program, e.g.:&lt;br /&gt;    Total hip: Quadriceps and gluteal muscle setting, isometrics, leg lifts, dorsiflexion, plantar flexion of the foot; Total knee: Quadriceps setting, gluteal contraction, flexion/extension exercises, isometrics;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Other joints: Exercises are individually designed, e.g., toes and knee movements; arm and unaffected     fingers (for finger-joint replacement), exercise fingers/wrist of affected arm (for shoulder replacement).&lt;br /&gt;&lt;br /&gt;Observe appropriate limitations based on specific joint; e.g., avoid marked flexion/rotation of hip and flexion or hyperextension of leg; adhere to weight-bearing restrictions; wear knee immobilizer as indicated.&lt;br /&gt;&lt;br /&gt;Investigate sudden increase in pain and shortening of limb, as well as changes in skin color, temperature, and sensation.&lt;br /&gt;&lt;br /&gt;Encourage participation in ADLs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide positive reinforcement for efforts.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Consult with physical/occupational therapists and rehabilitation specialist.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide foam/flotation mattress. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Muscle relaxants, narcotics/analgesics decrease pain, reduce muscle tension/spasm, and facilitate participation in therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Strengthens muscle groups, increasing muscle tone and mass; stimulates circulation; prevents decubitus. Active use of the joint may be painful but will not injure the joint. Continuous passive motion (CPM) exercise may be initiated on the knee joint postoperatively.&lt;br /&gt;&lt;br /&gt;Meets specific needs of the replaced joint.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Joint stress is to be avoided at all times during stabilization period to prevent dislocation of new prosthesis.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Indicative of slippage of prosthesis, requiring medical evaluation/intervention.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enhances self-esteem; promotes sense of control and independence.&lt;br /&gt;&lt;br /&gt;Promotes a positive attitude and encourages involvement in therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Useful in creating individualized activity/exercise program. Patient may require ongoing assistance with movement, strengthening, and weight-bearing activities, as well as use of adjuncts, e.g., walkers, crutches, canes, elevated toilet seat, pickup sticks, and so on.&lt;br /&gt;&lt;br /&gt;Reduces skin/tissue pressure; limits feelings of fatigue and general discomfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Peripheral Neurovascular, risk for dysfunction&lt;br /&gt;Risk factors may include&lt;br /&gt;Orthopedic surgery; mechanical compression (e.g., dressing, brace, cast), vascular obstruction, immobilization&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Tissue Perfusion: Peripheral (NOC)&lt;br /&gt;Maintain function as evidenced by sensation, movement within normal limits (WNL) for individual situation.&lt;br /&gt;Demonstrate adequate tissue perfusion as evidenced by palpable pulses, brisk capillary refill, skin warm/dry, and normal color.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Circulatory Care: Arterial [or] Venous Insufficiency (NIC)&lt;br /&gt;Independent&lt;br /&gt;Palpate pulses. Evaluate capillary refill and skin color and temperature. Compare with nonoperated limb.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess motion and sensation of operated extremity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Test sensation of peroneal nerve by pinch/pinprick in the dorsal web between first and second toe, and assess ability to dorsiflex toes after hip/knee replacement.&lt;br /&gt;&lt;br /&gt;Monitor vital signs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor amount and characteristics of drainage on dressings/from suction device. Note swelling in operative area. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Diminished/absent pulses, delayed capillary refill time, pallor, blanching, cyanosis, and coldness of skin reflect diminished circulation/perfusion. Comparison with unoperated limb provides clues as to whether neurovascular problem is localized or generalized.&lt;br /&gt;&lt;br /&gt;Increasing pain, numbness/tingling, inability to perform expected movements (e.g., flex foot) suggest nerve injury, compromised circulation, or dislocation of prosthesis, requiring immediate intervention.&lt;br /&gt;&lt;br /&gt;Position and length of peroneal nerve increase risk of direct injury or compression by tissue edema/hematoma.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Tachycardia and decreasing BP may reflect response to hypovolemia/blood loss or suggest anaphylaxis related to absorption of methylmethacrylate into systemic circulation. Note: This occurs less often because of the advent of prosthetics with a porous layer that fosters ingrowth of bone instead of total reliance on adhesives to internally fix the device.&lt;br /&gt;&lt;br /&gt;May indicate excessive bleeding/hematoma formation, which can potentiate neurovascular compromise. Note: Drainage following hip replacement may reach 1000 cc in early postoperative period, potentially affecting circulating volume.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Circulatory Care: Arterial [or] Venous Insufficiency (NIC)&lt;br /&gt;Independent&lt;br /&gt;Ensure that stabilizing devices (e.g., abduction pillow, splint device) are in correct position and are not exerting undue pressure on skin and underlying tissue. Avoid use of pillow or knee gatch under knees.&lt;br /&gt;&lt;br /&gt;Evaluate for calf tenderness, positive Homans’ sign, and inflammation.&lt;br /&gt;&lt;br /&gt;Observe for signs of continued bleeding, oozing from puncture sites/mucous membranes, or ecchymosis following minimal trauma.&lt;br /&gt;&lt;br /&gt;Observe for restlessness, confusion, sudden chest pain, dyspnea, tachycardia, fever, development of petechiae.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer IV fluids, blood/plasma expanders as needed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor laboratory studies, e.g.:&lt;br /&gt;Hct;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Coagulation studies.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications as indicated, e.g.: warfarin sodium (Coumadin), heparin, aspirin, low-molecular-weight heparin, e.g., enoxaparin (Lovenox).&lt;br /&gt;&lt;br /&gt;Apply cold/heat as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain intermittent compression stocking/foot pumps when used.&lt;br /&gt;&lt;br /&gt;Prepare for surgical procedure as indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of pressure on underlying nerves or compromised circulation to extremities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Early identification of thrombus development and intervention may prevent embolus formation.&lt;br /&gt;&lt;br /&gt;Depression of clotting mechanisms/sensitivity to anticoagulants may result in bleeding episodes that can affect red blood cell (RBC) level and circulating volume.&lt;br /&gt;&lt;br /&gt;Fat emboli can occur (usually in first 72 hr postoperatively) because of surgical trauma and manipulation of bone during implantation of prosthesis.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Restores circulating volume to maintain perfusion. Note: Drainage collected from operative site during first 6–10 hr following procedure may be reinfused per protocol, reducing need for transfusion from unknown donor.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Usually done 24–48 hr postoperatively for evaluation of blood loss, which can be quite large because of high vascularity of surgical site in hip replacement. Note: Monitoring of CBC/repeated count may also be indicated for patients receiving enoxaparin (Lovenox).&lt;br /&gt;&lt;br /&gt;Evaluates presence/degree of alteration in clotting mechanisms and effects of anticoagulant/antiplatelet agents when used. Note: Not necessary for patients receiving enoxaparin (Lovenox); however, stool occult blood tests may be indicated.&lt;br /&gt;&lt;br /&gt;Anticoagulants/antiplatelet agents may be used to reduce risk of thrombophlebitis and pulmonary emboli.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Ice packs are used initially to limit edema/hematoma formation. Heat may then be used to enhance circulation, facilitating resolution of tissue edema.&lt;br /&gt;&lt;br /&gt;Promotes venous return and prevents venous stasis, reducing risk of thrombus formation.&lt;br /&gt;&lt;br /&gt;Evacuation of hematoma or revision of prosthesis may be required to correct compromised circulation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute&lt;br /&gt;May be related to&lt;br /&gt;Injuring agents: biological, physical/psychological (e.g., muscle spasms, surgical procedure, preexisting chronic joint diseases, elderly age, anxiety)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reports of pain; distraction/guarding behaviors&lt;br /&gt;Narrowed focus/self-focusing&lt;br /&gt;Alteration in muscle tone; autonomic responses&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Level (NOC)&lt;br /&gt;Report pain relieved/controlled.&lt;br /&gt;Appear relaxed, able to rest/sleep appropriately.&lt;br /&gt;Pain Control (NOC)&lt;br /&gt;Demonstrate use of relaxation skills and diversional activities as indicated by individual situation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess reports of pain, noting intensity (scale of 0–10), duration, and location.&lt;br /&gt;&lt;br /&gt;Maintain proper position of operated extremity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide comfort measures (e.g., frequent repositioning, back rub) and diversional activities. Encourage stress management techniques (e.g., progressive relaxation, guided imagery, visualization, meditation). Provide Therapeutic Touch as appropriate.&lt;br /&gt;&lt;br /&gt;Medicate on a regular schedule and before activities/procedures.&lt;br /&gt;&lt;br /&gt;Investigate reports of sudden, severe joint pain with muscle spasms and changes in joint mobility; sudden, severe chest pain with dyspnea and restlessness.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer narcotics, analgesics, and muscle relaxants as needed. Instruct in/monitor use of PCA/epidural administration. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides information on which to base and monitor effectiveness of interventions.&lt;br /&gt;&lt;br /&gt;Reduces muscle spasm and undue tension on new prosthesis and surrounding tissues.&lt;br /&gt;&lt;br /&gt;Reduces muscle tension, refocuses attention, promotes sense of control, and may enhance coping abilities in the management of discomfort/pain, which can persist for an extended period.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces muscle tension; improves comfort, and facilitates participation.&lt;br /&gt;&lt;br /&gt;Early recognition of developing problems, such as dislocation of prosthesis or pulmonary emboli (blood/fat), provides opportunity for prompt intervention and prevention of more serious complications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Relieves surgical pain and reduces muscle tension/spasm, which contributes to overall discomfort. Narcotic infusion (including epidural) may be given during first 24–48 hr, withoral analgesics added to pain management program as patient progresses. Note: Use of ketorolac (Toradol) or other NSAIDs is contraindicated when patient is receiving enoxaparin (Lovenox) therapy.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Apply ice packs as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Initiate/maintain extremity mobilization: e.g., ambulation, physical therapy, exerciser/CPM device.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes vasoconstriction to reduce bleeding/tissue edema in surgical area and lessens perception of discomfort.&lt;br /&gt;&lt;br /&gt;Increases circulation to affected muscles. Minimizes joint stiffness; relieves muscle spasms related to disuse.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall&lt;br /&gt;Information misinterpretation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Questions/request for information, statement of misconception&lt;br /&gt;Inaccurate follow-through of instructions, development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of surgical procedure and prognosis.&lt;br /&gt;Correctly perform necessary procedures and explain reasons for the actions.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review disease process, surgical procedure, and future expectations.&lt;br /&gt;&lt;br /&gt;Encourage alternating rest periods with activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress importance of continuing prescribed exercise/rehabilitation program within patient’s tolerance: crutch/cane walking, weight-bearing exercises, stationary bicycling, or swimming.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review/instruct in home use of CPM exercise program. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides knowledge base from which patient can make informed choices.&lt;br /&gt;&lt;br /&gt;Conserves energy for healing and prevents undue fatigue, which can increase risk of injury/fall.&lt;br /&gt;&lt;br /&gt;Increases muscle strength and joint mobility. Most patients will be involved in formal rehabilitation/&lt;br /&gt;outpatient home care programs or be followed in extended-care facilities by physical therapists. Muscle aching indicates too much weight bearing or activity, signaling a need to cut back.&lt;br /&gt;&lt;br /&gt;CPM therapy may be continued for some patients after discharge. Note: CPM therapy is used in only about 50% of patients at this time.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review activity limitations, depending on joint replaced, e.g., for hip/knee—sitting for long periods or in low chair/toilet seat/recliner, jogging, jumping, excessive bending, lifting, twisting or crossing legs.&lt;br /&gt;&lt;br /&gt;Discuss need for safe environment in home (e.g., removing scatter rugs and unnecessary furniture) and use of assistive devices (e.g., hand rails in tub/toilet, raised toilet seat, cane for long walks).&lt;br /&gt;&lt;br /&gt;Review/have patient or caregiver demonstrate incisional/wound care.&lt;br /&gt;&lt;br /&gt;Identify signs/symptoms requiring medical evaluation, e.g., fever/chills, incisional inflammation, unusual wound drainage, pain in calf or upper thigh, or development of“strep” throat/dental infections.&lt;br /&gt;&lt;br /&gt;Review drug regimen, e.g., anticoagulants or antibiotics for invasive procedures (e.g., tooth extraction).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify bleeding precautions, (e.g., use of soft toothbrush, electric razor, avoidance of trauma/forceful blowing of nose), and necessity of routine laboratory follow-up.&lt;br /&gt;&lt;br /&gt;Encourage intake of balanced diet, including roughage and adequate fluids. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents undue stress on implant. Long-term restrictions depend on individual situation/physician protocol.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces risk of falls and excessive stress on joints.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes independence in self-care, reducing risk of complications.&lt;br /&gt;&lt;br /&gt;Bacterial infections require prompt treatment to prevent progression to osteomyelitis in the operative area and prosthesis failure, which could occur at any time, even years later.&lt;br /&gt;&lt;br /&gt;Prophylactic therapy may be necessary for a prolonged period after discharge to limit risk of thromboemboli/infection. Procedures known to cause bacteremia can result in osteomyelitis and prosthesis failure.&lt;br /&gt;&lt;br /&gt;Reduces risk of therapy-induced bleeding/hemorrhage.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Enhances healing and feeling of general well-being. Promotes bowel and bladder function during period of altered activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;In addition to considerations in Surgical Intervention plan of care:&lt;br /&gt;Trauma, risk for—balancing difficulties/altered gait, weakness, lack of safety precautions, hazards associated with use of assistive devices.&lt;br /&gt;Self-Care deficit/Home Maintenance, impaired—musculoskeletal impairment, decreased strength/endurance, pain in operative site or other joints.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6119333641611486887/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6119333641611486887' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6119333641611486887'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6119333641611486887'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/total-joint-replacement-joint.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-875899664500563651</id><published>2011-03-01T02:43:00.001-08:00</published><updated>2011-03-01T02:43:13.998-08:00</updated><title type='text'></title><content type='html'>THYROIDECTOMY&lt;br /&gt;Thyroidectomy, although rare, may be performed for patients with thyroid cancer, hyperthyroidism, and drug reactions to antithyroid agents; pregnant women who cannot be managed with drugs; patients who do not want radiation therapy; and patients with large goiters who do not respond to antithyroid drugs. The two types of thyroidectomy include:&lt;br /&gt;Total thyroidectomy: The gland is removed completely. Usually done in the case of malignancy. Thyroid replacement therapy is necessary for life.&lt;br /&gt;Subtotal thyroidectomy: Up to five-sixths of the gland is removed when antithyroid drugs do not correct hyperthyroidism or RAI therapy is contraindicated.&lt;br /&gt;CARE SETTING&lt;br /&gt;Inpatient acute surgical unit&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Cancer&lt;br /&gt;Hyperthyroidism (thyrotoxicosis, Graves’ disease)&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Surgical intervention&lt;br /&gt;Patient Assessment Database&lt;br /&gt; Refer to CP: Hyperthyroidisim (Thyrotoxicosis, Graves’ Disease), for assessment information.&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 2.4 days&lt;br /&gt;considerations:&lt;br /&gt; Refer to section at end of plan for postdischarge considerations.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Reverse/manage hyperthyroid state preoperatively.&lt;br /&gt;2. Prevent complications.&lt;br /&gt;3. Relieve pain.&lt;br /&gt;4. Provide information about surgical procedure, prognosis, and treatment needs.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Complications prevented/minimized.&lt;br /&gt;2. Pain alleviated.&lt;br /&gt;3. Surgical procedure/prognosis and therapeutic regimen understood.&lt;br /&gt;4. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Airway Clearance, risk for ineffective&lt;br /&gt;Risk factors may include&lt;br /&gt;Tracheal obstruction; swelling, bleeding, laryngeal spasms&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Airway Patency (NOC)&lt;br /&gt;Maintain patent airway, with aspiration prevented.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Airway Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor respiratory rate, depth, and work of breathing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate breath sounds, noting presence of rhonchi.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess for dyspnea, stridor, “crowing,” and cyanosis. Note quality of voice.&lt;br /&gt;&lt;br /&gt;Caution patient to avoid bending neck; support head with pillows.&lt;br /&gt;&lt;br /&gt;Assist with repositioning, deep breathing exercises, and/or coughing as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Suction mouth and trachea as indicated, noting color and characteristics of sputum.&lt;br /&gt;&lt;br /&gt;Check dressing frequently, especially posterior portion.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Investigate reports of difficulty swallowing, drooling of oral secretions.&lt;br /&gt;&lt;br /&gt;Keep tracheostomy tray at bedside.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Provide steam inhalation; humidify room air.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with/prepare for procedures, e.g.:&lt;br /&gt;Tracheostomy;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Return to surgery. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Respirations may remain somewhat rapid, but development of respiratory distress is indicative of tracheal compression from edema or hemorrhage.&lt;br /&gt;&lt;br /&gt;Rhonchi may indicate airway obstruction/accumulation of copious thick secretions.&lt;br /&gt;&lt;br /&gt;Indicators of tracheal obstruction/laryngeal spasm, requiring prompt evaluation and intervention.&lt;br /&gt;&lt;br /&gt;Reduces likelihood of tension on surgical wound.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintains clear airway and ventilation. Although “routine” coughing is not encouraged and may be painful, it may be needed to clear secretions.&lt;br /&gt;&lt;br /&gt;Edema/pain may impair patient’s ability to clear own airway.&lt;br /&gt;&lt;br /&gt;If bleeding occurs, anterior dressing may appear dry because blood pools dependently.&lt;br /&gt;&lt;br /&gt;May indicate edema/sequestered bleeding in tissues surrounding operative site.&lt;br /&gt;&lt;br /&gt;Compromised airway may create a life-threatening situation requiring emergency procedure.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces discomfort of sore throat and tissue edema and promotes expectoration of secretions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be necessary to maintain airway if obstructed by edema of glottis or hemorrhage.&lt;br /&gt;&lt;br /&gt;May require ligation of bleeding vessels.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Communication, impaired verbal&lt;br /&gt;May be related to&lt;br /&gt;Vocal cord injury/laryngeal nerve damage&lt;br /&gt;Tissue edema; pain/discomfort&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Impaired articulation, does not/cannot speak; use of nonverbal cues such as gestures&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Communication Ability (NOC)&lt;br /&gt;Establish method of communication in which needs can be understood.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Communication Enhancement: Speech Deficit (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess speech periodically; encourage voice rest.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Keep communication simple; ask yes/no questions.&lt;br /&gt;&lt;br /&gt;Provide alternative methods of communication as appropriate, e.g., slate board, letter/picture board. Place IV line to minimize interference with written communication.&lt;br /&gt;&lt;br /&gt;Anticipate needs as possible. Visit patient frequently.&lt;br /&gt;&lt;br /&gt;Post notice of patient’s voice limitations at central station and answer call bell promptly.&lt;br /&gt;&lt;br /&gt;Maintain quiet environment.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Hoarseness and sore throat may occur secondary to tissue edema or surgical damage to recurrent laryngeal nerve and may last several days. Permanent nerve damage can occur (rare) that causes paralysis of vocal cords and/or compression of the trachea.&lt;br /&gt;&lt;br /&gt;Reduces demand for response; promotes voice rest.&lt;br /&gt;&lt;br /&gt;Facilitates expression of needs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces anxiety and patient’s need to communicate.&lt;br /&gt;&lt;br /&gt;Prevents patient from straining voice to make needs known/summon assistance.&lt;br /&gt;&lt;br /&gt;Enhances ability to hear whispered communication and reduces necessity for patient to raise/strain voice to be heard.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Injury, risk for [tetany]&lt;br /&gt;Risk factors may include&lt;br /&gt;Chemical imbalance: excessive CNS stimulation&lt;br /&gt;Possibly evidenced by&lt;br /&gt;[Not applicable; presence of signs and symptoms establishes an actual diagnosis.]&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Safety Status: Physical Injury (NOC)&lt;br /&gt;Demonstrate absence of injury with complications minimized/controlled.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Surveillance (NIC)&lt;br /&gt;Independent&lt;br /&gt;Monitor vital signs noting elevating temperature, tachycardia (140–200 beats/min), dysrhythmias, respiratory distress, cyanosis (developing pulmonary edema/HF).&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Manipulation of gland during subtotal thyroidectomy may result in increased hormone release, causing thyroid storm.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Surveillance (NIC)&lt;br /&gt;Independent&lt;br /&gt;Evaluate reflexes periodically. Observe for neuromuscular irritability, e.g., twitching, numbness, paresthesias, positive Chvostek’s and Trousseau’s signs, seizure activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Keep side rails raised/padded, bed in low position, and airway at bedside. Avoid use of restraints.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Monitor serum calcium levels.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications as indicated:&lt;br /&gt;Calcium (gluconate, lactate);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Phosphate-binding agents;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Sedatives;&lt;br /&gt;&lt;br /&gt;Anticonvulsants. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Hypocalcemia with tetany (usually transient) may occur 1–7 days postoperatively and indicates hypoparathyroidism, which can occur as a result of inadvertent trauma to/partial-to-total removal of parathyroid gland(s) during surgery.&lt;br /&gt;&lt;br /&gt;Reduces potential for injury if seizures occur. (Refer to CP: Seizure Disorders, ND: Trauma/Suffocation, risk for.)&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Patients with levels less than 7.5 mg/100 mL generally require replacement therapy.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Corrects deficiency, which is usually temporary but may be permanent. Note: Use with caution in patients taking digitalis because calcium increases cardiac sensitivity to digitalis, potentiating risk of toxicity.&lt;br /&gt;&lt;br /&gt;Helpful in lowering elevated phosphorus levels associated with hypocalcemia.&lt;br /&gt;&lt;br /&gt;Promotes rest, reducing exogenous stimulation.&lt;br /&gt;&lt;br /&gt;Controls seizure activity until corrective therapy is successful.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute&lt;br /&gt;May be related to&lt;br /&gt;Surgical interruption/manipulation of tissues/muscles&lt;br /&gt;Postoperative edema&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reports of pain&lt;br /&gt;Narrowed focus; guarding behavior; restlessness&lt;br /&gt;Autonomic responses&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Control (NOC)&lt;br /&gt;Report pain is relieved/controlled.&lt;br /&gt;Demonstrate use of relaxation skills and diversional activities appropriate to situation.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess verbal/nonverbal reports of pain, noting location, intensity (0–10 scale), and duration.&lt;br /&gt;&lt;br /&gt;Place in semi-Fowler’s position and support head/neck with sandbags or small pillows.&lt;br /&gt;&lt;br /&gt;Maintain head/neck in neutral position and support during position changes. Instruct patient to use hands to support neck during movement and to avoid hyperextension of neck.&lt;br /&gt;&lt;br /&gt;Keep call bell and frequently needed items within easy reach.&lt;br /&gt;&lt;br /&gt;Give cool liquids or soft foods, such as ice cream or popsicles.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage patient to use relaxation techniques, e.g., guided imagery, soft music, progressive relaxation.&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;&lt;br /&gt;Administer analgesics and/or analgesic throat sprays/lozenges as necessary.&lt;br /&gt;&lt;br /&gt;Provide ice collar if indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Useful in evaluating pain, choice of interventions, effectiveness of therapy.&lt;br /&gt;&lt;br /&gt;Prevents hyperextension of the neck and protects integrity of the suture line.&lt;br /&gt;&lt;br /&gt;Prevents stress on the suture line and reduces muscle tension.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Limits stretching, muscle strain in operative area.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Although both may be soothing to sore throat, soft foods may be tolerated better than liquids if patient experiences difficulty swallowing.&lt;br /&gt;&lt;br /&gt;Helps refocus attention and assists patient to manage pain/discomfort more effectively.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces pain and discomfort; enhances rest.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Reduces tissue edema and decreases perception of pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure/recall, misinterpretation&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Questions; request for information; statement of misconception&lt;br /&gt;Inaccurate follow-through of instructions/development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of surgical procedure and prognosis and potential complications.&lt;br /&gt;Knowledge: Treatment Regimen (NOC)&lt;br /&gt;Verbalize understanding of therapeutic needs.&lt;br /&gt;Participate in treatment regimen.&lt;br /&gt;Initiate necessary lifestyle changes.&lt;br /&gt;&lt;br /&gt; &lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching; Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review surgical procedure and future expectations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Discuss need for well-balanced, nutritious diet and, when appropriate, inclusion of iodized salt.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Recommend avoidance of goitrogenic foods, e.g., excessive ingestion of seafood, soybeans, turnips.&lt;br /&gt;&lt;br /&gt;Identify foods high in calcium (e.g., dairy products) and vitamin D (e.g., fortified dairy products, egg yolks, liver).&lt;br /&gt;&lt;br /&gt;Encourage progressive general exercise program.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review postoperative exercises to be instituted after incision heals, e.g., flexion, extension, rotation, and lateral movement of head and neck.&lt;br /&gt;&lt;br /&gt;Review importance of rest and relaxation, avoiding stressful situations and emotional outbursts.&lt;br /&gt;&lt;br /&gt;Instruct in incisional care, e.g., cleansing, dressing application.&lt;br /&gt;&lt;br /&gt;Recommend the use of loose-fitting scarves to cover scar, avoiding the use of jewelry.&lt;br /&gt;&lt;br /&gt;Apply cold cream after sutures have been removed.&lt;br /&gt;&lt;br /&gt;Discuss possibility of change in voice.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Review drug therapy and the necessity of continuing even when feeling well.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify signs/symptoms requiring medical evaluation, e.g., fever, chills, continued/purulent wound drainage, erythema, gaps in wound edges, sudden weight loss, intolerance to heat, nausea/vomiting, diarrhea, insomnia, weight gain, fatigue, intolerance to cold, constipation, drowsiness.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides knowledge base from which patient can make informed decisions.&lt;br /&gt;&lt;br /&gt;Promotes healing and helps patient regain/maintain appropriate weight. Use of iodized salt is often sufficient to meet iodine needs unless salt is restricted for other healthcare problems, e.g., HF.&lt;br /&gt;&lt;br /&gt;Contraindicated after partial thyroidectomy because these foods inhibit thyroid activity.&lt;br /&gt;&lt;br /&gt;Maximizes supply and absorption of calcium if parathyroid function is impaired.&lt;br /&gt;&lt;br /&gt;In patients with subtotal thyroidectomy, exercise can stimulate the thyroid gland and production of hormones, facilitating recovery of general well-being.&lt;br /&gt;&lt;br /&gt;Regular ROM exercises strengthen neck muscles, enhance circulation and healing process.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Effects of hyperthyroidism usually subside completely, but it takes some time for the body to recover.&lt;br /&gt;&lt;br /&gt;Enables patient to provide competent self-care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Covers the incision without aggravating healing or precipitating infections of suture line.&lt;br /&gt;&lt;br /&gt;Softens tissues and may help minimize scarring.&lt;br /&gt;&lt;br /&gt;Alteration in vocal cord function may cause changes in pitch and quality of voice, which may be temporary or permanent.&lt;br /&gt;&lt;br /&gt;If thyroid hormone replacement is needed because of surgical removal of gland, patient needs to understand rationale for replacement therapy and consequences of failure to routinely take medication.&lt;br /&gt;&lt;br /&gt;Early recognition of developing complications such as infection, hyperthyroidism, or hypothyroidism may prevent progression to life-threatening situation. Note: As many as 43% of patients with subtotal thyroidectomy will develop hypothyroidism in time.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching; Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Stress necessity of continued medical follow-up. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides opportunity for evaluating effectiveness of therapy and prevention of complications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Fatigue—decreased metabolic energy production, altered body chemistry (hypothyroidism)&lt;br /&gt;Refer to Potential Considerations in Surgical Intervention plan of care.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/875899664500563651/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/875899664500563651' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/875899664500563651'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/875899664500563651'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/thyroidectomy-thyroidectomy-although.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-2724910544903753203</id><published>2011-03-01T02:42:00.001-08:00</published><updated>2011-03-01T02:42:39.004-08:00</updated><title type='text'></title><content type='html'>THROMBOPHLEBITIS: DEEP VEIN THROMBOSIS (INCLUDING PULMONARY EMBOLI CONSIDERATIONS)&lt;br /&gt;Thrombophlebitis is a condition in which a clot forms in a vein, associated with inflammation/trauma of the vein wall or a partial obstruction of the vein. Clot formation is related to (1) stasis of blood flow, (2) abnormalities in the vessel walls, and (3) alterations in the clotting mechanism (Virchow’s triad). Young women and the elderly are at greatest risk.&lt;br /&gt; Thrombophlebitis can affect superficial or deep veins. Although both conditions can cause symptoms, deep vein thrombosis (DVT) is more serious in terms of potential complications, including pulmonary embolism, postphlebotic syndrome, chronic venous insufficiency, and vein valve destruction. Note: Approximately 50% of patients with DVT are asymptomatic.&lt;br /&gt;CARE SETTING&lt;br /&gt;Primarily treated at the community level, with short inpatient stay generally indicated in the presence of embolization.&lt;br /&gt;RELATED CONCERNS&lt;br /&gt;Surgical intervention&lt;br /&gt;Ventilatory assistance (mechanical)&lt;br /&gt;Fractures&lt;br /&gt;Psychosocial aspects of care&lt;br /&gt;Patient Assessment Database&lt;br /&gt;ACTIVITY/REST&lt;br /&gt;May report: Occupation that requires sitting or standing for long periods of time&lt;br /&gt; Prolonged immobility (e.g., fractured hip/orthopedic trauma, long hospitalization/bedrest, prolonged sitting or travel without adequate exercise, complicated pregnancy); spinal cord injury/paralysis; progressive debilitating condition&lt;br /&gt; Pain with activity/prolonged standing&lt;br /&gt; Fatigue/weakness of affected extremity, general malaise&lt;br /&gt;May exhibit: Generalized or extremity weakness&lt;br /&gt;CIRCULATION&lt;br /&gt;May report: History of previous peripheral vascular disease, venous thrombosis, varicose veins&lt;br /&gt; Presence of other predisposing factors, e.g., hypertension (pregnancy-induced), diabetes mellitus, MI/valvular heart disease, thrombotic cerebrovascular accident, blood dyscrasias&lt;br /&gt;May exhibit: Tachycardia&lt;br /&gt; Peripheral pulse may be diminished in the affected extremity (DVT)&lt;br /&gt; Varicosities and/or hardened, bumpy/knotty vein (thrombus)&lt;br /&gt; Skin color/temperature in affected extremity (calf/thigh): pale, cool, edematous (DVT); pinkish red, warm along the course of the vein (superficial)&lt;br /&gt; Positive Homans’ sign (absence does not rule out DVT, because only about 33% of patients have a positive sign)&lt;br /&gt;FOOD/FLUID&lt;br /&gt;May exhibit: Poor skin turgor, dry mucous membranes (dehydration predisposes to hypercoagulability)&lt;br /&gt; Obesity (predisposes to stasis and pelvic vein pressure)&lt;br /&gt; Edema of affected extremity (present with thrombus in small veins or major venous trunks)&lt;br /&gt;PAIN/DISCOMFORT&lt;br /&gt;May report: Throbbing, tenderness, aching pain aggravated by standing or movement of affected extremity, groin tenderness&lt;br /&gt;May exhibit: Guarding of affected extremity&lt;br /&gt;SAFETY&lt;br /&gt;May report: History of direct or indirect injury to extremity or vein (e.g., major trauma/fractures, orthopedic/pelvic surgery, prolonged labor with fetal head pressure on pelvic veins, venous cannulation or catheterization/intravenous therapy)&lt;br /&gt; Presence of malignancy (particularly neoplasms of the pancreas, lung, GI system, prostate); sepsis&lt;br /&gt;May exhibit: Fever, chills&lt;br /&gt;TEACHING/LEARNING&lt;br /&gt;May report: Use of oral contraceptives/estrogens; recent anticoagulant therapy (predisposes to hypercoagulability)&lt;br /&gt; Recurrence/lack of resolution of previous thrombophlebotic episode&lt;br /&gt;Discharge plan  DRG projected mean length of inpatient stay: 5.8 days&lt;br /&gt;considerations: Temporary assistance with shopping, transportation, and homemaker/maintenance tasks&lt;br /&gt; Properly fitted antiembolic hose&lt;br /&gt;DIAGNOSTIC STUDIES&lt;br /&gt;Hematocrit: Hemoconcentration (elevated Hct) potentiates risk of thrombus formation.&lt;br /&gt;Coagulation profile: Levels of PT, PTT, and platelets may reveal hypercoagulability.&lt;br /&gt;Antithrombin: Useful in determining cause of impaired coagulation/hypercoagulation and in the management of venous thrombotic disease. Elevated in DVT.&lt;br /&gt;Noninvasive vascular studies (Doppler ultrasound, compression ultrasonography, impedance plethysmography, and duplex venous scanning): Changes in blood flow and volume identify venous occlusion, vascular damage, and vascular insufficiency. Ultrasonography appears to be most accurate noninvasive method for diagnosing multiple proximal DVT (iliac, femoral, popliteal) but is less reliable in detecting isolated calf vein thrombi.&lt;br /&gt;Trendelenburg test: May demonstrate vessel valve incompetence.&lt;br /&gt;Venography: Radiographically confirms diagnosis through changes in blood flow and/or size of channels. Note: This study carries a risk of inducing DVT and therefore is reserved for patients with negative or difficult-to-interpret noninvasive studies in the presence of high clinical suspicion.&lt;br /&gt;MRI: May be useful in assessing blood flow turbulence and movement, venous valvular competence.&lt;br /&gt;NURSING PRIORITIES&lt;br /&gt;1. Maintain/enhance tissue perfusion, facilitate resolution of thrombus.&lt;br /&gt;2. Promote optimal comfort.&lt;br /&gt;3. Prevent complications.&lt;br /&gt;4. Provide information about disease process/prognosis and treatment regimen.&lt;br /&gt;DISCHARGE GOALS&lt;br /&gt;1. Tissue perfusion improved in affected limb.&lt;br /&gt;2. Pain/discomfort relieved.&lt;br /&gt;3. Complications prevented/resolved.&lt;br /&gt;4. Disease process/prognosis and therapeutic needs understood.&lt;br /&gt;5. Plan in place to meet needs after discharge.&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Tissue Perfusion, ineffective&lt;br /&gt;May be related to&lt;br /&gt;Decreased blood flow/venous stasis (partial or complete venous obstruction)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Tissue edema, pain&lt;br /&gt;Diminished peripheral pulses, slow/diminished capillary refill&lt;br /&gt;Skin color changes (pallor, erythema)&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Tissue Perfusion: Peripheral (NOC)&lt;br /&gt;Demonstrate improved perfusion as evidenced by peripheral pulses present/equal, skin color and temperature normal, absence of edema.&lt;br /&gt;Engage in behaviors/actions to enhance tissue perfusion.&lt;br /&gt;Display increasing tolerance to activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Peripheral (NIC)&lt;br /&gt;Independent&lt;br /&gt;Evaluate circulatory and neurological studies of involved extremity—both sensory and motor. Inspect for skin color and temperature changes, as well as edema (from groin to foot). Note symmetry of calves; measure and record calf circumference. Report proximal progression of inflammatory process, traveling pain.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Examine extremity for obviously prominent veins. Palpate gently for local tissue tension, stretched skin, knots/bumps along course of vein.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess capillary refill and check for Homans’ sign.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promote bedrest initially, with legs elevated above heart level during acute phase.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Elevate legs when in bed or chair, as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Initiate active or passive exercises while in bed (e.g., flex/extend/rotate foot periodically). Assist with gradual resumption of ambulation (e.g., walking 10 min/hr) as soon as patient is permitted out of bed.&lt;br /&gt;&lt;br /&gt;Caution patient to avoid crossing legs or hyperflexion at knee (seated position with legs dangling, or lying in jackknife position).&lt;br /&gt;&lt;br /&gt;Instruct patient to avoid rubbing/ massaging the affected extremity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage deep-breathing exercises.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Increase fluid intake to at least 2000 mL/day, within cardiac tolerance. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Symptoms help distinguish between  thrombophlebitis and DVT. Redness, heat, tenderness, and localized edema are characteristic of superficial involvement. Pallor and coolness of extremity are characteristic of  DVT. Calf vein involvement is associated with absence of  edema; femoral vein involvement is associated with mild to moderate edema; iliofemoral vein thrombosis is characterized by severe edema.&lt;br /&gt;&lt;br /&gt;Distension of superficial veins can occur in DVT because of  backflow through communicating veins. Thrombophlebitis in superficial veins may be visible or palpable.&lt;br /&gt;&lt;br /&gt;Diminished capillary refill usually present in DVT. Positive Homans’ sign (deep calf pain in affected leg upon dorsiflexion of foot) is a classic but unreliable sign because it  is not specific for DVT.&lt;br /&gt;&lt;br /&gt;Until treatment is instituted, limitation of activity minimizes the possibility of dislodging thrombus/creating emboli.&lt;br /&gt;&lt;br /&gt;Reduces tissue swelling and rapidly empties superficial and tibial veins, preventing overdistension and thereby increasing venous return. Note: Some physicians believe that elevation may potentiate release of thrombus, thus increasing risk of embolization and decreasing circulation to the most distal portion of the extremity.&lt;br /&gt;&lt;br /&gt;These measures are designed to increase venous return from lower extremities and reduce venous stasis, as well as improve general muscle tone/strength. They also promote normal organ function and enhance general well-being.&lt;br /&gt;&lt;br /&gt;Physical restriction of circulation impairs blood flow and increases venous stasis in pelvic, popliteal, and leg vessels, thus increasing swelling and discomfort.&lt;br /&gt;&lt;br /&gt;This activity potentiates risk of fragmenting/dislodging thrombus, causing embolization, and increasing risk of complications.&lt;br /&gt;&lt;br /&gt;Increases negative pressure in thorax, which assists in emptying large veins.&lt;br /&gt;&lt;br /&gt;Dehydration increases blood viscosity and venous stasis, predisposing to thrombus formation.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Peripheral (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Apply warm, moist compresses or heat cradle to affected extremity if indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer anticoagulants, e.g.:&lt;br /&gt;Heparin, e.g., Panheparin or low molecular weight heparin (LMWH), such as enorxaparin (Lovenox), dalteparin (Fragmin), ardeparin (Normiflo) via continuous or intermittent IV, intermittent subcutaneous (SC) injections, and/or PO coumarin derivatives, e.g., warfarin (Coumadin) or dicumarol(Sintrom);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Thrombolytic agents, e.g., streptokinase, urokinase.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor laboratory studies as indicated: PT, PTT, aPTT, CBC&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Platelet count, platelet/aggregation test, antiheparin antibody assay&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply/regulate graduated compression stockings, intermittent pneumatic compression, if indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply elastic support hose following acute phase. Take care to avoid tourniquet effect. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May be prescribed to promote vasodilation and venous return and resolution of local edema. Note: May be contraindicated in presence of arterial insufficiency, in which heat can increase cellular oxygen consumption/nutritional needs, furthering imbalance between supply and demand.&lt;br /&gt;&lt;br /&gt;Heparin is preferred initially because of its prompt, predictable, antagonistic action on thrombin as it is formed and also because it removes activated coagulation factors XII, XI, IX, and X (intrinsic pathway), preventing further clot formation. LMWH is administered subcutaneously in small doses, has a more predictable dose response and longer half-life than heparin. Coumadin has a potent depressant effect on liver formation of prothrombin from vitamin K and impairs formation of factors VII, IX, and X (extrinsic pathway). Coumadin is generally used for long-term/ postdischarge therapy to keep international normalized ratio (INR) at 2–3.&lt;br /&gt;&lt;br /&gt;May be used for treatment of acute (less than 5 days old) or massive DVT to prevent valvular damage and development of chronic venous insufficiency. Heparin is usually begun several hours after the completion of thrombolytic therapy.&lt;br /&gt;&lt;br /&gt;Monitors anticoagulant therapy and presence of risk factors, e.g., hemoconcentration and dehydration, which potentiate clot formation. Note: Lovenox does not require serial monitoring because PT and aPTT are not affected.&lt;br /&gt;&lt;br /&gt;On occasion, platelet count may decrease as a result of an immune reaction leading to platelet aggregation or the formation of “white clots.” If bacteremia/DIC (disseminated intravascular coagulation) have been ruled out, condition may be the result of heparin-induced thrombocytopenia and thrombosis (HITT), requiring a change to Coumadin or other agents, e.g., dipyridamole (Persantine) and ASA.&lt;br /&gt;&lt;br /&gt;Sequential compression devices may be used to improve blood flow velocity and empty vessels by providing artificial muscle-pumping action.&lt;br /&gt;&lt;br /&gt;Properly fitted support hose are useful (once ambulation has begun) to minimize or delay development of postphlebotic syndrome. They must exert a sustained, evenly distributed pressure over entire surface of calves and thighs to reduce the caliber of superficial veins and increase blood flow to deep veins.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Peripheral (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Prepare for surgical intervention when indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Thrombectomy (excision of thrombus) is occasionally necessary if inflammation extends proximally or circulation is severely restricted. Multiple/recurrent thrombotic episodes unresponsive to medical treatment (or when anticoagulant therapy is contraindicated) may require insertion of a vena caval screen/umbrella.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Pain, acute/[Discomfort]&lt;br /&gt;May be related to&lt;br /&gt;Diminished arterial circulation and oxygenation of tissues with production/accumulation of lactic acid in tissues&lt;br /&gt;Inflammatory process&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Reports of pain, tenderness, aching/burning&lt;br /&gt;Guarding of affected limb&lt;br /&gt;Restlessness, distraction behaviors&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Pain Control (NOC)&lt;br /&gt;Report pain/discomfort is alleviated or controlled.&lt;br /&gt;Verbalize methods that provide relief.&lt;br /&gt;Display relaxed manner; be able to sleep/rest and engage in desired activity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Assess degree and characteristics of discomfort/pain. Note guarding of extremity. Palpate leg with caution.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Maintain bedrest during acute phase.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Elevate affected extremity.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide foot cradle. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Degree of pain is directly related to extent of circulatory deficit, inflammatory process, degree of tissue ischemia, and extent of edema associated with thrombus development. Changes in characteristics of pain may indicate progression of problem/development of complications.&lt;br /&gt;&lt;br /&gt;Reduces discomfort associated with muscle contraction and movement.&lt;br /&gt;&lt;br /&gt;Encourages venous return to facilitate circulation, reducing stasis/edema formation.&lt;br /&gt;&lt;br /&gt;Cradle keeps pressure of bedclothes off the affected leg, thereby reducing pressure discomfort.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Pain Management (NIC)&lt;br /&gt;Independent&lt;br /&gt;Encourage patient to change position frequently.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor vital signs, noting elevated temperature.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Investigate reports of sudden and/or sharp chest pain, accompanied by dyspnea, tachycardia, and apprehension, or development of a new pain with signs of another site of vascular involvement.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Collaborative&lt;br /&gt;Administer medications, as indicated:&lt;br /&gt;Analgesics (narcotic/nonnarcotic);&lt;br /&gt;&lt;br /&gt;Antipyretics, e.g., acetaminophen (Tylenol);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Apply moist heat to extremity, if indicated. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Decreases/prevents muscle fatigue, helps minimize muscle spasm, maximizes circulation to tissues.&lt;br /&gt;&lt;br /&gt;Elevations in heart rate may indicate increased pain/discomfort or occur in response to fever and inflammatory process. Fever can also increase patient’s discomfort.&lt;br /&gt;&lt;br /&gt;These signs/symptoms suggest presence of pulmonary emboli as a complication of DVT, or peripheral arterial occlusion associated with heparin-induced thrombocytopenia and thrombosis (HITT). Both conditions require prompt medical evaluation and treatment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Relieves pain and decreases muscle tension.&lt;br /&gt;&lt;br /&gt;Reduces fever and inflammation. Note: Risk of bleeding may be increased by concurrent use of drugs that affect platelet function, e.g., ASA and nonsteroidal anti-inflammatory drugs (NSAIDs).&lt;br /&gt;&lt;br /&gt;Causes vasodilation, which increases circulation, relaxes muscles, and may stimulate release of natural endorphins.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Gas Exchange, impaired (in presence of pulmonary embolus)&lt;br /&gt;May be related to&lt;br /&gt;Altered blood flow to alveoli or to major portions of the lung&lt;br /&gt;Alveolar-capillary membrane changes (atelectasis, airway/alveolar collapse, pulmonary edema/effusion, excessive secretions/active bleeding)&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Profound dyspnea, restlessness, apprehension, somnolence, cyanosis&lt;br /&gt;Changes in ABGs/pulse oximetry, e.g., hypoxemia and hypercapnia&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Respiratory Status: Gas Exchange (NOC)&lt;br /&gt;Demonstrate adequate ventilation/oxygenation by ABGs within patient’s normal range.&lt;br /&gt;Report/display resolution or absence of symptoms of respiratory distress.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Pulmonary (NIC)&lt;br /&gt;Independent&lt;br /&gt;Note respiratory rate and depth, work of breathing (use of accessory muscles/nasal flaring, pursed-lip breathing).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Auscultate lungs for areas of decreased/absent breath sounds and the presence of adventitious sounds, e.g., crackles.&lt;br /&gt;&lt;br /&gt;Observe for generalized duskiness and cyanosis in “warm tissues” such as earlobes, lips, tongue, and buccal membranes.&lt;br /&gt;&lt;br /&gt;Monitor vital signs. Note changes in cardiac rhythm.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess level of consciousness/mentation changes.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assess activity tolerance, e.g., reports of weakness/fatigue, vital sign changes, increased dyspnea during exertion. Encourage rest periods, and limit activities to patient tolerance.&lt;br /&gt;Airway Management (NIC)&lt;br /&gt;Institute measures to restore/maintain patent airways, e.g., coughing, suctioning.&lt;br /&gt;&lt;br /&gt;Elevate head of bed as patient requires/tolerates.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Assist with frequent changes of position, and get patient out of bed/ambulate as tolerated.&lt;br /&gt;&lt;br /&gt;Assist patient to deal with fear/anxiety that may be present:&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage expression of feelings, inform patient/SOs of normalcy of anxious feelings, sense of impending doom.&lt;br /&gt;&lt;br /&gt;Provide brief explanations of what is happening and expected effects of interventions.&lt;br /&gt;&lt;br /&gt;Monitor frequently, arrange for individual (volunteer, family, others) to stay with patient as indicated.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Tachypnea and dyspnea accompany pulmonary obstruction. Dyspnea (“air hunger”) and increased work of breathing may be first or only sign of subacute pulmonary embolus (PE). Severe respiratory distress/failure accompanies moderate to severe loss of functional lung units.&lt;br /&gt;&lt;br /&gt;Nonventilated areas may be identified by absence of breath sounds. Crackles occur in fluid-filled tissues/airways or may reflect cardiac decompensation.&lt;br /&gt;&lt;br /&gt;Indicative of systemic hypoxemia.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Tachycardia, tachypnea, and changes in BP are associated with advancing hypoxemia and acidosis. Rhythm alterations and extra heart sounds may reflect increased cardiac workload related to worsening ventilation imbalance.&lt;br /&gt;&lt;br /&gt;Systemic hypoxemia may be demonstrated initially by restlessness and irritability, then by progressively decreased mentation.&lt;br /&gt;&lt;br /&gt;These parameters assist in determining patient response to resumed activities and ability to participate in self-care.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Plugged/collapsed airways reduce number of functional alveoli, negatively affecting gas exchange.&lt;br /&gt;&lt;br /&gt;Promotes maximal chest expansion, making it easier to breathe and enhancing physiological/psychological comfort.&lt;br /&gt;&lt;br /&gt;Turning and ambulation enhance aeration of different lung segments, thereby improving oxygen diffusion.&lt;br /&gt;&lt;br /&gt;Feelings of fear and severe anxiety are associated with in ability to breathe and may actually increase oxygen consumption/demand.&lt;br /&gt;&lt;br /&gt;Understanding basis of feelings may help patient regain some sense of control over emotions.&lt;br /&gt;&lt;br /&gt;Allays anxiety related to unknown and may help reduce fears concerning personal safety.&lt;br /&gt;&lt;br /&gt;Provides assurance that changes in condition will be noted and that assistance is readily available.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Pulmonary (NIC)&lt;br /&gt;Collaborative&lt;br /&gt;Prepare for lung scan.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Monitor serial ABGs/pulse oximetry. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;May reveal pattern of abnormal perfusion in areas of ventilation (ventilation/perfusion mismatch), confirming diagnosis of pulmonary embolus (PE) and degree of obstruction. Absence of both ventilation and perfusion reflects alveolar congestion/airway obstruction.&lt;br /&gt;&lt;br /&gt;Hypoxemia is present in varying degrees, depending on the amount of airway obstruction, usual cardiopulmonary function, and presence/degree of shock. Respiratory alkalosis and metabolic acidosis may also be present.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Airway Management (NIC)&lt;br /&gt;Administer supplemental oxygen by appropriate method.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer fluids (IV/PO) as indicated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Administer medications as indicated:&lt;br /&gt;Thrombolytic agents, e.g., streptokinase (Kabikinase, Streptase), urokinase (Abbokinase), alteplase (t-PA, Activase);&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Morphine sulfate, antianxiety agents.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provide supplemental humidification, e.g., ultrasonic nebulizers.&lt;br /&gt;&lt;br /&gt;Assist with chest physiotherapy (e.g., postural drainage and percussion of nonaffected area, blow bottles/incentive spirometer).&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prepare for/assist with bronchoscopy.&lt;br /&gt;&lt;br /&gt;Prepare for surgical intervention if indicated.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;Maximizes available oxygen for gas exchange, reducing work of breathing. Note: If obstruction is large or hypoxemia does not respond to supplemental oxygenation, it may be necessary to move patient to critical care area for intubation and mechanical ventilation.&lt;br /&gt;&lt;br /&gt;Increased fluids may be given to reduce hyperviscosity of blood (potentiates thrombus formation) or to support circulating volume/tissue perfusion.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Indicated in massive pulmonary obstruction when patient is seriously hemodynamically threatened. Note: These patients will probably be initially cared for in/transferred to the critical care setting.&lt;br /&gt;&lt;br /&gt;May be necessary initially to control pain/anxiety and improve work of breathing, maximizing gas exchange.&lt;br /&gt;&lt;br /&gt;Delivers moisture to mucous membranes and helps liquefy secretions to facilitate airway clearance.&lt;br /&gt;&lt;br /&gt;Facilitates deeper respiratory effort and promotes drainage of secretions from lung segments into bronchi, where they may more readily be removed by coughing/suctioning.&lt;br /&gt;&lt;br /&gt;May be done to remove blood clots and clear airways.&lt;br /&gt;&lt;br /&gt;Vena caval ligation or insertion of an intracaval umbrella may be useful for patients who experience recurrent emboli despite adequate anticoagulation, when anticoagulation is contraindicated, or when septic emboli arising from below the renal veins do not respond to treatment. Additionally, pulmonary embolectomy may be considered in life-threatening situations.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, treatment program, self-care, and discharge needs&lt;br /&gt;May be related to&lt;br /&gt;Lack of exposure or recall&lt;br /&gt;Misinterpretation of information&lt;br /&gt;Unfamiliarity with information resources&lt;br /&gt;Possibly evidenced by&lt;br /&gt;Request for information, statement of misconception&lt;br /&gt;Inaccurate follow-through of instructions&lt;br /&gt;Development of preventable complications&lt;br /&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;br /&gt;Knowledge: Disease Process (NOC)&lt;br /&gt;Verbalize understanding of disease process, treatment regimen, and limitations.&lt;br /&gt;Participate in learning process.&lt;br /&gt;Identify signs/symptoms requiring medical evaluation.&lt;br /&gt;Knowledge: Treatment Regimen (NOC)&lt;br /&gt;Correctly perform therapeutic actions and explain reasons for actions.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Teaching: Disease Process (NIC)&lt;br /&gt;Independent&lt;br /&gt;Review pathophysiology of condition and signs/symptoms of possible complications, e.g., pulmonary emboli, chronic venous insufficiency, venous stasis ulcers (postphlebotic syndrome).&lt;br /&gt;&lt;br /&gt;Explain purpose of activity restrictions and need for balance between activity/rest.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Establish appropriate exercise/activity program.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Problem-solve solutions to predisposing factors that may be present, e.g., employment that requires prolonged standing/sitting, wearing restrictive clothing(girdles/garters), use of oral contraceptives, obesity, prolonged bedrest/immobility, dehydration.&lt;br /&gt;&lt;br /&gt;Recommend sitting with feet touching the floor, avoiding crossing of legs. RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Provides a knowledge base from which patient can make informed choices and understand/identify healthcare needs. Up to 33% experience a recurrence of DVT.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Rest reduces oxygen and nutrient needs of compromised tissues and decreases risk of fragmentation of thrombosis. Balancing rest with activity prevents exhaustion and further impairment of cellular perfusion.&lt;br /&gt;&lt;br /&gt;Aids in developing collateral circulation, enhances venous return, and prevents recurrence.&lt;br /&gt;&lt;br /&gt;Actively involves patient in identifying and initiating lifestyle/behavior changes to promote health and prevent recurrence of condition/development of complications.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Prevents excess pressure on the popliteal space.&lt;br /&gt;&lt;br /&gt;ACTIONS/INTERVENTIONS&lt;br /&gt;Embolus Care: Pulmonary (NIC)&lt;br /&gt;Independent&lt;br /&gt;Discuss purpose, dosage of anticoagulant. Emphasize importance of taking drug as prescribed.&lt;br /&gt;&lt;br /&gt;Identify safety precautions, e.g., use of soft toothbrush, electric razor for shaving, gloves for gardening, avoiding sharp objects (including toothpicks), walking barefoot, engaging in rough sports/activities, or forceful blowing of nose.&lt;br /&gt;&lt;br /&gt;Review possible drug interactions, and stress need to read ingredient labels of OTC drugs.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Identify untoward anticoagulant effects requiring medical attention, e.g., bleeding from mucous membranes (nose, gums), continued oozing from cuts/punctures, severe bruising after minimal trauma, development of petechiae.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Stress importance of medical follow-up/laboratory testing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Encourage wearing of medical alert identification bracelet/ tag, as indicated.&lt;br /&gt;&lt;br /&gt;Review purpose and demonstrate correct application/ removal of antiembolic hose.&lt;br /&gt;&lt;br /&gt;Instruct in meticulous skin care of lower extremities, e.g., prevent/promptly treat breaks in skin and report development of lesions/ulcers or changes in skin color.&lt;br /&gt; RATIONALE&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Promotes patient safety by reducing risk of inadequate therapeutic response/ deleterious side effects.&lt;br /&gt;&lt;br /&gt;Reduces the risk of traumatic injury, which potentiates bleeding/clot formation.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Salicylates and excess alcohol decrease prothrombin activity, whereas vitamin K (multivitamins, bananas, leafy green vegetables) increases prothrombin activity. Barbiturates increase metabolism of coumarin drugs; antibiotics alter intestinal flora and may interfere with vitamin K synthesis.&lt;br /&gt;&lt;br /&gt;Early detection of deleterious effects of therapy (prolongation of clotting time) allows for timely intervention and may prevent serious complications. Note: Even regular use of acetaminophen may prolong clotting times. In addition, use of herbal products, such as ginkgo biloba, garlic, vitamin E, also impairs clotting and should be avoided during anticoagulant therapy.&lt;br /&gt;&lt;br /&gt;Understanding that close supervision of anticoagulant therapy is necessary (therapeutic dosage range is narrow and complications may be deadly) promotes patient participation.&lt;br /&gt;&lt;br /&gt;Alerts emergency healthcare providers to use of anticoagulants.&lt;br /&gt;&lt;br /&gt;Understanding may enhance cooperation with prescribed therapy and prevent improper/ineffective use.&lt;br /&gt;&lt;br /&gt;Chronic venous congestion/postphlebotic syndrome may develop (especially in presence of severe vascular involvement and/or recurrent episodes), potentiating risk of stasis ulcers/infection.&lt;br /&gt;&lt;br /&gt;POTENTIAL CONSIDERATIONS following discharge from care setting (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;br /&gt;Therapeutic Regimen: ineffective management—perceived seriousness of condition, susceptibility to recurrence, benefit of therapy.</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/2724910544903753203/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/2724910544903753203' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/2724910544903753203'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/2724910544903753203'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/thrombophlebitis-deep-vein-thrombosis.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-189669318795010261</id><published>2011-03-01T02:41:00.001-08:00</published><updated>2011-03-01T02:41:54.429-08:00</updated><title type='text'></title><content type='html'>&lt;p class=&quot;CP1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;THE HIV-POSITIVE PATIENT&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot; style=&quot;text-align:justify&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The individual identified as HIV-seropositive is one who is asymptomatic and does not meet the Centers for Disease Control and Prevention (CDC) definition for AIDS. Studies reveal that persons with HIV-positive status may remain asymptomatic for 10 or more years. During the period of asymptomatic infection, the individual has HIV in the blood and is contagious to others. Patients may live longer without symptoms if receiving highly active antiretroviral therapy (HAART) to reduce the viral load. After approximately a decade, especially in the undertreated individual, the immune system begins to decline and he or she develops symptoms of immune deficiency, a phase termed “symptomatic HIV infection.” The individual might then develop AIDS-defining diseases. With the inception of multiple drug regimens (using combinations of nucleoside reverse transcriptase inhibitors [NRTIs], protease inhibitors [PIs], or nonnucleoside reverse transcriptase inhibitors [NNRTIs]), the CD8+ CTL (cytotoxic T-lymphocyte) and the CD4 count can be maintained at higher levels longer and the viral load minimized.Controlling replication of HIV and lowering the viral load are the current focus of early intervention. Although imminent death is not a realistic concern, the patient needs to make major behavioral and lifestyle changes to prolong life expectancy and may have significant problems that require information and assistance. The person who is well supported medically may lead a productive life for an extended period. At present the rate of new infections is rapidly increasing among people of color, women in general (with the most common mode of transmission being heterosexual activity), and resurgence among young homosexual men who did not experience the losses of their predecessors and have a misconception regarding the efficacy of medications and therefore are engaging in unsafe sexual practices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;CARE SETTING&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Community setting, although development of opportunistic infections may require occasional inpatient acute medical care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;RELATED FACTORS&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;AIDS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Extended care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fluid and electrolyte imbalances&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pneumonia: microbial&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Psychosocial aspects of care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sepsis/septicemia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP2&quot; style=&quot;margin-top:9.0pt;margin-right:0in;margin-bottom:6.0pt; margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:13.0pt;font-family:Arial&quot;&gt;Patient Assessment Database&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;1T&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Although patient may be asymptomatic, refer to CP: AIDS for potential signs/symptoms.&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;RTC&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer to section at end of plan for ongoing considerations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;DIAGNOSTIC STUDIES&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Enzyme-linked immunosorbent assay&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; (&lt;i&gt;ELISA&lt;/i&gt;)&lt;i&gt;:&lt;/i&gt;&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; A positive test result may be indicative of exposure to HIV but is not diagnostic. Sensitivity varies, with the incidence of false-positive results being approximately 10%. (Seroconversion can occur between 4 wk to 6 mo after exposure.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Western blot test&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; (&lt;i&gt;blood/urine&lt;/i&gt;)&lt;i&gt;:&lt;/i&gt;&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; Confirms diagnosis of HIV-1 in individuals with positive ELISA screening.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Viral load tests:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT3&quot;&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;RI-PCR:&lt;/span&gt;&lt;/i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Detects viral RNA levels as low as 50 copies/mL of plasma.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT3&quot;&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;bDNA 3.0 assay:&lt;/span&gt;&lt;/i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Has a wider range: 50–500,000 copies/mL. (The RI-PCR range is 50–75,000/mL.) Therapy can be initiated, or changes made in treatment approaches, based on rise of viral load or maintenance of a low viral load. This is currently the leading indicator of effectivenss of therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;CD8+&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt; &lt;b&gt;&lt;i&gt;CTL&lt;/i&gt; (&lt;i&gt;cytopathic suppressor cells&lt;/i&gt;)&lt;i&gt;:&lt;/i&gt;&lt;/b&gt; Current quantitative assays allow for rapid evaluation of levels. CD8+ (CTL) have been strongly implicated in the control of HIV-1 replications. At late stage of infection, CD8+ (CTL) numbers are reduced.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;CD4+&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt; &lt;b&gt;&lt;i&gt;lymphocyte count&lt;/i&gt; (&lt;i&gt;previously T4 helper cells&lt;/i&gt;)&lt;i&gt;:&lt;/i&gt;&lt;/b&gt; Reduced. Patients with counts below 500 benefit from antiretroviral therapy; counts equal to/or below 200 define progression to AIDS. Levels are measured immediately before and again 4–8 wk after initiation of antiretroviral therapy. Thus, it is used to diagnose HIV infection and progression and to monitor effects of drug therapy. The role of CD4+ T-cells is unclear. CD4+ cells are a target for HIV infection and destruction. Some researchers postulate CD4+ cells are eliminated early. They may not contribute to host defense substantially in the late stages of disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Screening tests:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; &lt;i&gt;Purified protein derivative&lt;/i&gt; (&lt;i&gt;PPD&lt;/i&gt;)&lt;i&gt;:&lt;/i&gt; Used to screen for TB exposure. A positive result reflects current or prior exposure to TB. The criterion for positive PPD when immunodeficiency is present is 5-mm induration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Serologies:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; &lt;i&gt;Rapid plasma reagin&lt;/i&gt; (&lt;i&gt;RPR&lt;/i&gt;)&lt;i&gt;/VDRL:&lt;/i&gt; Determines current/past exposure to syphilis and need for more specific testing. Toxoplasma and hepatitis B and C serologies may be done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Pap smear:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Higher incidence (40%) of abnormal cells occurs in HIV-infected women. The critical role of Pap smear screening relates to its ability to detect precursor lesions that can precede the diagnosis of invasive carcinoma by several years.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Pelvic/genital examination:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Identifies presence of lesions from sexually transmitted diseases (STDs), cervical and vaginal abnormalities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Chemistries:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Glucose levels elevated as a result of insulin resistance, and lipids rise as HIV infection progresses. Albumin/prealbumin and transferrin levels are decreased secondary to malabsorption/malnutrition that is usually progressive.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;CBC:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt; Hemoglobin, RBC counts are decreased and abnormalities in iron metabolism can result in anemia, which occurs in 17% of asymptomatic patients and up to 85% of patients with advanced disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Chest x-ray:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Abnormalities suggest presence of TB in PPD-positive, anergic, and/or symptomatic individuals. Diagnosis is then verified by sputum cultures or other tests, such as gallium scan.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;NURSING PRIORITIES&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Promote acceptance of reality of diagnosis/condition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Support incorporation of behavioral/lifestyle changes to enhance well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Provide information about disease process/prognosis and treatment needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Assist in developing plan and strategies to meet long-term medical, behavioral, and financial needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;Goals&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Dealing with current situation realistically.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Participating in and appropriately managing therapeutic regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Diagnosis, prognosis, and therapeutic regimen understood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Plan in place to meet medical, behavioral change, and financial needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Adjustment, impaired&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Life-threatening, stigmatized   condition/disease&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Assault to self-esteem, altered locus   of control&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Denial; incomplete/ongoing grieving&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inadequate support systems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Medication side effects (fatigue and   depression)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalization of nonacceptance/denial   of diagnosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Extended period of shock, disbelief, or   anger regarding change in health status&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Failure to take action to prevent   further health problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Failure to achieve optimal sense of   control&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Acceptance: Health Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize reality and acceptance of   condition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Demonstrate increased trust and   participation in development of plan of action.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Initiate lifestyle changes that will permit adaptation to   present life situations.&lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:11.0pt;font-family:Arial;mso-fareast-font-family:&amp;quot;Times New Roman&amp;quot;; text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Crisis Intervention (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Evaluate patient’s ability to   understand events and realistically appraise situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage expression of feelings,   denial, shock, and fears. Listen without judgment, accepting patient’s   expressions. Focus on positive outcomes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Challenge morbid thoughts and reframe   into positive statements, e.g., “You know why the virus is going to kill me.   I deserve to die for what I’ve done.” Response: “The virus may or may not   kill you. It’s not smart enough to decide when you may die. The virus is   ‘just there.’ It does not have a mind to know what you have or have not   done.”&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine available resources and   programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess social system, as well as   presence of support, perception of losses, and stressors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage patient to participate in   support groups.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Educate patient about drug   interactions, HIV, and emotions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage continued or renewed use of   familiar effective copies strategies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Explore use and practice of new and   different coping strategies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Help patient use humor to combat   stigmatization of the disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reinforce structure in daily life.   Include exercise as part of routine.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides base to develop plan of   action.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;It is important to convey belief in   commonality of patient’s fears/feelings. By focusing on positive outcomes,   patient is encouraged to take charge of those areas in which changes can be   made, e.g., managing medical regimen and behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Interrupts morbid thoughts and   challenges patient’s self-deprecating ideas. As with any potentially terminal   disease, this population is likely to experience depression and is at   increased risk for suicide, necessitating ongoing evaluation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Addictive behaviors, ability of   injection drug user to obtain clean “works,” sexual myths, and perceptions of   the need for condoms need to be addressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Partners, friends, and families will   have individual responses depending on the individual’s lifestyle, knowledge   of HIV transmission, and belief in myths.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Long-term support is critical to dealing   with and effectively coping with the reality of frequent physician visits for   evaluation, medical treatments, and ongoing lifestyle changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Fatigue and depression can be side   effects of some medications and of the infection itself. Knowledge that it is   usually of short duration can support informed choices/cooperation and   promote hope.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient is supported and given   encouragement for past effective behavior. Positive reinforcement enhances   self-esteem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Using new strategies can be   uncomfortable and practice fosters self-confidence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Humor defuses the sense of   secretiveness people may place on diagnosis of/dealing with HIV.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Routines help the person focus.   Exercise improves sense of wellness and enhances immune response.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Crisis Intervention (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss meaning of high-risk behavior and barriers to   change, e.g. unprotected sexual activity or injection drug use with shared   needles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist patient to set limits on sexually risky behaviors   and explore ways patient can achieve change.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist patient to channel anger to healthy activities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Inform patient about new medical advances/treatments.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss issues of voluntary disclosure; personal   responsibility; needs of others; and federal, state, and local reporting   requirements.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Refer to nurse practitioner/clinical nurse specialist,   psychologist, social worker knowledgeable about HIV.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Fear of disclosure, need to change usual behaviors, and   the difficulty of doing so may prevent the individual from making the changes   necessary to prevent transmission. Sexual behavior may be used to express   caring and to feel connected and less lonely.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Needs for love, comfort, and companionship that have been   met through sexual expression must be met safely through means that carry a   reduced risk of HIV transmission.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;The increased energy of anger can be used to accomplish   other tasks and enhance feelings of self-esteem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Promotes hope and helps patient make informed decisions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Understanding responsibilities and consequences of   disclosure is necessary for patient to make informed decisions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May need additional help adjusting to difficult   situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Fatigue&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Decreased metabolic energy production,   increased energy requirements (hypermetabolic state)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Overwhelming psychological/emotional   demands&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered body chemistry: side effects of   medications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalization of   unremitting/overwhelming lack of energy&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inability to maintain usual routines,   decreased performance, impaired ability to concentrate&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Endurance (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Report improved sense of energy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Participate in desired activities at   level of ability.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Energy Conservation (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify individual areas of control and engage in energy   conservation techniques.&lt;b&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:11.0pt;font-family:Arial;mso-fareast-font-family:&amp;quot;Times New Roman&amp;quot;; text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Energy Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess sleep patterns and other   factors that may be aggravating fatigue.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage physician evaluation of   fatigue if new medications have been added to regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss reality of patient’s feelings   of exhaustion and identify limitations imposed by fatigue state. Note daily   energy patterns—peaks and valleys.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist patient to set realistic   activity goals, determining individual priorities and responsibilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss energy conservation   techniques, e.g., sitting instead of standing for activities as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Review importance of meeting   individual nutritional needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage adequate rest periods   during day, routine schedule for bedtime/arising, and scheduling activities   during time of best energy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Instruct in stress management   techniques, e.g., breathing exercises, visualization, music and light therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify available resources and   support systems.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Multiple factors can cause/aggravate   fatigue, including sleep deprivation, emotional distress, side effects of   drugs, and developing central nervous system (CNS) disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Fatigue is present in variable   degrees as part of HIV infection process but is often aggravated by   nutritional deficiencies and side effects of certain medications. For   example, when protease inhibitors are added or changed, fatigue may worsen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Helpful in planning activities within   tolerance levels. Patients often expect too much of themselves, believing   that they should be able to do more.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient may need to alter priorities,   delegate some responsibilities to manage fatigue and optimize performance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enables patient to become aware of   ways in which energy expenditure can be maximized to complete necessary   tasks.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Adequate nutrition is needed for   optimizing energy production. (Refer to Nutrition: imbalanced, risk for less   than body requirements, following.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Helps patient recoup energy to manage   desired activities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduction of stress factors in   patient’s life can minimize energy output.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;May require outside assistance with   homemaking/maintenance activities, child care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;ND1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;&lt;/b&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Nutrition: imbalanced, risk for less than body   requirements&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reported inadequate food intake less   than recommended daily allowance&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of interest in food, anorexia,   depression&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of information, misinformation,   misconceptions&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Limited resources (including finances)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reported altered sensation of taste and   smell, nausea and other side effects of medications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Sore, inflamed buccal cavity (e.g.,   thrush, cytomegalovirus [CMV] lesions)&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and   symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Nutritional Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain adequate muscle mass.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain stable weight.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Demonstrate laboratory values within   normal limits.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Report improved energy level.&lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Nutritional Counseling (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine usual weight before patient   was diagnosed with HIV.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Weigh regularly and establish current   anthropometric measurements. Measure resting energy expenditure (REE) using   indirect calorimetry.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine patient’s current dietary   pattern/intake and knowledge of nutrition. Use an in-depth dietary assessment   tool.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess presence/degree of nausea and   vomiting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Ascertain current financial status,   recent and/or anticipated changes in economic status. Explore related costs   of a variety of foods.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Early wasting is not readily   determined by normal weight-to-height charts; therefore, determining current   weight in relation to prediagnosis weight is more useful. Recent   unexplained/involuntary weight loss may be a factor in seeking initial   medical evaluation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Helps assess/monitor wasting and   determine nutritional needs (40% of HIV-positive patients show substantial   weight loss). Indirect calorimetry is more accurate for calculating REE than   Harris-Benedict equation, which underestimates the energy needs of these   patients.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identification of these factors helps   plan for individual needs. Patients with HIV infection have documented   vitamin and trace mineral (zinc, magnesium, selenium) deficits. Alcohol and   drug abuse interfere with adequate intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;The causes of nausea and vomiting are   numerous and are associated with medications, functional changes in GI   system, and endocrine dysfunction. Protracted nausea and vomiting can   debilitate a patient, leading to loss of lean body mass, electrolyte   imbalances, and further deterioration of immune function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Helps in planning for meeting   nutritional needs, such as purchasing low-cost foods that are nutritionally   packed, or patient may need referral to financial aid to help with food   stamps or obtaining meals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt;  &lt;tr style=&quot;mso-yfti-irow:1;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;   padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Nutritional Counseling (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss/document nutritional side   effects of medications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Help patient plan ways to   maintain/improve intake. Identify lactose-free supplements as appropriate.   Provide information about nutritionally dense high-calorie, high-protein,   high-vitamin, and high-mineral foods.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Stress importance of maintaining   balanced/adequate nutritional intake and fluids rich with electrolytes, e.g.,   Gatorade or Pedialyte.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist patient to formulate dietary   plan, taking into consideration increased metabolic demands/energy needs and   hyperlipidemia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Recommend environment conducive to   eating, e.g., eating&lt;span style=&quot;mso-spacerun:yes&quot;&gt;  &lt;/span&gt;frequent small   meals, avoiding cooking odors if bothersome; keeping room well ventilated,   removing noxious stimuli. Suggest use of spices, marinating red meat before   cooking, and/or substituting other protein sources for red meat.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Emphasize importance of sharing   mealtime with others. Identify someone who can join patient for meals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Explore complementary therapies/nonpharmacologic   interventions, such as acupressure, progressive relaxation, and guided   imagery to manage anorexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss use of &lt;i&gt;Lactobacillus   acidophilus&lt;/i&gt; replacement, e.g. LactAid dairy products and/or   tablets/capsules.&lt;/span&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border-top:none;border-left:   none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;   mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Commonly used medications cause anorexia, altered taste,   nausea and/or vomiting; some interfere with bone marrow production of RBCs,   causing anemia. GI symptoms are common with over-the-counter (OTC) drugs like   nonsteroidal anti-inflammatory drugs (NSAIDs), which also may contribute to   anorexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Having this information helps patient understand   importance of well-balanced diet. Some patients may try macrobiotic and other   diets, believing the diarrhea is caused by lactose intolerance. Eliminating   dairy products can have detrimental effects when these components are not   replaced from other sources.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient may be depressed and discouraged with changed   health and social status and find it difficult to eat for many reasons.   Knowing how important nutritionally balanced intake is to supporting the   immune system and remaining healthy can motivate patient to eat.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provides guidance and feedback while promoting sense of   control, enhancing self-esteem, and possibly improving intake. HIV infection   is continuously stimulating the immune system, increasing metabolic rate and   nutritional needs. &lt;i&gt;Note:&lt;/i&gt; Use of protease inhibitors is known to   elevate levels of glucose and lipids (especially triglycerides and   cholesterol).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Improves nutritional intake, which is needed to help   patient restore/maintain nutritional defenses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Socialization can enhance appetite/food intake,   especially when depression, neglect of self-care, and diminished appetite are   present.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;The goal of these interventions is to manage distressing   symptoms that interfere with optimal nutritional intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;HIV infection changes the structure of the gut wall,   resulting in a decreased lactose level. Intolerance causes abdominal   cramping, malabsorption, a bloated feeling, and diarrhea.&lt;/span&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; &lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Also,   antibiotics taken for prevention of opportunistic infections cause changes in   normal bowel flora, contributing to diarrhea.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Nutritional Counseling (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Consult with dietitian.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Monitor laboratory values, e.g., hemoglobin (Hb), RBCs,   albumin/prealbumin, total iron-binding capacity (TIBC), potassium, sodium.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide medications as indicated, e.g.,&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Dronabinol (Marinol), megestrol (Megace), cyproheptadine   (Periactin);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Antidiarrheal medications, e.g., diphenoxylate/&lt;br /&gt;  atropine (Lomotil), octreotide (Sandostatin).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provides assistance in planning nutritionally sound diet   and identifying nutritional supplements to meet individual needs. Liquid   supplements (e.g., Advera) have been specifically formulated for the GI   manifestations common to the HIV-positive population.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;These laboratory tests are important in monitoring the   patient’s nutritional immune status and in identifying nutritional therapy   needs. For example, decreased RBCs (anemia) may require additional   interventions, such as use of epoetin (Epogen or Procrit) to stimulate RBC   production.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Antiemetics/appetite stimulants can improve intake to   prevent and correct dietary deficiencies. &lt;i&gt;Note:&lt;/i&gt; Side effect of use of   Megace may include impotence, necessitating change of drug as desired.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Diarrhea may be present because of altered GI flora and   side effects of anti-infective agents. Treatment can correct malabsorption   and enhance oral intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding   disease, prognosis, treatment, self-care, and discharge needs&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of exposure/recall&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Unfamiliarity with information   resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Cognitive limitation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Statement of misconception/request for   information&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inaccurate follow-through of   instructions, development of preventable complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inappropriate/exaggerated behaviors   (e.g., hostile, agitated, hysterical, apathetic)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Disease Process (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of   condition/disease process and potential complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify relationship of signs/symptoms   to the disease process and correlate symptoms with causative factors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of goals of   treatment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Initiate necessary lifestyle changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Participate in treatment regimen.&lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:11.0pt;font-family:Arial;mso-fareast-font-family:&amp;quot;Times New Roman&amp;quot;; text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing: 0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Learning Facilitation   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess emotional ability to   assimilate information and understand instructions. Respect patient’s need to   use denial coping techniques initially.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide realistic, optimistic   information during each contact with patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Plan frequent short sessions for   teaching. Include written information—a few pieces at each visit.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;IncludeSO/family in discussions and   conferences as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine current understanding and   perception of diagnosis. Discuss difference between HIV-positivity and AIDS.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify/problem-solve potential or   actual barriers to accessing healthcare services.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide information about normal   immune system/response and how HIV affects it, transmission of the virus,   behaviors and factors believed to increase probability of progression.   Encourage questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Review signs/symptoms that could be a   consequence of HIV infection, e.g., mild fever, anorexia, weight loss,   fatigue, night sweats, diarrhea, dry cough, rashes, headaches, and sleep   disturbances.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss management strategies for   persistent signs/symptoms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Initial shock and anxiety can block intake of   information. Self-esteem, lifestyle, guilt, and denial of own responsibility   in acquiring/transmitting disease become issues that must be dealt with. &lt;i&gt;Note:&lt;/i&gt;   Some initial denial may serve as a protective mechanism promoting more   effective self-care.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Necessary to provide realistic hope   because most patients have been exposed to some inaccurate information about   AIDS or have friends/lovers who have died of the disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient will likely feel overwhelmed   and need time and repeated contacts to absorb information, the scope of and   requirements for treating the infection. Written materials allow for later   review and reinforcement of information presented.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides opportunity to learn   information first hand, ask questions, and provide support for patient.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides opportunity to clarify   misconceptions/myths and make informed choices. People often believe that if   they are positive for the virus, they have AIDS; having accurate information   about the difference can alleviate fears and allow for development of an   individualized plan of care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Transportation, distance, child care,   work schedule, homelessness/poverty, lack of insurance or finances are some   of the issues that typically interfere with accessing needed primary care and   prophylactic interventions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient needs to be aware of own personal   risk and risk to others to make immediate and long-range decisions and   establish a basis for goal setting. Also, establishes rapport and provides   opportunity to identify concerns and assimilate information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient may experience an acute   illness 2–6 wk after becoming infected; however, it is common for infection   to be subclinical, with the individual simply feeling unwell.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient involvement in care increases   cooperation and satisfaction with care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify signs/symptoms that require medical evaluation,   e.g., persistent fever, increasing cough or swollen lymph glands, profound   fatigue unrelieved by rest, weight loss of 10 lb (or more) in less than 2 mo,   severe/persistent diarrhea, fever, blurred vision, skin discoloration or rash   that persists or spreads, open sores anywhere, symptoms occurring with   medication regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stress necessity of regular follow-up care and   evaluations including routine CD4 and HIV-RNA viral load counts, and any   change in medication regimen (time, frequency, side effects).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss need for regular gynecologic examinations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss family planning issues, careful selection of oral   contraceptives.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide preconception counseling, giving information   about risk of vertical transmission and ways to reduce the possibility of   perinatal transmission.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Refer to Antiretroviral Pregnancy Registry as   appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Early recognition of progression of disease/development   of opportunistic infections provides for timely intervention and may prevent   more serious situations. &lt;i&gt;Note:&lt;/i&gt; Most HIV patients are now on medication   regimens (usually at least three drugs) and must adhere to the dosages and   schedules, which may be difficult and/or cause side effects that tempt   patient to alter or discontinue them without notifying the physician.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Even though patient may be asymptomatic, periodic   evaluation may prevent development of complications, slow the progression of   the disease, and assist with treatment decisions. &lt;i&gt;Note:&lt;/i&gt; Patients who   change medication dosage/frequency in response to side effects can create   problems for medication adjustment later with increased viral load and   resistance to drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;HIV-positive women experience a high prevalence of Pap   smear, vaginal, and cervical abnormalities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Various antiretroviral drugs have differing effects on   ethinyl estradiol (EE) either enhancing or decreasing protective   effectiveness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;The risk of viral rebound with adverse consequences to   the fetus increases in women currently receiving treatment at the time of   conception. Research shows that when antiretroviral treatment is initiated   early in pregnancy, the neonatal transmission rate has dropped to less than   8% of live births. However, there is a lack of research regarding safety of   antiretroviral therapy in pregnancy and its effect on the fetus. (Efavirenz   is one exception; it is known to cause severe fetal malformation in monkeys.)   The majority of drugs are category C (no clinical trial information) for   therapy. For therapy naïve pregnant women, consider withholding therapy until   after the first trimester.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Collection of information regarding women and pregnancy   will increase data on teratogenic effects of medications/antiretrovirals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Prescribed Medication   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review drug therapies, including correct dosing/&lt;br /&gt;  scheduling; side effects, and adverse reactions as appropriate:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Antiretrovirals, e.g.:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Zidovudine/ZDV (Retrovir, AZT), didanosine/ddI (Videx),   zalcitabine/ddC, (Hivid), stavudine/d4T (Zerit), lamivudine/3TC (Epivir);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Protease inhibitors (PIs), e.g., indinavir/IDV   (Crixivan), nelfinevir (Viracept), ritonavir/RTV (Norvir), saquinavir/SQV (Fortovase,   Invirase), amprenavir/APV (Agenerase);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Nonnucleoside reverse transcriptase inhibitors (NNRTIs),   e.g., delavirdine/DLV (Rescriptor), nevirapine/NVP (Viramune), efavirenz/EFV   (Sustiva);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Anti-infectives, e.g., trimethoprim-sulfamethoxazole/&lt;br /&gt;  TMP/SMX (Bactrim, Septra), azithromycin (Zithromax), clarithromycin (Biaxin),   foscarnet (Foscavir), rifabutin (Mycobutin), isoniazid (INH), pyridoxine   (Doxine).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;These drugs interfere with the HIV replication process,   and early treatment may be considered when CD4 count is near 500, even if   individual is asymptomatic. Side effects such as symptoms of peripheral   neuropathy or pancreatitis necessitate prompt evaluation and possible   discontinuation/change in therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Currently, 12 antiretroviral agents have been approved by   the Food and Drug Administration (FDA), all aimed at blocking replication of   the HIV virus at some level. The drugs are generally given in groups of three   because a multidrug regimen is more effective in reducing the viral load. (The   goal is to maintain viral load at &lt;500&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;These drugs are called nucleoside reverse transcriptase   inhibitors (NRTIs). In the past, zidovudine was given alone and as a   first-line treatment. Now the drug is usually given in a three-drug treatment   regimen, along with another NRTI and a protease inhibitor. Zidovudine is,   however, safe in preventing perinatal HIV infection, so it is an option for   the pregnant patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;When combined with NRTIs, protease inhibitors control the   HIV-RNA viral load by blocking viral replication at two different target   sites in the replication process. Immune function is maintained with early   intervention, or improved when initiated later.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;These drugs inhibit viral replication by a different   mechanism than NRTIs or PIs. They also are used in combination because using   them alone seems to encourage drug resistance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Focus on prevention of commonly occurring opportunistic   infections, such as &lt;i&gt;Pneumocystis carinii&lt;/i&gt; pneumonia (PCP),   cytomegalovirus (CMV), &lt;i&gt;Mycobacterium avium&lt;/i&gt; complex (MAC), or TB may   prolong general wellness. Primary prophylactic therapy aims to prevent or   delay onset of symptoms of reactivated or newly acquired infection. The goal   of secondary prophylaxis is to prevent or delay recurrent episodes of   particular infection. Prophylaxis continues indefinitely as long as the drug   is tolerated. &lt;i&gt;Note:&lt;/i&gt; Many of these organisms (except TB) are part of   the normal body flora and are kept under control by the healthy immune   system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Prescribed Medication   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide information about clinical trials available as   individually appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide information about pharmaceutical company   assistance programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;Risk Identification (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assess potential for inappropriate/high-risk behavior   e.g., continued injection drug abuse, unsafe sexual practices. Stress need to   avoid use of illicit injected drugs or, if unwilling to abstain, to avoid   sharing needles and to clean works with bleach solution, rinsing carefully   with water.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Recommend exploring drug treatment resources, e.g.,   methadone clinics or substance abuse recovery groups or programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stress necessity of, and methods for, practicing safer   sex at all times.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss active changes in sexual behaviors that patient   can make that may satisfy sexual needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide information about other necessary lifestyle   changes and health maintenance factors:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Avoid people with infections;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Exercise within ability, alternate rest periods with   activity, and get adequate sleep;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Scientific research requires HIV-positive test subjects.   Participation may provide individual with a sense of contributing to body of   knowledge/search for cure, in addition to no-cost monitoring and medications   for those with limited financial resources.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Some medications are provided free or at reduced cost,   based on income.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;High denial/anger, drug addition may cause patient to   continue behaviors that are high risk for spread of the virus. Even moderate   changes in lifestyle may reduce exposure to other infective agents that can   cause additional stress to the immune system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Programs could help reduce HIV transmission by reducing   injection drug use when patient substitutes (i.e., methadone) or recovers   from drug use, or if safer injection and needle use techniques are learned.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Limits spread of virus and exposure to other STDs. A   person’s sexual expression and identity are threatened by the discovery of   the diagnosis. Therefore, 40% or more of individuals with HIV may not reveal   status to potential sexual partners, contributing to ongoing transmission.   Women may not follow guidelines because partner refuses to use condoms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Learning alternative forms of expression promotes a sense   of responsibility and control. May reduce sexual tensions/promote normalcy in   sexual relationships and reduce fear/guilt related to potential transmission   of HIV. &lt;i&gt;Note:&lt;/i&gt; Patients, particularly women, may fear partner will   leave, resulting in loss of love/emotional support.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Evidence suggests that specific dietary and lifestyle   factors may slow the progression of HIV infection because they support a more   healthy immune system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;When the immune system is depressed, the person’s ability   to fight exposure to common communicable diseases is limited.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helps manage fatigue; maintains strength and sense of   well-being. Exercise has also been shown to stimulate the immune system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Risk Identification (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Eat regularly, even if appetite is reduced; try small,   frequent meals and snacks of foods high in nutrition; discuss ways to control   nausea/vomiting and improve appetite;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Practice daily oral hygiene, use a soft toothbrush;   examine mouth regularly for sores, white film, or changes in color; have   regular dental checkups every 6 mo;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Examine skin for rashes, bruises, breaks in skin   integrity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify additional resources, e.g.: support groups, peer   counselors, and mental health professionals;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Case managers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Physical and psychological stressors increase metabolic   needs; in addition, side effects of medication, presence of nausea/vomiting,   and anorexia often limit oral intake. The result is nutritional deficits that   can further impair the immune system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Poor oral hygiene/dental care can affect oral intake   adversely and increase the risk of opportunistic/systemic infections.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May indicate developing complications/increased risk of   infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient will experience a variety of emotional and   psychological responses to the diagnosis and its consequences and may need   additional assistance to promote optimal adjustment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;In early stages of HIV infection, focus may be on social   services (e.g., help with housing, employment, legal issues, finances).   Later, as disease progresses, the emphasis switches to medical and related   community services.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Social Isolation, risk for&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered state of wellness, changes in   physical appearance&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Perceptions of unacceptable social or   sexual behavior/values&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inadequate resources/fear of losing   personal resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   Arial;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and symptoms   establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—   PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Social Support (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify stable support   system/individual(s).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Use resources for assistance as   appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Express increased sense of self-esteem.&lt;b&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:11.0pt;font-family:Arial;mso-fareast-font-family:&amp;quot;Times New Roman&amp;quot;; text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Support System Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine patient’s response to   condition and concerns/fears about response of others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess patient’s feelings about self,   sense of ability to control situation, sense of hope, and coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss concerns regarding   employment/leisure involvement. Note potential problems involving finances,   insurance, housing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify availability/stability of   support systems including SO, immediate/extended family, community.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage honesty in relationships as   appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage contact with SO, family,   and friends.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist patient to problem-solve   solutions to short-term/imposed isolations (e.g., communicable disease   measures, severely compromised immune system).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Help patient differentiate between   isolation and loneliness/aloneness, which may be by choice.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Be alert to verbal/nonverbal cues,   e.g., withdrawal, statements of despair, sense of aloneness. Determine   presence/level of risk of suicidal thoughts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;How the individual accepts and deals   with the situation will help decide the plan of care and interventions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Information is essential to planning   individualized care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patients with this potentially   terminal illness that carries a stigma face major problems with possible loss   of employment, medical insurance, housing, and care sources if they become   unable to care for themselves.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Crucial information to help patient   plan future care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;As a rule, acquaintances do not need   to be informed of patient’s health status. However, information should be   shared with close relationships (e.g., SO, family, sexual partners). Honesty   can help identify stable support persons.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Many patients fear telling SO,   family, and friends for fear of rejection; and some patients withdraw as a   result of tumultuous feelings. Contact promotes sense of support, concern,   involvement, and understanding. Supporting loved ones as they learn of the   diagnosis is beneficial and can provide optimism for the long-term.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Anticipatory planning can defuse   sense of isolation and loneliness that can accompany these situations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides an opportunity for patient   to realize the control he or she has to make decisions about the choice to   take care of self in regard to these issues.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Indicators of despair and suicidal   ideation may be present. When these cues are acknowledged, patient is usually   willing to divulge thoughts and sense of isolation/hopelessness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Support System Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify   community resources, self-help groups, rehabilitation/drug cessation programs   as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Refer   to psychiatric clinical nurse specialist/psychiatrist as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Provides   opportunities for resolving problems that may contribute to sense of   loneliness and isolation, transmission risks, and sense of guilt.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;May   require more in-depth support to deal with feelings, manage difficult   situations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Therapeutic Regimen: Individual/Families, ineffective   management&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Complexity of heathcare system/access   to care; economic difficulties&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Complexity of therapeutic regimen   (e.g., confusing/difficult dosing schedule, duration of regimen)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Mistrust of regimen and/or healthcare   personnel (client/provider interactions)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Health beliefs/cultural influences&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Perceived   seriousness/susceptibility/benefits of therapy&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Decisional conflicts; powerlessness&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Family conflict/crises&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Expressed desire to manage situation   more appropriately&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalized difficulty with   regulation/integration of one or more prescribed regimens for treatment of   illness and its effects&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Failure to take actions to reduce risk   factors for progression of illness and sequelae&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Evidence of acceleration of illness   symptoms/development of complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT/FAMILY WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Treatment Behavior: Illness or Injury (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify individual factors affecting   management of regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Accept personal responsibility for own   actions and participate in problem-solving activities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:6.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Develop contract for care with mutually agreeable goals   for treatment and mechanisms for changing/terminating elements of plan.&lt;/span&gt;&lt;b&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Patient Contracting (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Make time to listen to patient   concerns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Determine patient’s/SO’s perception   or understanding of regimen.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   Arial;text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Promotes feelings of value and may   identify additional factors that affect outcome of therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identifies areas of   confusion/conflict or lack of accurate information that may impede   cooperation with regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Patient Contracting (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assess perceived/actual barriers to accessing healthcare   services and reasons for deviations from prescribed plan.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Instruct patient carefully in all aspects of medication   regimen, times, interaction with food, side effects;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide written schedule;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Suggest placing doses of medications in various   locations;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Recommend various methods to alert patient to medication   time, such as portable pill container, alarms;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduce dose frequency and number of pills;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stress importance of keeping healthcare provider informed   of concerns and ability to continue prescribed medication regimen;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Notify healthcare provider immediately if unable to   continue all antiretroviral medications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Negotiate a therapy plan patient can commit to. Include   routines of awakening, meals, work schedule, and medication side effects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist patient to develop realistic health goals and   incorporate wellness activities and practices, i.e., exercise, smoking   cessation, nutrition, vitamin supplements, into daily routine.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review stress management skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide anticipatory guidance, possible occurrences and   choices, if any, to prevent or delay complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify adaptive interventions valid for progressive   long-term care needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Monitor adherence to prescribed medical regimen. Alter   plan of care as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provides opportunity to clarify actual problems and   develop alternative plan acceptable to healthcare provider.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Thorough understanding may enhance cooperation with   regimen, help in identifying potential for compromise.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful for future reference.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;When patient’s routine is stable, and he or she engages   in activities away from home, it is helpful to keep a supply of medications   in more than one location (e.g., work, home of family/friends).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Will assist busy or forgetful patient to take medications   at appropriate intervals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Increases ability to manage treatment regimen with little   interference.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Drug levels quickly fall below therapeutic levels if &lt;b&gt;one&lt;/b&gt;   dose is missed. &lt;i&gt;Note:&lt;/i&gt; Evidence suggests women tend to reduce or stop   therapy secondary to side effects more frequently than men.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces potential for drug resistance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;The more individualized the plan is, the greater   probability of adherence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Multiple responsibilities and demands on the time of   patients, especially women, make it appear difficult to include any   additional activities of self-care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patients must balance self-care needs and needs of other   family members, which may be conflicting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces crisis events. Provides time for patient to   prepare for known, usual or expected changes. Permits earlier initiation of   therapies and decreases disruption of schedule.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Builds on coping strategies already effective for this   individual.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Regimen is likely to be complicated and time consuming.   Thoughtful changes in plan may help enhance cooperation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt;  &lt;tr style=&quot;mso-yfti-irow:1;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;   padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Support System Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify potential or actual support   person(s). Include in teaching and problem-solving activities as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Help patient develop strategies that   can gain supportive persons.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify appropriate women’s   groups/services, social worker; financial resources, respite care, and other   community programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Refer to counselor/therapist,   spiritual advisor as appropriate.&lt;/span&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border-top:none;border-left:   none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;   mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful in planning for future and current needs of   person and family.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;The more support persons available, the lower the risk of   support burnout.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Often female patients are single parents/caretakers for   family. Groups can provide support and tangible help in dealing with issues   of child care, parenting, what to do when patient is too ill to parent.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Opportunity to discuss concerns/fears may aid in   problem-solving solutions and living with required changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;MsoNormal&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;POTENTIAL ONGOING CONSIDERATIONS (dependent on patient’s age, physical condition/presence of complications, person resources, and life responsibilities)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fatigue—decreased metabolic energy production, increased energy requirements (hypermetabolic state).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Nutrition: imbalanced, less than body requirements—increased metabolic demands/energy requirements, side effects of medication, anorexia, fatigue.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Decisional Conflict—unclear personal values/beliefs, perceived threat to value system, multiple or divergent sources of information, support system deficit, interference with decision making.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Infection, risk for—depression of immune system, chronic disease, malnutrition, use of antimicrobial agents (superimposed infections, e.g., yeast).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Therapeutic Regimen: [Individual]/Families, ineffective management—complexity of healthcare system/therapeutic regimen, perceived seriousness/susceptibility/benefits of therapy, family conflicts/crises.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/189669318795010261/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/189669318795010261' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/189669318795010261'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/189669318795010261'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/hiv-positive-patient-individual.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-6118812400594156219</id><published>2011-03-01T02:40:00.001-08:00</published><updated>2011-03-01T02:40:48.814-08:00</updated><title type='text'></title><content type='html'>&lt;p class=&quot;CP1&quot;&gt;SURGICAL INTERVENTION&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Surgery may be needed to diagnose or cure a specific disease process, correct a structural deformity, restore a functional process, or reduce the level of dysfunction/pain. Although surgery is generally elective or preplanned, potentially life-threatening conditions can arise, requiring emergency intervention. Absence or limitation of preoperative preparation and teaching increases the need for postoperative support in addition to managing underlying medical conditions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;CARE SETTING&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be inpatient on a surgical unit or outpatient/short-stay in an ambulatory surgical setting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RELATED CONCERNS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Alcohol: acute withdrawal&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cancer&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Diabetes mellitus/Diabetic ketoacidosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fluid and electrolyte imbalances&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Hemothorax/Pneumothorax&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Metabolic acidosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Metabolic alkalosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Peritonitis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pneumonia, microbial&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Psychosocial aspects of care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Respiratory acidosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Respiratory alkalosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sepsis/Septicemia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Thrombophlebitis: DVT&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Total nutritional support&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Also refer to plan of care for specific surgical procedure performed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Patient Assessment Database&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Data depends on the duration/severity of underlying problem and involvement of other body systems. Refer to specific plans of care for data and diagnostic studies relevant to the procedure and additional nursing diagnoses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;CIRCULATION&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;History of cardiac problems, heart failure (HF), pulmonary edema, peripheral vascular disease, or vascular stasis (increases risk of thrombus formation)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;Changes in heart rate (sympathetic stimulation)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;EGO INTEGRITY&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;Feelings of anxiety, fear, anger, apathy&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Multiple stress factors, e.g., financial, relationship, lifestyle&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;Restlessness, increased tension/irritability&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sympathetic stimulation, e.g., changes in heart rate (HR), respiratory rate&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ELIMINATION&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;History of kidney/bladder conditions; use of diuretics/laxatives&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;FOOD/FLUID&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;Pancreatic insufficiency/DM (predisposing to hypoglycemia/ketoacidosis)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use of diuretics&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;Malnutrition (including obesity)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Dry mucous membranes (limited intake/nothing-by-mouth [NPO] period preoperatively)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RESPIRATION&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;Infections, chronic conditions/cough, smoking&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;Changes in respiratory rate (sympathetic stimulation)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;SAFETY&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;Allergies or sensitivities to medications, food, tape, latex, and solution(s)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Immune deficiencies (increases risk of systemic infections and delayed healing)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Presence of cancer/recent cancer therapy&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Family history of malignant hyperthermia/reaction to anesthesia, autoimmune diseases&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;History of hepatic disease (affects drug detoxification and may alter coagulation)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;History of blood transfusion(s)/transfusion reaction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;Presence of existing infectious process; fever&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;TEACHING/LEARNING&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;Use of medications such as anticoagulants, steroids, antibiotics, antihypertensives, cardiotonic glycosides, antidysrhythmics, bronchodilators, diuretics, decongestants, analgesics, anti-inflammatories, anticonvulsants, or antipsychotics/antianxiety agents, as well as over-the-counter (OTC) medications, herbal supplements, or alcohol or other drugs of abuse (risk of liver damage affecting coagulation and choice of anesthesia, as well as potential for postoperative withdrawal)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Discharge plan&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;b&gt;DRG projected mean length of stay: 2.6 days for inpatient procedures, 2–36 hr for &lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;considerations:&lt;span style=&quot;mso-tab-count:2&quot;&gt;                &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;outpatient&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;May require temporary assistance with transportation, dressing(s)/supplies, self-care, and homemaker/maintenance tasks&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt2runover&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Possible placement in rehabilitation/extended care facility&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CPXR1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer to section at end of plan for postdischarge considerations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DIAGNOSTIC STUDIES&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;General preoperative requirements may include:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt; Complete blood count (CBC), prothrombin time (PT)/activated partial thromboplastin time (aPTT), chest x-ray. Other studies depend on type of operative procedure, underlying medical conditions, current medications, age, and weight. These tests may include blood urea nitrogen (BUN), creatinine (Cr), glucose, arterial blood gases (ABGs), electrolytes; liver function, thyroid, nutritional studies, electrocardiogram (ECG). Deviations from normal should be corrected if possible before safe administration of anesthetic agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;CBC:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; An elevated white blood cell (WBC) count is indicative of inflammatory process (may be diagnostic, e.g., appendicitis); decreased WBC count suggests viral processes (requiring evaluation because immune system may be dysfunctional). Low hemoglobin (Hb) suggests anemia/blood loss (impairs tissue oxygenation and reduces the Hb available to bind with inhalation anesthetics); may suggest need for crossmatch/blood transfusion. An elevated hematocrit (Hct) may indicate dehydration; decreased Hct suggests fluid overload.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Electrolytes:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Imbalances impair organ function, e.g., decreased potassium affects cardiac muscle contractility, leading to decreased cardiac output.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;ABGs:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Evaluates current respiratory status, which may be especially important in smokers, patients with chronic lung diseases.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Coagulation times: &lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be prolonged, interfering with intraoperative/postoperative hemostasis; hypercoagulation increases risk of thrombosis formation, especially in conjunction with dehydration and decreased mobility associated with surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Urinalysis:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Presence of WBCs or bacteria indicates infection. Elevated specific gravity may reflect dehydration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pregnancy test:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Positive results affect timing of procedure and choice of pharmacological agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Chest x-ray:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Should be free of infiltrates, pneumonia; used for identification of masses and COPD.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;ECG:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Abnormal findings require attention before administering anesthetics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;&lt;/b&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING PRIORITIES&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1. Reduce anxiety and emotional trauma.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2. Provide for physical safety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3. Prevent complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4. Alleviate pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5. Facilitate recovery process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6. Provide information about disease process/surgical procedure, prognosis, and treatment needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DISCHARGE GOALS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1. Patient dealing realistically with current situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2. Injury prevented.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3. Complications prevented/minimized.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4. Pain relieved/controlled.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5. Wound healing/organ function progressing toward normal.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6. Disease process/surgical procedure, prognosis, and therapeutic regimen understood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;7. Plan in place to meet needs after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Knowledge Deficit [Learning   Need] regarding condition, prognosis, treatment, self care, and discharge   needs&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   exposure/recall, information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Unfamiliarity   with information resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Statement of the   problem/concerns, misconceptions&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Request for   information&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inappropriate,   exaggerated behaviors (e.g., agitated, apathetic, hostile)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inaccurate   follow-through of instructions/development of preventable complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Treatment Procedure(s) (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of disease process/perioperative process and postoperative   expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Correctly perform   necessary procedures and explain reasons for the actions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Initiate   necessary lifestyle changes and participate in treatment regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Teaching: Preoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   patient’s level of understanding.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   specific pathology and anticipated surgical procedure. Verify that   appropriate consent has been signed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use   resource teaching materials, audiovisuals as available.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Facilitates   planning of preoperative teaching program, identifies content needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   knowledge base from which patient can make informed therapy choices and   consent for procedure, and presents opportunity to clarify misconceptions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Specifically   designed materials can facilitate the patient’s learning.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Teaching: Preoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Implement   individualized preoperative teaching program:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Preoperative/postoperative procedures and expectations,   urinary and bowel changes, dietary considerations, activity levels/transfers,   respiratory/cardiovascular exercises; anticipated IV lines and tubes (e.g.,   nasogastric [NG] tubes, drains, and catheters);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Preoperative instructions, e.g., NPO time, shower/skin   preparation, which routine medications to take/hold, e.g., prophylactic   antibiotics, or anticoagulants, anesthesia premedication;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Intraoperative patient safety, e.g., not crossing legs   during procedures performed under local/light anesthesia;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Expected/transient reactions (e.g., low backache,   localized numbness and reddening or skin indentations);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Inform patient/SO about itinerary, physician/SO   communications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss/develop   individual postoperative pain management plan. Identify misconceptions   patient may have and provide appropriate information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   opportunity to practice coughing, deep-breathing, and muscular exercises.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances patient’s understanding/control and can relieve   stress related to the unknown/unexpected.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps reduce the possibility of postoperative   complications and promotes a rapid return to normal body function. &lt;i&gt;Note:&lt;/i&gt;   In some instances, liquids and medications are allowed up to 2 hr before   scheduled procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduced risk of complications/untoward outcomes, such as   injury to the peroneal and tibial nerves with postoperative pain in the   calves and feet.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Minor effects of immobilization/positioning should resolve   in 24 hr. If they persist, medical evaluation is required.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Logistical information about operating room (OR) schedule   and locations (e.g., recovery room, postoperative room assignment), as well   as where and when the surgeon will communicate with SO relieves stress and   miscommunications, preventing confusion and doubt over patient’s well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Increases   likelihood of successful pain management. Some patients may expect to be   pain-free or fear becoming addicted to narcotic agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances   learning and continuation of activity postoperatively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Fear/Anxiety (specify level)&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Situational   crisis; unfamiliarity with environment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Change in health   status; threat of death&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Separation from   usual support systems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Increased   tension, apprehension, decreased self-assurance&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Expressed concern   regarding changes, fear of consequences&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Facial tension,   restlessness, focus on self&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sympathetic   stimulation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Anxiety or Fear Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Acknowledge   feelings and identify healthy ways to deal with them.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Appear relaxed,   able to rest/sleep appropriately.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Report decreased   fear and anxiety reduced to a manageable level.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Anxiety Reduction (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   preoperative education, including visit with OR personnel before surgery when   possible. Discuss anticipated things that may frighten/concern patient, e.g.,   masks, lights, IVs, BP cuff, electrodes, bovie pad, feel of oxygen   cannula/mask on nose or face, autoclave and suction noises, child crying.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inform   patient/SO of nurse’s intraoperative advocate role.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   fear levels that may necessitate postponement of surgical procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Validate   source of fear. Provide accurate factual information. Active-Listen concerns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note   expressions of distress/feelings of helplessness, preoccupation with   anticipated change/loss, choked feelings.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Can   provide reassurance and alleviate patient’s anxiety, as well as provide   information for formulating intraoperative care. Acknowledges that foreign   environment may be frightening, alleviates associated fears.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Develops   trust/rapport, decreasing fear of loss of control in a foreign environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Overwhelming   or persistent fears result in excessive stress reaction, potentiating risk of   adverse reaction to procedure/anesthetic agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identification   of specific fear helps patient deal realistically with it, e.g.,   misidentification/wrong operation, dismemberment, disfigurement, loss of   dignity/control, or being awake/aware with local anesthesia. Patient may have   misinterpreted preoperative information or have misinformation regarding   surgery/&lt;br /&gt;  disease process. Fears regarding previous experiences of   self/family/acquaintances may be unresolved.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient   may already be grieving for the loss represented by the anticipated surgical   procedure/diagnosis/prognosis of illness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Anxiety Reduction (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Tell   patient anticipating local/spinal anesthesia that drowsiness/sleep occurs,   that more sedation may be requested and will be given if needed, and that   surgical drapes will block view of the operative field.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Introduce   staff at time of transfer to operating suite.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Compare   surgery schedule, patient identification band, chart, and signed operative   consent for surgical procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevent   unnecessary body exposure during transfer and in OR suite.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Give   simple, concise directions/explanations to sedated patient. Review   environmental concerns as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Control   external stimuli.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:9.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer to   pastoral spiritual care, psychiatric nurse, clinical specialist, psychiatric   counseling if indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   postponement/cancellation of surgery with physician, anesthesiologist,   patient, and family as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   medications as indicated, e.g.:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Sedatives, hypnotics;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;IV antianxiety agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   concerns that patient may “see” the procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Establishes   rapport and psychological comfort.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   for positive identification, reducing fear that wrong procedure may be done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patients   are concerned about loss of dignity and inability to exercise control.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Impairment   of thought processes makes it difficult for patient to understand lengthy   instructions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Extraneous   noises and commotion may accelerate anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   desired or required for patient to deal with fear, especially concerning   life-threatening conditions, serious and/or high-risk procedures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   necessary if overwhelming fears are not reduced/resolved.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Used to promote sleep the evening before surgery; may   enhance coping abilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:8.1pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;May be provided in the outpatient admitting/&lt;br /&gt;  preoperative holding area to reduce nervousness and provide comfort. &lt;i&gt;Note:&lt;/i&gt;   Respiratory depression/&lt;br /&gt;  bradycardia may occur, necessitating prompt intervention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;&lt;/b&gt;  &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;INTRAOPERATIVE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Perioperative Positioning, risk   for injury&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disorientation;   sensory/perceptual disturbances due to anesthesia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Immobilization;   musculoskeletal impairments&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Obesity/emaciation;   edema&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIa—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Safety Status: Physical Injury (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Be free of injury   related to perioperative disorientation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Be free of   untoward skin/tissue injury or changes lasting beyond 24–48 hr following   procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Report resolution   of localized numbness, tingling, or changes in sensation related to   positioning within 24–48 hr as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Positioning Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note   anticipated length of procedure and customary position. Be aware of potential   complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   patient’s history, noting age, weight/height, nutritional status, physical   limitation/preexisting conditions that may affect choice of position and skin/&lt;br /&gt;  tissue integrity during surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Stabilize   both patient cart and OR table when transferring patient to and from OR   table, using an adequate number of personnel for transfer and support of   extremities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Anticipate   movement of extraneous lines and tubes during the transfer and secure or   guide them into position.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Secure   patient on OR table with safety belt as appropriate, explaining necessity for   restraint.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Supine   position may cause low back pain and skin pressure at heels/elbows/sacrum;   lateral chest position can cause shoulder and neck pain, plus eye and ear   injury on the patient’s downside.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Many   conditions (e.g., lack of subcutaneous padding in elderly person, arthritis,   thoracic outlet/cubital tunnel syndrome, diabetes, obesity, presence of   abdominal stoma, peripheral vascular disease, level of hydration, temperature   of extremities) can make individual prone to injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Unstabilized   cart/table can separate, causing patient to fall. Both side rails must be in   the down position for caregiver(s) to assist patient transfer and prevent   loss of balance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   undue tension and dislocation of IV lines, NG tubes, catheters, and chest   tubes; maintains gravity drainage when appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;OR tables   and arm boards are narrow, placing patient at risk for injury, especially   during fasciculation. Patient may become resistive or combative when sedated   or emerging from anesthesia, furthering potential for injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Positioning Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Protect   body from contact with metal parts of the operating table.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prepare   equipment and padding for required position, according to operative procedure   and patient’s specific needs. Pay special attention to pressure points of   bony prominences (e.g., arms, ankles) and neurovascular pressure points   (e.g., breasts, knees).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Position   extremities so they may be periodically checked for safety, circulation,   nerve pressure, and alignment. Monitor peripheral pulses, skin   color/temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Place legs   in stirrups simultaneously (when lithotomy position used), adjusting stirrup   height to patient’s legs, maintaining symmetrical position. Pad popliteal   space and heels/feet as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   foot board/elevate drapes off toes. Avoid/&lt;br /&gt;  monitor placement of equipment, instrumentation on trunk/extremities during   procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reposition   slowly at transfer from table and in bed (especially halothane-anesthetized   patient).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determine   specific postoperative positioning guidelines, e.g., elevation of head of bed   following spinal anesthesia, turn to unoperated side following pneumonectomy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:18.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Recommend   position changes to anesthesiologist and/&lt;br /&gt;  or surgeon as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   risk of electrical injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Depending   on individual patient’s size, weight, and preexisting conditions, extra   padding materials may be required to protect bony prominences, prevent   circulatory compromise/nerve pressure, or allow for optimum chest expansion   for ventilation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   accidental trauma, e.g., hands, fingers, and toes could inadvertently be   scraped, pinched, or amputated by moving table attachments; positional   pressure of brachial plexus, peroneal, and ulnar nerves can cause serious problems   with extremities; prolonged plantar flexion may result in footdrop.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   muscle strain; reduces risk of hip dislocation in elderly patients. Padding   helps prevent peroneal and tibial nerve damage. &lt;i&gt;Note:&lt;/i&gt; Prolonged   positioning in stirrups may lead to compartment syndrome in calf muscles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Continuous   pressure may cause neural, circulatory, and skin integrity disruption.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Myocardial   depressant effect of various agents increases risk of hypotension and/or   bradycardia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   risk of postoperative complications, e.g., headache associated with migration   of spinal anesthesia, or loss of maximal respiratory effort.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Close   attention to proper positioning can prevent muscle strain, nerve damage,   circulatory compromise, and undue pressure on skin/bony prominences. Although   the anesthesiologist is responsible for positioning, the nurse may be able to   see/have more time to note patient needs, and provide assistance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;: Injury, risk for&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Interactive   conditions between individual and environment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;External   environment, e.g., physical design, structure of environment, exposure to   equipment, instrumentation, positioning, use of pharmaceutical agents&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Internal   environment, e.g., tissue hypoxia, abnormal blood profile/altered clotting   factors, broken skin&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—CAREGIVER WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:   Arial&quot;&gt;Risk Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   individual risk factors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Modify   environment as indicated to enhance safety and use resources appropriately.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Surgical Precautions (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Remove   dentures, partial plates or bridges preoperatively per protocol. Inform   anesthesiologist of problems with natural teeth, e.g., loose teeth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Remove   prosthetics, other devices preoperatively or after induction, depending on   sensory/perceptual alterations and mobility impairment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Remove   jewelry preoperatively or tape over as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Laser Precautions (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verify   patient identity and scheduled operative procedure by comparing patient   chart, arm band, and surgical schedule. Verbally ascertain correct name,   procedure, operative site, and physician.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Document   allergies, including risk for adverse reaction to latex, tape, and prep   solutions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Foreign   bodies may be aspirated during endotracheal intubation/extubation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Contact   lenses may cause corneal abrasions while under anesthesia; eyeglasses and   hearing aids are obstructive and may break; however, patients may feel more   in control of environment if hearing and visual aids are left on as long as   possible. Artificial limbs may be damaged and skin integrity impaired if left   on.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Metals   conduct electrical current and provide an electrocautery hazard. In addition,   loss or damage to patient’s personal property can easily occur in the foreign   environment. &lt;i&gt;Note:&lt;/i&gt; In some cases (e.g., arthritic knuckles), it may   not be possible to remove rings without cutting them off. In this situation,   applying tape over the ring may prevent patient from “catching” ring and   prevent loss of stone or damage to finger.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assures   correct patient, procedure, and appropriate extremity/side.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   risk for allergic responses that may impair skin integrity or lead to   life-threatening systemic reactions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Surgical Precautions (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Give   simple and concise directions to the sedated patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevent   pooling of prep solutions under and around patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   with induction as needed; e.g., stand by to apply cricoid pressure during   intubation or stabilize position during lumbar puncture for spinal block.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ascertain   electrical safety of equipment used in surgical procedure, e.g., intact   cords, grounds, medical engineering verification labels.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Place   dispersive electrode (electrocautery pad) over greatest available muscle   mass, ensuring its contact.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Confirm   and document correct sponge, instrument, needle, and blade counts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verify   credentials of laser operators for specific wavelength laser required for   particular procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Confirm   presence of fire extinguishers and wet fire smothering materials when lasers   are used intraoperatively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply   patient eye protection before laser activation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Protect   surrounding skin and anatomy appropriately, i.e., wet towels, sponges, dams,   cottonoids.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Impairment   of thought process makes it difficult for patient to understand lengthy   directions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Antiseptic   solutions may chemically burn skin, as well as conduct electricity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Facilitates   safe administration of anesthesia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Malfunction   of equipment can occur during the operative procedure, causing not only   delays and unnecessary anesthesia but also injury or death, e.g., short   circuits, faulty grounds, laser malfunctions, or laser misalignment. Periodic   electrical safety checks are imperative for all OR equipment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides a   ground for maximum conductivity to prevent electrical burns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Foreign   bodies remaining in body cavities at closure not only cause inflammation,   infection, perforation, and abscess formation, disastrous complications that   lead to death.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Because of   the potential hazards of laser, physician and equipment operators must be   certified in the use and safety requirements of specific wavelength laser and   procedure, i.e., open, endoscopic, abdominal, laryngeal, intrauterine.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Laser beam   may inadvertently contact and ignite combustibles outside of surgical field,   i.e., drapes, sponges.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Eye   protection for specific laser wavelength must be used to prevent injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   inadvertent skin integrity disruption, hair ignition, and adjacent anatomy   injury in area of laser beam use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Surgical Assistance (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Handle,   label, and document specimens appropriately, ensuring proper medium and   transport for tests required.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Fluid Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   intake and output (I&amp;amp;O) during procedure. Ascertain that infusion pumps   are functioning accurately.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:18.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   IV fluids, blood/blood components, and medications as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Collect   blood intraoperatively as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Surgical Precautions (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   antacids, H&lt;sub&gt;2&lt;/sub&gt; blocker, preoperatively as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Limit/avoid   use of epinephrine to Fluothane-anesthetized patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Proper   identification of specimens to patient is imperative. Frozen sections, preserved   or fresh examination, and cultures all have different requirements. OR nurse   advocate must be knowledgeable of specific hospital laboratory requirements   for validity of examination.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Potential   for fluid volume deficit or excess exists, affecting safety of anesthesia,   organ function, and patient well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps   maintain homeostasis and adequate level of sedation/muscle relaxation to   produce optimal surgical outcome.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Blood lost   intraoperatively may be collected, filtered, and reinfused either intraoperatively   or postoperatively. &lt;i&gt;Note:&lt;/i&gt; Alternatively, red blood cell (RBC)   production may be increased by the administration of epoetin (EPO), reducing   the need for blood transfusion whether autologous or donated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Neutralizes   gastric acidity and may reduce risk of aspiration/severity of pneumonia   should aspiration occur, especially in obese/pregnant patients in whom there   is an 85% risk of mortality with aspiration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fluothane   sensitizes the myocardium to catecholamines and may produce dysrhythmias.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;: Infection, risk for&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Broken skin,   traumatized tissues, stasis of body fluids&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Presence of   pathogens/contaminants, environmental exposure, invasive procedures&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—CAREGIVER WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:   Arial&quot;&gt;Knowledge: Infection Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   individual risk factors and interventions to reduce potential for infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain safe   aseptic environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Infection Control: Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Adhere to   facility infection control, sterilization, and aseptic policies/procedures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verify   sterility of all manufacturers’ items.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   laboratory studies for possibility of systemic infections.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verify   that preoperative skin, vaginal, and bowel cleansing procedures have been   done as needed depending on specific surgical procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prepare   operative site according to specific procedures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Examine   skin for breaks or irritation, signs of infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain   dependent gravity drainage of indwelling catheters, tubes, and/or positive   pressure of parenteral or irrigation lines.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   breaks in aseptic technique and resolve immediately on occurrence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Contain   contaminated fluids/materials in specific site in operating room suite, and   dispose of according to hospital protocol.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply   sterile dressing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Established   mechanisms designed to prevent infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prepackaged   items may appear to be sterile; however, each item must be scrutinized for   manufacturer’s statement of sterility, breaks in packaging, environmental   effect on package, and delivery techniques. Package sterilization and   expiration dates, lot/serial numbers must be documented on implant items for   further follow-up if necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Increased   WBC count may indicate ongoing infection, which the operative procedure will   alleviate (e.g., appendicitis, abscess, inflammation from trauma); or   presence of systemic/organ infection, which may contraindicate/impact   surgical procedure and/or anesthesia (e.g., pneumonia, kidney infection).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cleansing   reduces bacterial counts on the skin, vaginal mucosa, and alimentary tract.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Minimizes   bacterial counts at operative site.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disruptions   of skin integrity at or near the operative site are sources of contamination   to the wound. Careful shaving/clipping is imperative to prevent abrasions and   nicks in the skin.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   stasis and reflux of body fluids.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Contamination   by environmental/personnel contact renders the sterile field unsterile,   thereby increasing the risk of infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Containment   of blood and body fluids, tissue, and materials in contact with an infected   wound/patient will prevent spread of infection to environment/other patients   or personnel.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   environmental contamination of fresh wound.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Infection Control: Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   copious wound irrigation, e.g., saline, water, antibiotic, or antiseptic.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Obtain   specimens for cultures/Gram stain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   antibiotics as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   used intraoperatively to reduce bacterial counts at the site and cleanse the   wound of debris, e.g., bone, ischemic tissue, bowel contaminants, toxins.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Immediate   identification of type of infective organism by Gram stain allows prompt   treatment, while more specific identification by cultures can be obtained in   hours/days.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   given prophylactically for suspected infection or contamination.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Body Temperature, risk for   altered&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Exposure to cool   environment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use of   medications, anesthetic agents&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Extremes of age,   weight; dehydration&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA— PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Thermoregulation (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain body   temperature within normal range.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Temperature Regulation:&lt;br /&gt;  Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note   preoperative temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   environmental temperature and modify as needed, e.g., providing warming and   cooling blankets, increasing room temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Used as   baseline for monitoring intraoperative temperature. Preoperative temperature   elevations are indicative of disease process, e.g., appendicitis, abscess, or   systemic disease requiring treatment preoperatively, perioperatively, and   possibly postoperatively. &lt;i&gt;Note:&lt;/i&gt; Effects of aging on hypothalamus may   decrease fever response to infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May assist   in maintaining/stabilizing patient’s temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Temperature Regulation:&lt;br /&gt;  Intraoperative (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cover skin   areas outside of operative field.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   cooling measures for patient with preoperative temperature elevations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note rapid   temperature elevation/persistent high fever and treat promptly per protocol.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Increase   ambient room temperature (e.g., to 78°F or 80°F) at conclusion of procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply   warming blankets at emergence from anesthesia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   temperature throughout intraoperative phase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   iced saline as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Obtain   dantrolene (Dantrium) for IV administration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Heat   losses will occur as skin (e.g., legs, arms, head) is exposed to cool   environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cool irrigations   and exposure of skin surfaces to air may be required to decrease temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Malignant   hyperthermia must be recognized and treated promptly to avoid serious   complications/death.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps   limit patient heat loss when drapes are removed and patient is prepared for   transfer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inhalation   anesthetics depress the hypothalamus, resulting in poor body temperature   regulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-bottom:3.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Continuous   warm/cool humidified inhalation anesthestics are used to maintain humidity   and temperature balance within the tracheobronchial tree. Temperature   elevation/fever may indicate adverse response to anesthesia. &lt;i&gt;Note:&lt;/i&gt; Use   of atropine or scopolamine may further increase temperature.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lavage of   body cavity with iced saline may help reduce hyperthermic responses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Immediate   action to control temperature is necessary to prevent death from malignant   hyperthermia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Breathing Pattern, ineffective&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Neuromuscular,   perceptual/cognitive impairment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Decreased lung   expansion, energy&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Tracheobronchial   obstruction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Changes in   respiratory rate and depth&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduced vital   capacity, apnea, cyanosis, noisy respirations&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Respiratory Status: Ventilation (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Establish a   normal/effective respiratory pattern free of cyanosis or other signs of   hypoxia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Postanesthesia Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain   patient airway by head tilt, jaw hyperextension, oral pharyngeal airway.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Auscultate   breath sounds. Listen for gurgling, wheezing, crowing, and/or silence after   extubation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Observe   respiratory rate and depth, chest expansion, use of accessory muscles,   retraction or flaring of nostrils, skin color; note airflow.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   vital signs continuously.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Position   patient appropriately, depending on respiratory effort and type of surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Observe   for return of muscle function, especially respiratory.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Initiate   “stir-up” (turn, cough, deep breathe) regimen as soon as patient is reactive   and continue in the postoperative period.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Observe   for excessive somnolence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   airway obstruction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   breath sounds is indicative of obstruction by mucus or tongue and may be   corrected by positioning and/or suctioning. Diminished breath sounds suggest   atelectasis. Wheezing indicates bronchospasm, whereas crowing or silence   reflects partial-to-total laryngospasm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ascertains   effectiveness of respirations immediately so corrective measures can be   initiated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Increased   respirations, tachycardia, and/or bradycardia suggests hypoxia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Head   elevation and left lateral Sims’ position prevents aspiration of   secretions/vomitus; enhances ventilation to lower lobes and relieves pressure   on diaphragm&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;After   administration of intraoperative muscle relaxants, return of muscle function   occurs first to the diaphragm, intercostals, and larynx; followed by large   muscle groups, neck, shoulders, and abdominal muscles; then by midsize   muscles, tongue, pharynx, extensors, and flexors; and finally by eyes, mouth,   face, and fingers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Active   deep ventilation inflates alveoli, breaks up secretions, increases O&lt;sub&gt;2&lt;/sub&gt;   transfer, and removes anesthetic gases; coughing enhances removal of   secretions from the pulmonary system. &lt;i&gt;Note:&lt;/i&gt; Respiratory muscles weaken   and atrophy with age, possibly hampering elderly patient’s ability to cough   or deep-breathe effectively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Narcotic-induced   respiratory depression or presence of muscle relaxants in the body may be   cyclical in recurrence, creating sine-wave pattern of depression and   re-emergence from anesthesia. In addition, thiopental sodium (Pentothal) is   absorbed in the fatty tissues, and, as circulation improves, it may be   redistributed throughout the bloodstream.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Postanesthesia Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Elevate   head of bed as appropriate. Get out of bed as soon as possible.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Suction as   necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:7.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   supplemental O&lt;sub&gt;2&lt;/sub&gt; as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   IV medications, e.g., naloxone (Narcan) or doxapram (Dopram).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide/maintain   ventilator assistance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   with use of respiratory aids, e.g., incentive spirometer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   maximal expansion of lungs, decreasing risk of pulmonary complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Airway   obstruction can occur because of blood or mucus in throat or trachea.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maximizes   oxygen for uptake to bind with Hb in place of anesthetic gases to enhance   removal of inhalation agents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Narcan   reverses narcotic-induced central nervous system (CNS) depression and Dopram   stimulates respiratory muscles. The effects of both drugs are cyclic in   nature and respiratory depression may return.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Depending   on cause of respiratory depression or type of surgery (e.g., pulmonary,   extensive abdominal, cardiac), endotracheal tube (ET) may be left in place   and mechanical ventilation maintained for a time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maximal   respiratory efforts reduce potential for atelectasis and infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Sensory-Perceptual alterations:   (specify)/Thought Processes, altered&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:   Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Chemical   alteration: use of pharmaceutical agents, hypoxia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Therapeutically   restricted environments; excessive sensory stimuli&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Physiological   stress&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disorientation to   person, place, time; change in usual response to stimuli; impaired ability to   concentrate, reason, make decisions&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Motor   incoordination&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Cognitive Ability (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Regain usual   level of consciousness/mentation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Recognize   limitations and seek assistance as necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Postanesthesia Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reorient   patient continuously when emerging from anesthesia; confirm that surgery is   completed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Speak in   normal, clear voice without shouting, being aware of what you are saying.   Minimize discussion of negatives (e.g., patient/personnel problems) within   patient’s hearing. Explain procedures, even if patient does not seem aware.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Evaluate   sensation/movement of extremities and trunk as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use   bedrail padding, restraints as necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Secure   parenteral lines, ET tube, catheters, if present, and check for patency.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain   quiet, calm environment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Investigate   changes in sensorium.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Observe   for hallucinations, delusions, depression, or an excited state.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reassess   sensory/motor function and cognition thoroughly before discharge, as   indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Evaluate   need for extended stay in postoperative recovery area or need for additional   nursing care before discharge as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;As patient   regains consciousness, support and assurance will help alleviate anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The nurse   cannot tell when patient is aware, but it is thought that the sense of   hearing returns before patient appears fully awake, so it is important not to   say things that may be misinterpreted. Providing information helps patient   preserve dignity and prepare for activity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Return of   function following local or spinal nerve blocks depends on type/amount of   agent used and duration of procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   for patient safety during emergence state. Prevents injury to head and   extremities if patient becomes combative while disoriented.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disoriented   patient may pull on lines and drainage systems, disconnecting or kinking   them.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;External   stimuli, such as noise, lights, touch, may cause psychic aberrations when   dissociative anesthetics (e.g., ketamine) have been administered.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Confusion,   especially in elderly patients, may reflect drug interactions, hypoxia,   anxiety, pain, electrolyte imbalances, or fear.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May   develop following trauma and indicate delirium, or may reflect “sundowner’s   syndrome” in elderly patient. In patient who has used alcohol to excess, may   suggest impending delirium tremens.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ambulatory   surgical patient must be able to care for self with the help of SO (if   available) to prevent personal injury after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disorientation   may persist, and SO may not be able to protect the patient at home.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Fluid Volume, risk for deficit&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Restriction of   oral intake (disease process/medical procedure/presence of nausea)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Loss of fluid   through abnormal routes, e.g., indwelling tubes, drains; normal routes, e.g.,   vomiting&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Loss of vascular   integrity, changes in clotting ability&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Extremes of age   and weight&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Hydration (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   adequate fluid balance, as evidenced by stable vital signs, palpable pulses   of good quality, normal skin turgor, moist mucous membranes, and individually   appropriate urinary output.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Fluid Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Measure   and record I&amp;amp;O (including tubes and drains). Calculate urine specific   gravity as appropriate. Review intraoperative record.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   urinary output specifically for type of operative procedure done.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   voiding assistance measures as needed, e.g., privacy, sitting position,   running water in sink, pouring warm water over perineum.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   vital signs noting changes in blood pressure, heart rate and rhythm, and   respirations. Calculate pulse pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note   presence of nausea/vomiting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Accurate   documentation helps identify fluid losses/&lt;br /&gt;  replacement needs and influences choice of interventions. &lt;i&gt;Note:&lt;/i&gt;   Ability to concentrate urine declines with age, increasing renal losses   despite general fluid deficit.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   decreased or absent after procedures on the genitourinary system and/or   adjacent structures (e.g., ureteroplasty, ureterolithotomy, abdominal or   vaginal hysterectomy), indicating malfunction or obstruction of the urinary   system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   relaxation of perineal muscles and may facilitate voiding efforts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Hypotension,   tachycardia, increased respirations may indicate fluid deficit, e.g.,   dehydration/hypovolemia. Although a drop in blood pressure is generally a   late sign of fluid deficit (hemorrhagic loss), widening of the pulse pressure   may occur early, followed by narrowing as bleeding continues and systolic BP   begins to fall.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Women,   obese patients, and those prone to motion sickness have a higher risk of   postoperative nausea/&lt;br /&gt;  vomiting. In addition, the longer the duration of anesthesia, the greater the   risk for nausea. &lt;i&gt;Note:&lt;/i&gt; Nausea occurring during first 12–24 hr   postoperatively is frequently related to anesthesia (including regional   anesthesia). Nausea persisting more than 3 days postoperatively may be   related to the choice of narcotic for pain control or other drug therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Fluid Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inspect   dressings, drainage devices at regular intervals. Assess wound for swelling.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   skin temperature, palpate peripheral pulses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   parenteral fluids, blood products (including autologous collection), and/or   plasma expanders as indicated. Increase IV rate if needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Insert/maintain   urinary catheter with or without urimeter as necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Resume   oral intake gradually as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   antiemetics as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   laboratory studies, e.g., Hb/Hct, electrolytes. Compare preoperative and   postoperative blood studies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Excessive   bleeding can lead to hypovolemia/&lt;br /&gt;  circulatory collapse. Local swelling may indicate hematoma   formation/hemorrhage. &lt;i&gt;Note:&lt;/i&gt; Bleeding into a cavity (e.g.,   retroperitoneal) may be hidden and only diagnosed via vital sign depression,   patient reports of pressure sensation in affected area.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cool/clammy   skin, weak pulses indicate decreased peripheral circulation and need for   additional fluid replacement.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-bottom:3.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Replaces   documented fluid loss. Timely replacement of circulating volume decreases   potential for complications of deficit, e.g., electrolyte imbalance,   dehydration, cardiovascular collapse. &lt;i&gt;Note:&lt;/i&gt; Increased volume may be   required initially to support circulating volume/prevent hypotension because   of decreased vasomotor tone following Fluothane administration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   mechanism for accurate monitoring of urinary output.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Oral   intake depends on return of gastrointestinal (GI) function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Relieves   nausea/vomiting, which may impair intake and add to fluid losses. &lt;i&gt;Note:&lt;/i&gt;   Naloxone (Narcan) may relieve nausea related to use of regional   anesthesthetic agents, e.g., morphine (Duramorph), fentanyl citrate   (Sublimaze).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Indicators   of hydration/circulating volume. Preoperative anemia and/or low Hct combined   with unreplaced fluid losses intraoperatively will further potentiate   deficit.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform: uppercase&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;&lt;/b&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Pain [acute&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disruption of   skin, tissue, and muscle integrity; musculoskeletal/bone trauma&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Presence of tubes   and drains&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reports of pain&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Alteration in   muscle tone; facial mask of pain&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Distraction/guarding/protective   behaviors&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-focusing;   narrowed focus&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Autonomic   responses&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Pain Level (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Report pain   relieved/controlled.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Appear relaxed,   able to rest/sleep and participate in activities appropriately.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Pain Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note   patient’s age, weight, coexisting medical/&lt;br /&gt;  psychological conditions, idiosyncratic sensitivity to analgesics, and   intraoperative course (e.g., size/location of incision, drain placement,   anesthetic agents used).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   intraoperative/recovery room record for type of anesthesia and medications   previously administered.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Evaluate   pain regularly (e.g., every 2 hr &lt;/span&gt;&lt;span style=&quot;font-family:Symbol;   mso-bidi-font-family:Symbol;mso-char-type:symbol;mso-symbol-font-family:Symbol&quot;&gt;&lt;span style=&quot;mso-char-type:symbol;mso-symbol-font-family:Symbol&quot;&gt;´&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; 12) noting characteristics, location,   and intensity (0–10 scale). Emphasize patient’s responsibility for reporting   pain/&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;relief of   pain completely.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note presence   of anxiety/fear, and relate with nature of and preparation for procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Approach   to postoperative pain management is based on multiple variable factors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Presence   of narcotics and droperidol in system potentiates narcotic analgesia, whereas   patients anesthetized with Fluothane and Ethrane have no residual analgesic   effects. In addition, intraoperative local/regional blocks have varying   duration, e.g., 1–2 hr for regionals or up to 2–6 hr for locals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   information about need for/effectiveness of interventions. &lt;i&gt;Note:&lt;/i&gt; It   may not always be possible to eliminate pain; however, analgesics should   reduce pain to a tolerable level. A frontal and/or occipital headache may   develop 24–72 hr following spinal anesthesia, necessitating recumbent   position, increased fluid intake, and notification of the anesthesiologist.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Concern   about the unknown (e.g., outcome of a biopsy) and/or inadequate preparation   (e.g., emergency appendectomy) can heighten patient’s perception of pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Pain Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   vital signs, noting tachycardia, hypertension, and increased respiration,   even if patient denies pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   causes of possible discomfort other than operative procedure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information about transitory nature of discomfort, as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reposition   as indicated, e.g., semi-Fowler’s; lateral Sims’.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   additional comfort measures, e.g., backrub, heat/cold applications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   use of relaxation techniques, e.g., deep-breathing exercises, guided imagery,   visualization, music.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   regular oral care, occasional ice chips/sips of fluids as tolerated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Document   effectiveness and side/adverse effects of analgesia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Changes in   these vital signs often indicate acute pain and discomfort. &lt;i&gt;Note:&lt;/i&gt; Some   patients may have a slightly lowered BP, which returns to normal range after   pain relief is achieved.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discomfort   can be caused/aggravated by presence of nonpatent indwelling catheters, NG   tube, parenteral lines (bladder pain, gastric fluid and gas accumulation, and   infiltration of IV fluids/medications).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Understanding   the cause of the discomfort (e.g., sore muscles from administration of   succinylcholine may persist up to 48 hr postoperatively; sinus headache   associated with nitrous oxide and sore throat due to intubation are   transitory) provides emotional reassurance. &lt;i&gt;Note:&lt;/i&gt; Paresthesia of body   parts suggest nerve injury. Symptoms may last hours or months and require   additional evaluation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May   relieve pain and enhance circulation. Semi-Fowler’s position relieves   abdominal muscle tension and arthritic back muscle tension, whereas lateral   Sims’ will relieve dorsal pressures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Improves   circulation, reduces muscle tension and anxiety associated with pain.   Enhances sense of well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Relieves   muscle and emotional tension; enhances sense of control and may improve   coping abilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   discomfort associated with dry mucous membranes due to anesthetic agents,   oral restrictions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Respirations   may decrease on administration of narcotic, and synergistic effects with   anesthetic agents may occur. &lt;i&gt;Note:&lt;/i&gt; Migration of epidural analgesia   toward head (cephalad diffusion) may cause respiratory depression or   excessive sedation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Pain Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   medications as indicated:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Analgesics   IV (after reviewing anesthesia record for contraindications and/or presence   of agents that may potentiate analgesia); provide around-the-clock analgesia   with intermittent rescue doses;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient-controlled   analgesia (PCA);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Local   anesthetics, e.g., epidural block/infusion;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;NSAIDs,   e.g., aspirin, diflunisal (Dolobid), naproxen (Anaprox).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   use/effectiveness of transcutaneous electrical nerve stimulation (TENS).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Analgesics   given IV reach the pain centers immediately, providing more effective relief   with small doses of medication. IM administration takes longer, and its   effectiveness depends on absorption rates and circulation. &lt;i&gt;Note:&lt;/i&gt;   Narcotic dosage should be reduced by one-fourth to one-third after use of   fentanyl (Innovar) or droperidol (Inapsine) to prevent profound   tranquilization during first 10 hr postoperatively. Current research supports   need to administer analgesics around the clock initially to prevent rather   than merely treat pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use of PCA   necessitates detailed patient instruction. PCA must be monitored closely but   is considered very effective in managing acute postoperative pain with   smaller amounts of narcotic and increased patient satisfaction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Analgesics   may be injected into the operative site, or nerves to the site may be kept   blocked in the immediate postoperative phase to prevent severe pain. &lt;i&gt;Note:&lt;/i&gt;   Continuous epidural infusions may be used for 1–5 days following procedures   that are known to cause severe pain (e.g., certain types of thoracic or   abdominal surgery).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Useful for   mild to moderate pain or as adjuncts to opioid therapy when pain is moderate   to severe. Allows for a lower dosage of narcotics, reducing potential for   side effects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;TENS may   be useful in reducing pain and amount of medication required postoperatively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Skin/Tissue Integrity, impaired&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Mechanical   interruption of skin/tissues&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Altered   circulation, effects of medication; accumulation of drainage; altered   metabolic state&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disruption of   skin surface/layers and tissues&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Wound Healing: Primary Intention (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Achieve timely   wound healing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   behaviors/techniques to promote healing and to prevent complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Wound Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reinforce   initial dressing/change as indicated. Use strict aseptic techniques.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Gently   remove tape (in direction of hair growth) and dressings when changing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply skin   sealants/barriers before tape if needed. Use paper/silk (hypoallergenic) tape   or Montgomery straps/elastic netting for dressings requiring frequent   changing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Check   tension of dressings. Apply tape at center of incision to outer margin of   dressing. Avoid wrapping tape around extremity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inspect   wound regularly, noting characteristics and integrity. Note patients at risk   for delayed healing, e.g., presence of chronic obstructive pulmonary disease   (COPD), anemia, obesity/malnutrition, DM, hematoma formation, vomiting, ETOH   (alcohol) withdrawal; use of steroid therapy; advanced age.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   amounts and characteristics of drainage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain   patency of drainage tubes; apply collection bag over drains/incisions in   presence of copious or caustic drainage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Elevate   operative area as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Splint   abdominal and chest incisions/area with pillow or pad during   coughing/movement.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Caution   patient not to touch wound.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cleanse   skin surface (if needed) with diluted hydrogen peroxide solution, or running   water and mild soap after incision is sealed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Protects   wound from mechanical injury and contamination. Prevents accumulation of   fluids that may cause excoriation. &lt;i&gt;Note:&lt;/i&gt; Recent studies suggest clean   techniques may be sufficient, but additional research is required before   protocols are revised.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   risk of skin trauma and disruption of wound.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   potential for skin trauma/abrasions and provides additional protection for   delicate skin/tissues.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Can   impair/occlude circulation to wound and to distal portion of extremity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Early   recognition of delayed healing/developing complications may prevent a more   serious situation. Wounds may heal more slowly in patients with comorbidity,   or the elderly in whom reduced cardiac output decreases capillary blood flow.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Decreasing   drainage suggests evolution of healing process, whereas continued drainage or   presence of bloody/odoriferous exudate suggests complications (e.g., fistula   formation, hemorrhage, infection).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Facilitates   approximation of wound edges; reduces risk of infection and chemical injury   to skin/tissues.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   venous return and limits edema formation. &lt;i&gt;Note:&lt;/i&gt; Elevation in presence   of venous insufficiency may be detrimental.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Equalizes   pressure on the wound, minimizing risk of dehiscence/rupture.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   contamination of wound.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   skin contaminants; aids in removal of drainage/exudate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Wound Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply ice   if appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use   abdominal binder if indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Irrigate   wound; assist with debridement as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor/maintain   dressings, e.g., hydrogel, vacuum dressing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   edema formation that may cause undue pressure on incision during initial   postoperative period.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   additional support for high-risk incisions (e.g., obese patient).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Removes   infectious exudate/necrotic tissue to promote healing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May be   used to hasten healing in large, draining wound/fistula, to increase patient   comfort, and to reduce frequency of dressing changes. Also allows drainage to   be measured more accurately and analyzed for pH and electrolyte content as   appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Tissue Perfusion, risk for   altered&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Interruption of   flow: arterial, venous&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Hypovolemia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;[Not applicable;   presence of signs and symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Circulation Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   adequate perfusion evidenced by stable vital signs, peripheral pulses present   and strong; skin warm/dry; usual mentation and individually appropriate   urinary output.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Circulatory Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Change   position slowly initially.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   with range-of-motion (ROM) exercises, including active ankle/leg exercises.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage/assist   with early ambulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Vasoconstrictor   mechanisms are depressed and quick movement may lead to orthostatic   hypotension, especially in the early postoperative period.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Stimulates   peripheral circulation; aids in preventing venous stasis to reduce risk of   thrombus formation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances   circulation and return of normal organ function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Circulatory Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Avoid use   of knee gatch/pillow under knees. Caution patient against crossing legs or   sitting with legs dependent for prolonged period.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   lower extremities for erythema, edema, calf tenderness (positive Homans’   sign).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitor   vital signs; palpate peripheral pulses; note skin temperature/color and   capillary refill. Evaluate urinary output/time of voiding. Document   dysrhythmias.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Investigate   changes in mentation/failure to achieve usual mental state.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:7.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   IV fluids/blood products as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Apply   antiembolic hose as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   stasis of venous circulation and reduces risk of thrombophlebitis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Circulation   may be restricted by some positions used during surgery, while anesthetics   and decreased activity alter vasomotor tone, potentiating vascular pooling   and increasing risks of thrombus formation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Indicators   of adequacy of circulating volume and tissue perfusion/organ function.   Effects of medications/&lt;br /&gt;  electrolyte imbalances may create dysrhythmias, impairing cardiac output and   tissue perfusion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May   reflect a number of problems such as inadequate clearance of anesthetic   agent, oversedation (pain medication), hypoventilation, hypovolemia, or   intraoperative complications (e.g., emboli).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintains   circulating volume; supports perfusion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   venous return and prevents venous stasis of legs to reduce risk of   thrombosis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Knowledge Deficit [Learning   Need] regarding condition/situation, prognosis, treatment, self care, and   discharge needs&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   exposure/lack of recall, information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Unfamiliarity   with information resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cognitive   limitation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Questions/request   for information; statement of misconception&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inaccurate   follow-through of instructions/development of preventable complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;text-align:left;text-indent:-6.4pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Disease Process (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of condition, effects of procedure and potential complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;text-align:left;text-indent:-6.4pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of therapeutic needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Correctly perform   necessary procedures and explain reasons for actions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Initiate   necessary lifestyle changes and participate in treatment regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Treatment: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   specific surgery performed/procedure done and future expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review and   have patient/SO demonstrate dressing/&lt;br /&gt;  wound/tube care when indicated. Identify source for supplies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   avoidance of environmental risk factors, e.g., exposure to crowds/persons   with infections.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   drug therapy, including use of prescribed and OTC analgesics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   specific activity limitations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Recommend   planned/progressive exercise.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Schedule   adequate rest periods.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   importance of nutritious diet and adequate fluid intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   cessation of smoking.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   signs/symptoms requiring medical evaluation, e.g., nausea/vomiting;   difficulty voiding; fever, continued/odoriferous wound drainage; incisional   swelling, erythema, or separation of edges; unresolved or changes in   characteristics of pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Stress   necessity of follow-up visits with providers, including therapists,   laboratory.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Include SO   in teaching program/discharge planning. Provide written instructions/teaching   materials. Instruct in use of and arrange for special equipment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   available resources, e.g., homecare services, visiting nurse,   Meals-on-Wheels, outpatient therapy, contact phone number for questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   knowledge base from which patient can make informed choices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   competent self-care and enhances independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reduces   potential for acquired infections.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances   cooperation with regimen; reduces risk of adverse reactions/untoward effects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   undue strain on operative site.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   return of normal function and enhances feelings of general well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prevents   fatigue and conserves energy for healing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   elements necessary for tissue regeneration/&lt;br /&gt;  healing and support of tissue perfusion and organ function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Smoking   increases risk of pulmonary infections, causes vasoconstriction, and reduces   oxygen-binding capacity of blood, affecting cellular perfusion and   potentially impairing healing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Early   recognition and treatment of developing complications (e.g., ileus, urinary   retention, infection, delayed healing) may prevent progression to more   serious or life-threatening situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Monitors   progress of healing and evaluates effectiveness of regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   additional resources for reference after discharge. Promotes effective   self-care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances   support for patient during recovery period and provides additional evaluation   of ongoing needs/&lt;br /&gt;  new concerns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;mso-fareast-font-family:&amp;quot;Times New Roman&amp;quot;; mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA; mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;&lt;/b&gt;  &lt;p class=&quot;pc-1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;POTENTIAL CONSIDERATIONS&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt; &lt;/span&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;following surgical procedure (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;/span&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fatigue—increased energy requirements to perform activities of daily living, states of discomfort.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Infection, risk for—broken skin, traumatized tissues, stasis of body fluids; presence of pathogens/contaminants, environmental exposure, invasive procedures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-Care deficit/Home Maintenance Management, impaired—decreased strength/endurance, pain/discomfort, unfamiliarity with neighborhood resources, inadequate support systems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer also to appropriate plans of care regarding underlying condition/specific surgical procedure for additional considerations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/6118812400594156219/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/6118812400594156219' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6118812400594156219'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/6118812400594156219'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/surgical-intervention-surgery-may-be.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-7429107784450513968</id><published>2011-03-01T02:39:00.002-08:00</published><updated>2011-03-01T02:40:02.288-08:00</updated><title type='text'></title><content type='html'>&lt;p class=&quot;CP1&quot; style=&quot;margin-top:30.0pt;margin-right:0in;margin-bottom:15.0pt; margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:13.0pt;font-family:Arial&quot;&gt;SUBTOTAL GASTRECTOMY/GASTRIC RESECTION&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot; style=&quot;text-align:justify&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Subtotal gastrectomy or gastric resection is indicated for gastric hemorrhage/intractable ulcers, dysfunctional lower esophageal sphincter, pyloric obstruction, perforation, cancer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;CARE SETTING&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inpatient surgical unit.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RELATED CONCERNS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cancer&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pancreatitis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Peritonitis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Psychosocial aspects of care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Surgical intervention&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Total nutritional support: parenteral/enteral feeding&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Upper gastrointestinal/esophageal bleeding&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP2&quot; style=&quot;margin-top:9.0pt;margin-right:0in;margin-bottom:6.0pt; margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:13.0pt;font-family:Arial&quot;&gt;Patient Assessment Database&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Data depend on the underlying condition necessitating surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;TEACHING/LEARNING&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; align=&quot;left&quot; style=&quot;margin-left:141.85pt;text-align:left;text-indent: -121.7pt;tab-stops:101.5pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Discharge plan &lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CP7&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;DRG projected mean length of inpatient stay: 3.5 days&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; align=&quot;left&quot; style=&quot;margin-left:141.85pt;text-align:left;text-indent: -121.7pt;tab-stops:101.5pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;considerations:&lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-size:9.0pt; font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assistance with administration of enteral feedings/total parenteral nutrition (TPN) (if required) and acquisition of supplies&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;RTC&quot; align=&quot;left&quot; style=&quot;margin-left:141.85pt;text-align:left;text-indent: -121.7pt;tab-stops:101.5pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Refer to section at end of plan for postdischarge considerations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING PRIORITIES&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Promote healing and adequate nutritional intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Prevent complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Provide information about surgical procedure/prognosis, treatment needs, and concerns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DISCHARGE GOALS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Nutritional intake adequate for individual needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Complications prevented/minimized.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Surgical procedure/prognosis, therapeutic regimen, and long-term needs understood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Plan in place to meet needs after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;RTC&quot; style=&quot;margin-left:119.5pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;(In addition to nursing diagnoses identified in this CP, refer to CP Surgical Intervention.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:149.75pt;margin-bottom:0in; margin-left:12.25pt;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:149.75pt;margin-bottom:0in; margin-left:12.25pt;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;margin-left:12.0pt;border-collapse:collapse;mso-table-layout-alt:fixed;  border:none;mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;574&quot; valign=&quot;top&quot; style=&quot;width:430.8pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:0in;margin-bottom:2.0pt;   margin-left:20.15pt;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Nutrition: imbalanced, risk for less than body   requirements&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Restriction of fluids and food&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Change in digestive process/absorption   of nutrients&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and   symptoms stablishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:0in;margin-bottom:2.0pt;   margin-left:20.15pt;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Nutritional Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain stable weight/demonstrate   progressive weight gain toward goal with normalization of laboratory values.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Be free of signs of malnutrition.&lt;/span&gt;&lt;b&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot; style=&quot;margin-top:20.0pt&quot;&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;span style=&quot;mso-tab-count:1&quot;&gt;                              &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Nutrition Therapy (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Maintain patency of NG tube. Notify   physician if tube becomes dislodged.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Note character and amount of gastric   drainage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Caution patient to limit the intake   of ice chips.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide oral hygiene on a regular,   frequent basis, including petroleum jelly for lips.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Auscultate for resumption of bowel   sounds and note passage of flatus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Monitor tolerance to fluid and food   intake, noting abdominal distension, reports of increased pain/cramping,   nausea/vomiting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Avoid milk and high-carbohydrate   foods in the diet.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Note admission weight and compare   with subsequent readings.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Administer IV fluids, TPN, and lipids   as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Monitor laboratory studies, e.g.,   Hb/Hct, electrolytes, and total protein/prealbumin.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Progress diet as tolerated, advancing   from clear liquid to bland diet with several small feedings.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer medications as indicated:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Anticholinergics, e.g., atropine,   propantheline bromide (Pro-Banth ı-ne);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Fat-soluble vitamin supplements,   including  vitamin B&lt;sub&gt;12&lt;/sub&gt;, calcium;&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides rest for GI tract during   acute postoperative phase until return of normal function. &lt;i&gt;Note:&lt;/i&gt; The   physician/surgeon may need to reposition the tube endoscopically to prevent   injury to the operative area.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Will be bloody for first 12 hr, and   then should clear/turn greenish. Continued/recurrent bleeding suggests   complications. Decline in output may reflect return of GI function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Excessive intake of ice produces   nausea and can wash out electrolytes via the NG tube.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prevents discomfort of dry mouth and   cracked lips caused by fluid restriction and the NG tube.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Peristalsis can be expected to return   about the third postoperative day, signaling readiness to resume oral intake.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Complications of paralytic ileus,   obstruction, delayed gastric emptying, and gastric dilation may occur,   possibly requiring reinsertion of NG tube.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;May trigger dumping syndrome. (Refer   to ND: Knowledge, deficient, [Learning Need].)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides information about adequacy   of dietary intake/determination of nutritional needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Meets fluid/nutritional needs until   oral intake can be resumed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Indicators of fluid/nutritional needs   and effectiveness of therapy, and detects developing complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Usually NG tube is clamped for   specified periods of time when peristalsis returns to determine tolerance.   After NG tube is removed, intake is advanced gradually to prevent gastric   irritation/distension.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Controls dumping syndrome, enhancing   digestion and absorption of nutrients.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Removal of the stomach prevents   absorption of vitamin B&lt;sub&gt;12&lt;/sub&gt; (owing to loss of intrinsic factor) and   can lead to pernicious anemia. In addition, rapid emptying of the stomach   reduces absorption of calcium.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;span style=&quot;mso-tab-count:1&quot;&gt;                              &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Nutrition Therapy (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Iron preparations;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Protein supplements;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Pancreatic enzymes, bile salts;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Medium-chain triglycerides (MCT).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Corrects/prevents iron deficiency anemia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Additional protein may be helpful for tissue repair and   healing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Enhances digestive process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Promotes absorption of fats and fat-soluble vitamins to   prevent malabsorption problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;margin-left:.9pt;border-collapse:collapse;mso-table-layout-alt:fixed;  border:none;mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;589&quot; valign=&quot;top&quot; style=&quot;width:441.9pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:0in;margin-bottom:2.0pt;   margin-left:20.15pt;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding procedure,   prognosis, treatment, self-care, and discharge needs&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of exposure/recall&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Unfamiliarity with information   resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Questions, statement of misconception&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inaccurate follow-through of   instruction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Development of preventable   complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:0in;margin-bottom:2.0pt;   margin-left:20.15pt;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Disease Process (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of procedure,   disease process/prognosis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of functional   changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify necessary   interventions/behaviors to maintain appropriate weight.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:20.15pt;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Correctly perform necessary procedures,   explaining reasons for actions.&lt;/span&gt;&lt;b&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot; style=&quot;margin-top:20.0pt&quot;&gt;&lt;span style=&quot;font-family:Arial; letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;span style=&quot;mso-tab-count:1&quot;&gt;                              &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Review surgical procedure and   long-term expectations.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides knowledge base from which   informed choices can be made. Recovery following gastric surgery is often   slower than may be anticipated with similar types of surgery. Improved   strength and partial normalization of dietary pattern may not be evident for at   least 3 mo, and full return to usual intake (three “normal” meals/day) may   take up to 12 mo. This prolonged convalescence may be difficult for the   patient/SO to deal with, especially if he or she has not been prepared.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;span style=&quot;mso-tab-count:1&quot;&gt;                              &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss and identify stress situations and how to avoid   them. Investigate job-related issues.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review dietary needs/regimen (e.g., low-carbohydrate,   low-fat, high-protein) and importance of maintaining vitamin supplementation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss the importance of eating small, frequent meals   slowly and in a relaxed atmosphere; resting after meals; avoiding extremely   hot or cold food; restricting high-fiber foods, caffeine, milk products and   alcohol, excess sugars and salt; and taking fluids between meals, rather than   with food.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Instruct in avoiding certain fibrous foods, and discuss   the necessity of chewing food well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Recommend foods containing pectin, e.g., citrus fruits,   bananas, apples, yellow vegetables, and beans.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify foods that can cause gastric irritation and   increase gastric acid, e.g., chocolate, spicy foods, whole grains, raw   vegetables.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify symptoms that may indicate dumping syndrome,   e.g., weakness, profuse perspiration, epigastric fullness, nausea/vomiting,   abdominal cramping, faintness, flushing, explosive diarrhea, and palpitations   occurring within 15 min to 1 hr after eating.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss signs of hypoglycemia and corrective   interventions, e.g., ingesting cheese and crackers, orange/grape juice.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Suggest patient weight self on a regular basis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review medication purpose, dosage, and schedule and   possible side effects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Caution patient to read labels and avoid products   containing ASA, ibuprofen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Can alter gastric motility, interfering with optimal   digestion. &lt;i&gt;Note:&lt;/i&gt; Patient may require vocational counseling if change   in employment is indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May prevent deficiencies, enhance healing, and promote   cooperation with therapy. &lt;i&gt;Note:&lt;/i&gt; Low-fat diet may be required to reduce   risk of alkaline reflux gastritis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;These measures can be helpful in avoiding gastric   distension/irritation and/or stress on surgical repair, dumping syndrome, and   reactive hypoglycemia. &lt;i&gt;Note:&lt;/i&gt; Ice-cold fluids/foods can cause gastric   spasms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Remaining gastric tissue may have reduced ability to   digest such foods as citrus skin/seeds, which can collect, forming a mass   (phytobezoar formation) that is not excreted.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Increased intake of these foods may reduce incidence of   dumping syndrome.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Limiting/avoiding these foods reduces risk of gastric   bleeding/ulceration in some individuals. &lt;i&gt;Note:&lt;/i&gt; Ingesting fresh fruits   to reduce risk of dumping syndrome should be tempered with adverse effect of   gastric irritation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Can cause severe discomfort or even shock, and reduces   absorption of nutrients. Usually self-limiting (1–3 wk after surgery) but can   become chronic.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Awareness helps patients take actions to prevent   progression of symptoms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Change in dietary pattern, early satiety, and efforts to   avoid dumping syndrome may limit intake, causing weight loss.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Understanding rationale/therapeutic needs can reduce risk   of complications, e.g., anticholinergics/pectin powder may be given to reduce   incidence of dumping syndrome; antacids/histamine antagonists reduce gastric   irritation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Can cause gastric irritation/bleeding.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;span style=&quot;mso-tab-count:1&quot;&gt;                              &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss reasons and importance of cessation of smoking.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify signs/symptoms requiring medical evaluation,   e.g., persistent nausea/vomiting or abdominal fullness; weight loss;   diarrhea; foul-smelling fatty or tarry stools; bloody or coffee-ground   vomitus/presence of bile, fever. Instruct patient to report changes in pain   characteristics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stress importance of regular checkup with healthcare   provider.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Smoking stimulates gastric acid production and may cause   vasoconstriction, compromising mucous membranes and increasing risk of   gastric irritation/ulceration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Prompt recognition and intervention may prevent serious   consequences or potential complications such as pancreatitis, peritonitis,   and afferent loop syndrome.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Necessary to detect developing complications, e.g.,   anemia, problems with nutrition, and/or recurrence of disease.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC1&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Nutrition: imbalanced, risk for less than body requirements—change in digestive process/absorption of nutrients, early satiety, gastric irritation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fatigue—decreased energy production, states of discomfort, increased energy requirements to perform activities of daily living (ADLs).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/7429107784450513968/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/7429107784450513968' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/7429107784450513968'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/7429107784450513968'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/subtotal-gastrectomygastric-resection.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-1556306786861088604</id><published>2011-03-01T02:39:00.001-08:00</published><updated>2011-03-01T02:39:24.764-08:00</updated><title type='text'></title><content type='html'>&lt;p class=&quot;CP1&quot;&gt;Substance dependence/abuse rehabilitation&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Many drugs and volatile substances are subject to abuse. This disorder is a continuum of phases incorporating a cluster of cognitive, behavioral, and physiological symptoms that include loss of control over use of the substance and a continued use of the substance despite adverse consequences. A number of factors have been implicated in the predisposition to abuse a substance: biological, biochemical, psychological (including developmental), personality, sociocultural and conditioning, and cultural and ethnic influences. However, no single theory adequately explains the etiology of this problem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;care setting&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inpatient stay on behavioral unit or outpatient care in a day program or community agency.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Related concerns&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Alcohol: acute withdrawal&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpul&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Psychosocial aspects of care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Patient Assessment Database&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;c-txt1ni&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Depends on substances involved, duration of use, organs affected.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Teaching/learning&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Discharge plan&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;b&gt;DRG projected mean length of stay depends on individual program, general health &lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;considerations:&lt;span style=&quot;mso-tab-count:2&quot;&gt;                &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;status&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp4wnospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;May need assistance with long-range plan for recovery&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CPXR1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer to section at end of plan for postdischarge considerations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Diagnostic studies&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Drug screen:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Identifies drug(s) being used.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Addiction Severity Index&lt;span style=&quot;mso-spacerun:yes&quot;&gt;  &lt;/span&gt;(ASI) assessment tool:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; Produces a “problem severity profile” of the patient, including chemical, medical, psychological, legal, family/social and employment/support aspects, indicating areas of treatment needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Other screening studies (e.g., hepatitis, HIV, TB): &lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;Depends on general condition, individual risk factors, and care setting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Nursing Priorities&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1. Provide support for decision to stop substance use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2. Strengthen individual coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3. Facilitate learning of new ways to reduce anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4. Promote family involvement in rehabilitation program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5. Facilitate family growth/development.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6. Provide information about condition, prognosis, and treatment needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cp3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Discharge goals&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1. Responsibility for own life and behavior assumed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2. Plan to maintain substance-free life formulated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3. Family relationships/enabling issues being addressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4. Treatment program successfully begun.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5. Condition, prognosis, and therapeutic regimen understood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;cpnl&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6. Plan in place to meet needs after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Denial&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Personal   vulnerability; difficulty handling new situations&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Previous   ineffective/inadequate coping skills with substitution of drug(s)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Learned response   patterns; cultural factors, personal/family value systems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Delay in seeking,   or refusal of healthcare attention to the detriment of health/life&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Does not perceive   personal relevance of symptoms or danger, or admit impact of condition on   life pattern; projection of blame/responsibility for problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use of   manipulation to avoid responsibility for self&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Acceptance: Health Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   awareness of relationship of substance abuse to current situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Engage in   therapeutic program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   acceptance of responsibility for own behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Behavior Modification (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ascertain   by what name patient would like to be addressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Convey   attitude of acceptance, separating individual from unacceptable behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ascertain   reason for beginning abstinence, involvement in therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   definition of drug dependence and categories of symptoms (e.g., patterns of   use, impairment caused by use, tolerance to substance).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Answer   questions honestly and provide factual information. Keep your word when   agreements are made.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information about addictive use versus experimental, occasional use;   biochemical/genetic disorder theory (genetic predisposition; use activated by   environment; compulsive desire.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Shows   courtesy and respect, giving patient a sense of orientation and control.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   feelings of dignity and self-worth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   insight into patient’s willingness to commit to long-term behavioral change,   and whether patient even believes that he or she can change. (Denial is one   of the strongest and most resistant symptoms of substance abuse.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;This   information helps patient make decisions regarding acceptance of problem and   treatment choices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Creates   trust, which is the basis of the therapeutic relationship.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Progression   of use continuum is from experimental/&lt;br /&gt;  recreational to addictive use. Comprehending this process is important in   combating denial. Education may relieve patient’s guilt and blame and may   help awareness of recurring addictive characteristics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Behavior Modification (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   current life situation and impact of substance use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Confront   and examine denial/rationalization in peer group. Use confrontation with   caring.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information regarding effects of addiction on mood/personality.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Remain   nonjudgmental. Be alert to changes in behavior, e.g., restlessness, increased   tension.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   positive feedback for expressing awareness of denial in self/others.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Maintain   firm expectation that patient attend recovery support/therapy groups   regularly.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   and support patient’s taking responsibility for own recovery (e.g.,   development of alternative behaviors to drug urge/use). Assist patient to   learn own responsibility for recovering.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;First step   in decreasing use of denial is for patient to see the relationship between   substance use and personal problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Because   denial is the major defense mechanism in addictive disease, confrontation by   peers can help the patient accept the reality of adverse consequences of   behaviors and that drug use is a major problem. Caring attitude preserves   self-concept and helps decrease defensive response.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Individuals   often mistake effects of addiction and use this to justify or excuse drug   use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Confrontation   can lead to increased agitation, which may compromise safety of   patient/staff.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Necessary   to enhance self-esteem and to reinforce insight into behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Attendance   is related to admitting need for help, to working with denial, and for   maintenance of a long-term drug-free existence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Denial can   be replaced with positive action when patient accepts the reality of own   responsibility.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Coping, Individual, ineffective&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Personal   vulnerability&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Negative role   modeling; inadequate support systems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Previous   ineffective/inadequate coping skills with substitution of drug(s)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Impaired adaptive   behavior and problem-solving skills&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Decreased ability   to handle stress of illness/hospitalization&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Financial affairs   in disarray, employment difficulties (e.g., losing time on job/not   maintaining steady employment; poor work performances, on-the-job injuries)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalization of   inability to cope/ask for help&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Coping (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   4.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   ineffective coping behaviors/consequences, including use of substances as a   method of coping.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use effective   coping skills/problem solving.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Initiate   necessary lifestyle changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Substance Use Treatment (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   program rules, philosophy expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determine   understanding of current situation and previous/other methods of coping with   life’s problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Set limits   and confront efforts to get caregiver to grant special privileges, making   excuses for not following through on behaviors agreed on, and attempting to   continue drug use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Be aware   of staff attitudes, feelings, and enabling behaviors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage verbalization   of feelings, fears, and anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Explore   alternative coping strategies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   patient to learn/encourage use of relaxation skills, guided imagery,   visualizations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Structure   diversional activity that relates to recovery (e.g., social activity within   support group), wherein issues of being chemically free are examined.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use peer   support to examine ways of coping with drug hunger.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use peer   support to examine ways of coping with drug binges.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Having   information provides opportunity for patient to cooperate and function as a   member of the group/&lt;br /&gt;  milieu, enhancing sense of control and sense of success.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   information about degree of denial, acceptance of personal   responsibility/commitment to change; identifies coping skills that may be   used in present situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient   has learned manipulative behavior throughout life and needs to learn a new   way of getting needs met. Following through on consequences of failure to   maintain limits can help the patient to change ineffective behaviors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   understanding, judgmental/enabling behaviors can result in inaccurate data   collection and nontherapeutic approaches.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May help   patient begin to come to terms with long-unresolved issues.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient   may have little or no knowledge of adaptive responses to stress and needs to   learn other options for managing time, feelings, and relationships without   drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps   patient relax, develop new ways to deal with stress, problem-solve.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discovery   of alternative methods of coping with drug hunger can remind patient that   addiction is a lifelong process and opportunity for changing patterns is   available.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-help   groups are valuable for learning and promoting abstinence in each member,   using understanding and support as well as peer pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-help   groups are valuable for learning and promoting abstinence in each member,   using understanding, support, and peer pressure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Substance Use Treatment (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   involvement in therapeutic writing. Have patient begin journaling or writing   autobiography.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   patient’s plans for living without drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   medications as indicated, e.g.:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Disulfiram (Antabuse);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Acamprosate;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Methadone (Dolophine);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Naltrexone (Trexan), nalmefine (Revex).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   involvement with self-help associations, e.g., Alcoholics/Narcotics   Anonymous.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Therapeutic   writing/journaling can enhance participation in treatment; serves as a   release for grief, anger, and stress; provides a useful tool for monitoring   patient’s safety; and can be used to evaluate patient’s progress.   Autobiographical activity provides an opportunity for patient to remember and   identify sequence of events in his or her life that relate to current   situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   opportunity to develop/refine plans. Devising a comprehensive strategy for   avoiding relapses helps patient into maintenance phase of behavioral change.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:15.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;This drug can be helpful in maintaining abstinence from   alcohol while other therapy is undertaken. By inhibiting alcohol oxidation,   the drug leads to an accumulation of acetaldehyde with a highly unpleasant   reaction if alcohol is consumed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps prevent relapses in alcoholism by lowering receptors   for the excitatory neurotransmitter glutamate. This agent may become drug of   choice because it does not make the user sick if alcohol is consumed; it has   no sedative, antianxiety, muscle relaxant, or antidepressant properties and   produces no withdrawal symptoms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;This drug is thought to blunt the craving for/&lt;br /&gt;  diminish the effects of opioids and is used to assist in withdrawal and   long-term maintenance programs. It can allow the individual to maintain daily   activities and ultimately withdraw from drug use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Used to suppress craving for opioids and may help prevent   relapse in the patient abusing alcohol. Current research suggests that   naltrexone suppresses urge to continue drinking by interfering with   alcohol-induced release of endorphins.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Puts   patient in direct contact with support system necessary for managing   sobriety/drug-free life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Powerlessness&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Substance   addiction with/without periods of abstinence&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Episodic   compulsive indulgence; attempts at recovery&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lifestyle of   helplessness&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ineffective   recovery attempts; statements of inability to stop behavior/requests for help&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Continuous/constant   thinking about drug and/or obtaining drug&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Alteration in   personal, occupational, and social life&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Health Beliefs: Perceived Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Admit inability   to control drug habit, surrender to powerlessness over addiction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   acceptance of need for treatment and awareness that willpower alone cannot   control abstinence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Engage in peer   support.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   active participation in program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Regain and   maintain healthy state with a drug-free lifestyle.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Responsibility Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use crisis   intervention techniques to initiate behavior changes:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist patient to recognize problem exists. Discuss in a   caring, nonjudgmental manner how drug has interfered with life;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Involve patient in development of treatment plan, using   problem-solving process in which patient identifies goals for change and   agrees to desired outcomes;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss alternative solutions;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist in selecting most appropriate alternative;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Support decision and implementation of selected   alternative(s).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient is   more amenable to acceptance of need for treatment at this time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;In the precontemplation phase, the patient has not yet   identified that drug use is problematic. While patient is hurting, it is   easier to admit substance use has created negative consequences.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;During the contemplation phase, the patient realizes a   problem exists and is thinking about a change of behavior. The patient is   committed to the outcomes when the decision-making process involves solutions   that are promulgated by the individual.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Brainstorming helps creatively identify possibilities and   provides sense of control. During the preparation phase, minor action may be   taken as individual organizes resources for definitive change.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;As possibilities are discussed, the most useful solution   becomes clear.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;margin-left:9.0pt&quot;&gt;&lt;span style=&quot;font-family:   &amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps the patient persevere in process of change. During   the action phase, the patient engages in a sustained effort to maintain   sobriety, and mechanisms are put in place to support abstinence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Responsibility Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Explore   support in peer group. Encourage sharing about drug hunger, situations that   increase the desire to indulge, ways that substance has influenced life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   patient to learn ways to enhance health and structure healthy diversion from   drug use (e.g., maintaining a balanced diet, getting adequate rest, exercise   [e.g., walking, slow/long distance running]; and acupuncture, biofeedback,   deep meditative techniques).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information regarding understanding of human behavior and interactions with   others, e.g., transactional analysis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist   patient in self-examination of spirituality, faith.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Instruct   in and role-play assertive communication skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide treatment   information on an ongoing basis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:7.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer   to/assist with making contact with programs for ongoing treatment needs,   e.g., partial hospitalization drug treatment programs, Narcotics/Alcoholics   Anonymous, peer support group.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient   may need assistance in expressing self, speaking about powerlessness,   admitting need for help in order to face up to problem and begin resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Learning   to empower self in constructive areas can strengthen ability to continue   recovery. These activities help restore natural biochemical balance, aid   detoxification, and manage stress, anxiety, use of free time. These   diversions can increase self-confidence, thereby improving self-esteem. &lt;i&gt;Note:&lt;/i&gt;   Exercise promotes release of endorphins, creating a feeling of well-being.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Understanding   these concepts can help the patient to begin to deal with past   problems/losses and prevent repeating ineffective coping behaviors and   self-fulfilling prophecies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Although   not mandatory for recovery, surrendering to and faith in a power greater than   oneself has been found to be effective for many individuals in substance   recovery; may decrease sense of powerlessness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Effective   in helping refrain from use, to stop contact with users and dealers, to build   healthy relationships, regain control of own life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps   patient know what to expect, and creates opportunity for patient to be a part   of what is happening and make informed choices about participation/outcomes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Continuing   treatment is essential to positive outcome. Follow-through may be easier once   initial contact has been made.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Nutrition: altered, less than   body requirements&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Insufficient   dietary intake to meet metabolic needs for psychological, physiological, or   economic reasons&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Weight loss;   weight below norm for height/body build; decreased subcutaneous fat/muscle   mass&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Reported altered   taste sensation; lack of interest in food&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Poor muscle tone&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sore, inflamed   buccal cavity&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Laboratory   evidence of protein/vitamin deficiencies&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Nutritional Status (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   progressive weight gain toward goal with normalization of laboratory values   and absence of signs of malnutrition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of effects of substance abuse, reduced dietary intake on   nutritional status.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Demonstrate   behaviors, lifestyle changes to regain and maintain appropriate weight.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Nutrition Therapy (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   height/weight, age, body build, strength, activity/&lt;br /&gt;  rest level. Note condition of oral cavity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Take   anthropometric measurements, e.g., triceps skinfold, when available.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note total   daily calorie intake; maintain a diary of intake, as well as times and   patterns of eating.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Evaluate   energy expenditure (e.g., pacing or sedentary), and establish an individualized   exercise program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   opportunity to choose foods/snacks to meet dietary plan.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Recommend   monitoring weight weekly.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   information about individual on which to base caloric needs/dietary plan.   Type of diet/foods may be affected by condition of mucous membranes and   teeth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Calculates   subcutaneous fat and muscle mass to aid in determining dietary needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Information   will help identify nutritional needs/&lt;br /&gt;  deficiencies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Activity   level affects nutritional needs. Exercise enhances muscle tone, may stimulate   appetite.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enhances   participation/sense of control, may promote resolution of nutritional   deficiencies, and helps evaluate patient’s understanding of dietary teaching.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   information regarding effectiveness of dietary plan.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Nutrition Therapy (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Consult   with dietitian.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   laboratory studies as indicated, (e.g., glucose, serum albumin/prealbumin,   electrolytes).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer for   dental consultation as necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Useful in   establishing individual dietary needs/plan and provides additional resource   for learning.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identifies   anemias, electrolyte imbalances, and other abnormalities that may be present,   requiring specific therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Teeth are   essential to good nutritional intake and dental hygiene/care is often a   neglected area in this population.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Self-Esteem, chronic low&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Social stigma   attached to substance abuse, expectation that one controls behavior&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Negative role   models; abuse/neglect, dysfunctional family system&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Life choices   perpetuating failure; situational crisis with loss of control over life   events&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Biochemical body   change (e.g., withdrawal from alcohol/other drugs)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-negating   verbalization, expressions of shame/guilt&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Evaluation of   self as unable to deal with events, confusion about self, purpose or   direction in life&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Rationalizing   away/rejecting positive feedback about self&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Esteem (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify feelings   and underlying dynamics for negative perception of self.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   acceptance of self as is and an increased sense of self-worth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Set goals and   participate in realistic planning for lifestyle changes necessary to live   without drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Esteem Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   opportunity for and encourage verbalization/&lt;br /&gt;  discussion of individual situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patient   often has difficulty expressing self, even more difficulty accepting the   degree of importance substance has assumed in life and its relationship to   present situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Esteem Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   mental status. Note presence of other psychiatric disorders (dual diagnosis).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Spend time   with patient. Discuss patient’s behavior/&lt;br /&gt;  use of substance in a nonjudgmental way.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   reinforcement for positive actions and encourage patient to accept this   input.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Observe   family interactions/SO dynamics and level of support.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   expression of feelings of guilt, shame, and anger.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Help the   patient acknowledge that substance use is the problem and that problems can   be dealt with without the use of drugs. Confront the use of defenses, e.g.,   denial, projection, rationalization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ask the   patient to list and review past accomplishments and positive happenings.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Use   techniques of role rehearsal.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Many   patients use substances in an attempt to obtain relief from depression or   anxiety, which may predate use and/or be the result of substance use.   Approximately 60% of substance-dependent patients have underlying   psychological problems, and treatment for both is imperative to   achieve/maintain abstinence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The   nurse’s presence conveys acceptance of the individual as a worthwhile person.   Discussion provides opportunity for insight into the problems abuse has   created for the patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Failure   and lack of self-esteem have been problems for this patient, who needs to   learn to accept self as an individual with positive attributes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Substance   abuse is a family disease, and how the members act and react to the patient’s   behavior affects the course of the disease and how patient sees self. Many   unconsciously become “enablers,” helping the individual to cover up the   consequences of the abuse. (Refer to ND: Family Processes, altered:   alcoholism, following.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The   patient often has lost respect for self and believes that the situation is   hopeless. Expression of these feelings helps the patient begin to accept   responsibility for self and take steps to make changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;When drugs   can no longer be blamed for the problems that exist, the patient can begin to   deal with the problems and live without substance use. Confrontation helps   the patient accept the reality of the problems as they exist.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;There are   things in everyone’s life that have been successful. Often when self-esteem   is low, it is difficult to remember these successes or to view them as   successes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assists   patient to practice developing skills to cope with new role as a person who   no longer uses or needs drugs to handle life’s problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Self-Esteem Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Involve   patient in group therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Formulate   plan to treat other mental illness problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   antipsychotic medications as necessary.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Group   sharing helps encourage verbalization because other members of group are in   various stages of abstinence from drugs and can address the patient’s   concerns/denial. The patient can gain new skills, hope, and a sense of   family/community from group participation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Patients   who seek relief for other mental health problems through drugs will continue   to do so once discharged. Both the substance use and the mental health   problems need to be treated together to maximize abstinence potential.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Prolonged/profound   psychosis following LSD or PCP use can be treated with these drugs because it   is probably the result of an underlying functional psychosis that has now   emerged. &lt;i&gt;Note:&lt;/i&gt; Avoid the use of phenothiazines because they may   decrease seizure threshold and cause hypotension in the presence of LSD/PCP   use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Family Processes, altered:   alcoholism [substance abuse&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Abuse of   substance(s); resistance to treatment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Family history of   substance abuse&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Addictive   personality&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inadequate coping   skills, lack of problem-solving skills&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Anxiety;   anger/suppressed rage; shame and embarrassment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Emotional   isolation/loneliness; vulnerability; repressed emotions&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disturbed family   dynamics; closed communication systems, ineffective spousal communication and   marital problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Altered role   function/disruption of family roles&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Manipulation;   dependency; criticizing; rationalization/denial of problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enabling to   maintain drinking (substance abuse); refusal to get help/inability to accept   and receive help appropriately&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—family WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Coping (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of dynamics of enabling behaviors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Participate in   individual family programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   ineffective coping behaviors and consequences.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Initiate and plan   for necessary lifestyle changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Take action to   change self-destructive behaviors/alter behaviors that contribute to   partner’s/SO’s addiction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Substance Use Treatment (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   family history; explore roles of family members, circumstances involving drug   use, strengths, areas for growth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Explore   how the SO has coped with the patient’s habit, (e.g., denial, repression,   rationalization, hurt, loneliness, projection).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determine   understanding of current situation and previous methods of coping with life’s   problems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   current level of functioning of family members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determine   extent of enabling behaviors being evidenced by family members; explore with   each individual and patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information about enabling behavior, addictive disease characteristics for   both user and nonuser.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   and discuss sabotage behaviors of family members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   participation in therapeutic writing, e.g., journaling (narrative), guided or   focused.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   factual information to patient and family about the effects of addictive   behaviors on the family and what to expect after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determines   areas for focus, potential for change.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The person   who enables also suffers from the same feelings as the patient and uses   ineffective methods for dealing with the situation, necessitating help in   learning new/effective coping skills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   information on which to base present plan of care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Affects   individual’s ability to cope with situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enabling   is doing for the patient what he or she needs to do for self (rescuing).   People want to be helpful and do not want to feel powerless to help their   loved one stop substance use and change the behavior that is so destructive.   However, the substance abuser often relies on others to cover up own   inability to cope with daily responsibilities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Awareness   and knowledge of behaviors (e.g., avoiding and shielding, taking over   responsibilities, rationalizing, and subserving) provide opportunity for   individuals to begin the process of change.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Even   though family member(s) may verbalize a desire for the individual to become   substance-free, the reality of interactive dynamics is that they may   unconsciously not want the individual to recover because this would affect   the family member(s)’ own role in the relationship. Additionally, they may   receive sympathy/attention from others (secondary gain).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Serves as   a release for feelings (e.g., anger, grief, stress); helps move individuals   forward in treatment process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Many   patients/SOs are not aware of the nature of addiction. If patient is using   legally obtained drugs, he or she may believe this does not constitute abuse.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Substance Use Treatment (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   family members to be aware of their own feelings, look at the situation with   perspective and objectivity. They can ask themselves: “Am I being conned? Am   I acting out of fear, shame, guilt, or anger? Do I have a need to control?”&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   support for enabling partner(s). Encourage group work.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assist the   patient’s partner to become aware that patient’s abstinence and drug use are   not the partner’s responsibility.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Help the   recovering (former user) partner who is enabling to distinguish between   destructive aspects of behavior and genuine motivation to aid the user.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Note how   partner relates to the treatment team/staff.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Explore   conflicting feelings the enabling partner may have about treatment, e.g.,   feelings similar to those of abuser (blend of anger, guilt, fear, exhaustion,   embarrassment, loneliness, distrust, grief, and possibly relief).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Involve   family in discharge referral plans.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Be aware   of staff’s enabling behaviors and feelings about patient and enabling   partners.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wnospace&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   involvement with self-help associations, Alcoholics/Narcotics Anonymous,   Al-Anon, Alateen, and professional family therapy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;When the   enabling family members become aware of their own actions that perpetuate the   addict’s problems, they need to decide to change themselves. If they change,   the patient can then face the consequences of his/her own actions and may   choose to get well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Families/SOs   need support to produce change as much as the person who is addicted.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Partners   need to learn that user’s habit may or may not change despite partner’s   involvement in treatment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Enabling   behavior can be partner’s attempts at personal survival.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determines   enabling style. A parallel exists between how partner relates to user and to   staff, based on partner’s feelings about self and situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Useful in   establishing the need for therapy for the partner. This individual’s own   identity may have been lost, she or he may fear self-disclosure to staff, and   may have difficulty giving up the dependent relationship.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Drug abuse   is a family illness. Because the family has been so involved in dealing with   the substance abuse behavior, family members need help adjusting to the new   behavior of sobriety/abstinence. Incidence of recovery is almost doubled when   the family is treated along with the patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   understanding of enabling can result in nontherapeutic approaches to patients   and their families.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot; style=&quot;line-height:15.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Puts   patient/family in direct contact with support systems necessary for continued   sobriety and to assist with problem resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS:&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-family:   Arial;text-transform:none&quot;&gt;Sexual Dysfunction&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Altered body   function: Neurological damage and debilitating effects of drug use   (particularly alcohol and opiates)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Progressive   interference with sexual functioning&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;In men: a   significant degree of testicular atrophy is noted (testes are smaller and   softer than normal); gynecomastia (breast enlargement); impotence/decreased   sperm counts&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;In women: loss of   body hair, thin soft skin, and spider angioma (elevated estrogen);   amenorrhea/increase in miscarriages&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Substance Addiction Consequences (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbally   acknowledge effects of drug use on sexual functioning/reproduction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify   interventions to correct/overcome individual situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Sexual Counseling (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ascertain   patient’s beliefs and expectations. Have patient describe problem in own   words.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Encourage   and accept individual expressions of concern.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   education opportunity (e.g., pamphlets, consultation with appropriate   persons) for patient to learn effects of drug on sexual functioning.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   information about individual’s condition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   drinking/drug history of pregnant patient. Provide information about effects   of substance abuse on the reproductive system/fetus (e.g., increased risk of   premature birth, brain damage, and fetal malformation).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   prognosis for sexual dysfunction, e.g., impotence/low sexual desire.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Determines   level of knowledge, identifies misperceptions and specific learning needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Most   people find it difficult to talk about this sensitive subject and may not ask   directly for information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Much of   denial and hesitancy to seek treatment may be reduced as a result of   sufficient and appropriate information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Sexual   functioning may have been affected by drug (alcohol) itself and/or   psychological factors (such as stress or depression). Information can assist   patient to understand own situation and identify actions to be taken.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Awareness   of the negative effects of alcohol/other drugs on reproduction may motivate   patient to stop using drug(s). When patient is pregnant, identification of   potential problems aids in planning for future fetal needs/concerns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;In about   50% of cases, impotence is reversed with abstinence from drug(s); in 25% the   return to normal functioning is delayed; and approximately 25% remain   impotent.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Sexual Counseling (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Collaborative&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Refer for   sexual counseling, if indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   results of sonogram if pregnant.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Couple may   need additional assistance to resolve more severe problems/situations.   Patient may have difficulty adjusting if drug has improved sexual experience   (e.g., heroin decreases dyspareunia in women/premature ejaculation in men).   Furthermore, the patient may have engaged enjoyably in bizarre, erotic sexual   behavior under influence of the stimulant drug; patient may have found no   substitute for the drug, may have driven a partner away, and may have no   motivation to adjust to sexual experience without drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assesses   fetal growth and development to identify possibility of fetal alcohol   syndrome and future needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;NURSING DIAGNOSIS: &lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;text-transform:none&quot;&gt;Knowledge Deficit [Learning   Need] regarding condition, prognosis, treatment, self care, and discharge   needs&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Lack of   information; information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Cognitive   limitations/interference with learning (other mental illness problems/organic   brain syndrome); lack of recall&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd2&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Statements of   concern; questions/misconceptions&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inaccurate   follow-through of instructions/development of preventable complications&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Continued use in   spite of complications/adverse consequences&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd3&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-left:13.5pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Knowledge: Substance Use Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize understanding   of own condition/disease process, prognosis, and potential complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Verbalize   understanding of therapeutic needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Identify/initiate   necessary lifestyle changes to remain drug-free.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;nd-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Participate in   treatment program including plan for follow-up/long-term care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Learning Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Be aware   of and deal with anxiety of patient and family members.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide an   active role for the patient/SO in the learning process, e.g., discussions,   group participation, role playing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provide   written and verbal information as indicated. Include list of articles and   books related to patient/&lt;br /&gt;  family needs and encourage reading and discussing what they learn.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assess   patient’s knowledge of own situation, e.g., disease, complications, and   needed changes in lifestyle.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pace   learning activities to individual needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   condition and prognosis/future expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   relationship of drug use to current situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Educate   about effects of specific drug(s) used, e.g., PCP is deposited in body fat   and may reactivate (flashbacks) even after long interval of abstinence;   alcohol use may result in mental deterioration, liver involvement/&lt;br /&gt;  damage; cocaine can damage postcapillary vessels and increase platelet   aggregation, promoting thromboses and infarction of skin/internal organs,   causing localized atrophie blanche or sclerodermatous lesions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   potential for re-emergence of withdrawal symptoms in stimulant abuse as early   as 3 mo or as late as 9–12 mo after discontinuing use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Anxiety   can interfere with ability to hear and assimilate information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Learning   is enhanced when persons are actively involved.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Helps   patient/SO make informed choices about future. Bibliotherapy can be a useful   addition to other therapeutic approaches.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Assists in   planning for long-range changes necessary for maintaining sobriety/drug-free   status. Patient may have street knowledge of the drug but be ignorant of   medical facts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Facilitates   learning because information is more readily assimilated when timing is   considered.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Provides   knowledge base from which patient can make informed choices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Often   patient has misperception (denial) of real reason for admission to the   medical (psychiatric) setting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Information   will help patient understand possible long-term effects of drug use.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Even   though intoxication may have passed, patient may manifest denial, drug   hunger, and periods of “flare-up,” wherein there is a delayed recurrence of   withdrawal symptoms (e.g., anxiety; depression; irritability; sleep disturbance;   compulsiveness with food, especially sugars).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family:   &amp;quot;Times New Roman&amp;quot;;text-transform:uppercase;mso-ansi-language:EN-US;   mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt;   &lt;/span&gt;   &lt;p class=&quot;cp5&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NOC&quot; align=&quot;left&quot; style=&quot;margin-top:0in;margin-right:20.15pt;   margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;cp6wNOC&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.25pt;   margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;Independent&lt;/span&gt;&lt;/b&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt; &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inform   patient of effects of disulfiram (Antabuse) in combination with alcohol   intake and importance of avoiding use of alcohol-containing products,   e.g.,&lt;span style=&quot;mso-spacerun:yes&quot;&gt;  &lt;/span&gt;cough syrups, foods/candy,   mouthwash, aftershave, cologne.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Review   specific aftercare needs; e.g., PCP user should drink cranberry juice and   continue use of ascorbic acid; alcohol abuser with liver damage should   refrain from drugs/anesthetics or use of household cleaning products that are   detoxified in the liver.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Discuss   variety of helpful organizations and programs that are available for   assistance/referral.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;cp5&quot; style=&quot;margin-bottom:9.95pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Interaction   of alcohol and Antabuse results in nausea and hypotension, which may produce   fatal shock. Individuals on Antabuse are sensitive to alcohol on a continuum,   with some being able to drink while taking the drug and others having a   reaction with only slight exposure. Reactions also appear to be dose-related.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Promotes   individualized care related to specific situation. Cranberry juice and   ascorbic acid enhance clearance of PCP from the system. Substances that have   the potential for liver damage are more dangerous in the presence of an   already damaged liver.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Long-term   support is necessary to maintain optimal recovery. Psychosocial needs and   other issues may need to be addressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;c-txt4nospace&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;pc-1&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;POTENTIAL CONSIDERATIONS&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt; following acute care (dependent on patient’s age, physical condition/&lt;br /&gt;presence of complications, personal resources, and life responsibilities)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Therapeutic Regimen: Individual/Families, ineffective management—decisional conflicts, excessive demands made on individual or family, family conflict, perceived seriousness/benefits.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Coping, Individual, ineffective—vulnerability, situational crises, multiple life changes, inadequate relaxation, inadequate/loss of support systems.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Family Coping: potential for growth—needs sufficiently gratified and adaptive tasks effectively addressed to enable goals of self-actualization to surface.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:22.5pt;text-indent:-22.5pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;(Physical needs depend on substance effect on organ systems—refer to appropriate medical plans of care for additional considerations.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;pc-txt&quot; style=&quot;margin-left:0in;text-indent:0in&quot;&gt;&lt;span style=&quot;font-family: &amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/1556306786861088604/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/1556306786861088604' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/1556306786861088604'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/1556306786861088604'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/substance-dependenceabuse.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-1666339650521725523.post-150473531130979650</id><published>2011-03-01T02:38:00.001-08:00</published><updated>2011-03-01T02:38:36.750-08:00</updated><title type='text'></title><content type='html'>&lt;p class=&quot;CP1&quot; style=&quot;margin-top:30.0pt;margin-right:0in;margin-bottom:15.0pt; margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:13.0pt;font-family:Arial&quot;&gt;SPINAL CORD INJURY (ACUTE REHABILITATIVE PHASE)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;The leading causes of spinal cord injury (SCI) include motor vehicle crashes, falls, acts of violence, and sporting injuries. The mechanism of injury influences the type of SCI and the degree of neurological deficit. Spinal cord lesions are classified as a complete (total loss of sensation and voluntary motor function) or incomplete (mixed loss of sensation and voluntary motor function).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;   Physical findings vary, depending on the level of injury, degree of spinal shock, and phase and degree of recovery, but in general, are classified as follows:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;C-1 to C-3:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Tetraplegia with total loss of muscular/respiratory function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;C-4 to C-5:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Tetraplegia with impairment, poor pulmonary capacity, complete dependency for ADLs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;C-6 to C-7:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Tetraplegia with some arm/hand movement allowing some independence in ADLs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;C-7 to T-1:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Tetraplegia with limited use of thumb/fingers, increasing independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;T-2 to L-1:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Paraplegia with intact arm function and varying function of intercostal and abdominal muscles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;L-1 to L-2 or below:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Mixed motor-sensory loss; bowel and bladder dysfunction.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;CARE SETTING&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Inpatient medical/surgical and subacute/rehabilitation units.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;RELATED CONCERNS&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disc surgery&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fractures&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pneumonia: microbial&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Psychosocial aspects of care&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Thrombophlebitis: deep vein thrombosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Total nutritional support: parenteral/enteral feeding&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Upper gastrointestinal/esophageal bleeding&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT1&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Ventilatory assistance (mechanical)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP2&quot; style=&quot;margin-top:9.0pt;margin-right:0in;margin-bottom:6.0pt; margin-left:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:13.0pt;font-family:Arial&quot;&gt;Patient Assessment Database&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;ACTIVITY/REST&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Paralysis of muscles (flaccid during spinal shock) at/below level of lesion&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Muscle/generalized weakness (cord contusion and compression)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;CIRCULATION&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Palpitations&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Dizziness with position changes&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Low BP, postural BP changes, bradycardia&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Cool, pale extremities&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Absence of perspiration in affected area&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;ELIMINATION&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Incontinence of bladder and bowel&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Urinary retention&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Abdominal distension; loss of bowel sounds&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Melena, coffee-ground emesis/hematemesis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;EGO INTEGRITY&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Denial, disbelief, sadness, anger&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Fear, anxiety, irritability, withdrawal&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;FOOD/FLUID&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Abdominal distension; loss of bowel sounds (paralytic ileus)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;HYGIENE&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Variable level of dependence in ADLs&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;NEUROSENSORY&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Absence of sensation below area of injury, or opposite side sensation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Numbness, tingling, burning, twitching of arms/legs&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Flaccid paralysis (spasticity may develop as spinal shock resolves, depending on area of cord involvement)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Loss of sensation (varying degrees may return after spinal shock resolves)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Loss of muscle/vasomotor tone&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Loss of/asymmetrical reflexes, including deep tendon reflexes&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Changes in pupil reaction, ptosis of upper eyelid&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Loss of sweating in affected area&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;PAIN/DISCOMFORT&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Pain/tenderness in muscles&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Hyperesthesia immediately above level of injury&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Vertebral tenderness, deformity&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;RESPIRATION&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Shortness of breath, “air hunger,” inability to breathe&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Shallow/labored respirations; periods of apnea&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Diminished breath sounds, rhonchi&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Pallor, cyanosis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;SAFETY&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Temperature fluctuations (taking on temperature of environment)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot; style=&quot;margin-top:6.5pt&quot;&gt;SEXUALITY&lt;/p&gt;  &lt;p class=&quot;CP4&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May report:&lt;span style=&quot;mso-tab-count:1&quot;&gt;               &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Expressions of concern about return to normal functioning&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; style=&quot;margin-top:2.0pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;May exhibit:&lt;span style=&quot;mso-tab-count:1&quot;&gt;              &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CT22&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Uncontrolled erection (priapism)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Menstrual irregularities&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot; style=&quot;margin-top:6.5pt&quot;&gt;TEACHING/LEARNING&lt;/p&gt;  &lt;p class=&quot;CP4&quot; align=&quot;left&quot; style=&quot;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family: Arial&quot;&gt;Discharge plan &lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span class=&quot;CP7&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:-.3pt&quot;&gt;DRG projected mean length of inpatient stay: 17.1–90 days (inclusive of inpatient rehabilitation)&lt;/span&gt;&lt;/b&gt;&lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:-.3pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;CP4&quot; align=&quot;left&quot; style=&quot;text-align:left&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family: Arial&quot;&gt;considerations:&lt;span style=&quot;mso-tab-count:1&quot;&gt;       &lt;/span&gt;&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Will require varying degrees of assistance with transportation, shopping, food preparation, self-care, finances, medications/treatment, and homemaker/maintenance tasks&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;May require changes in physical layout of home and/or placement in a rehabilitative center&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;RTC&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;span style=&quot;mso-tab-count:1&quot;&gt;                                    &lt;/span&gt;Refer to section at end of plan for postdischarge considerations.&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot; style=&quot;margin-top:6.5pt&quot;&gt;DIAGNOSTIC STUDIES&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Spinal x-rays:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Locates level and type of bony injury (fracture, dislocation); determines alignment and reduction after traction or surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;CT scan:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Locates injury, evaluates structural alterations. Useful for rapid screening and providing additional information if &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;x-rays questionable for fracture/cord status.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;MRI:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt; Identifies spinal cord lesions, edema, and compression.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Myelogram:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; May be done to visualize spinal column if pathology is unclear or if occlusion of spinal subarachnoid space is suspected (not usually done after penetrating injuries).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Somatosensory evoked potentials (SEP):&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; Elicited by presenting a peripheral stimulus and measuring degree of latency in cortical response to evaluate spinal cord functioning/potential for recovery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Chest x-ray:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;; letter-spacing:0pt&quot;&gt; Demonstrates pulmonary status (e.g., changes in level of diaphragm, atelectasis).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;Pulmonary function studies (vital capacity, tidal volume):&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt; Measures maximum volume of inspiration and expiration; especially important in patients with low cervical lesions or thoracic lesions with possible phrenic nerve and intercostal muscle involvement.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP8&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt;ABGs:&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing: 0pt&quot;&gt; Indicates effectiveness of gas exchange and ventilatory effort.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot; style=&quot;margin-top:6.5pt&quot;&gt;NURSING PRIORITIES&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Maximize respiratory function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Prevent further injury to spinal cord.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Promote mobility/independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Prevent or minimize complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Support psychological adjustment of patient/SO.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Provide information about injury, prognosis and expectations, treatment needs, possible and preventable complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CP3&quot;&gt;DISCHARGE GOALS&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;1.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Ventilatory effort adequate for individual needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;2.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Spinal injury stabilized.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;3.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Complications prevented/controlled.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;4.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Self-care needs met by self/with assistance, depending on specific situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;5.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Beginning to cope with current situation and planning for future.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;6.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Condition/prognosis, therapeutic regimen, and possible complications understood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;7.&lt;span style=&quot;mso-tab-count:1&quot;&gt;  &lt;/span&gt;Plan in place to meet needs after discharge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;NL2&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:12.25pt;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;NURSING   DIAGNOSIS: Breathing Pattern, risk for ineffective&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Impairment of innervation of diaphragm (lesions at or   above C-5)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Complete or mixed loss of intercostal muscle function&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reflex abdominal spasms; gastric distension&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and symptoms   establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:12.25pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Respiratory   Status: Ventilation (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Maintain adequate ventilation as evidenced by absence of   respiratory distress and ABGs within acceptable limits&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:12.25pt;margin-bottom:.0001pt;text-indent:0in;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Demonstrate appropriate behaviors to support respiratory   effort.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Respiratory Monitoring (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess respiratory function by asking   patient to take a deep breath. Note presence or absence of spontaneous effort   and quality of respirations, e.g., labored, using accessory muscles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;C-1 to C-3 injuries result in   complete loss of respiratory function. Injuries at C-4 or C-5 can result in   variable loss of respiratory function, depending on phrenic nerve involvement   and diaphragmatic function, but generally cause decreased vital capacity and   inspiratory effort. For injuries below C-6 or C-7, respiratory muscle   function is preserved; however, weakness/impairment of intercostal muscles   may impair effectiveness of cough and the ability to sigh, deep breathe.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Respiratory Monitoring (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Auscultate breath sounds. Note areas of absent or   decreased breath sounds or development of adventitious sounds (e.g.,   rhonchi).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Note strength/effectiveness of cough.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Observe skin color for developing cyanosis, duskiness.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assess for abdominal distension and muscle spasm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Monitor/limit visitors as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Monitor diaphragmatic movement when phrenic pacemaker is   implanted.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Elicit concerns/questions regarding mechanical   ventilation devices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide honest answers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Maintain patient airway: keep head in neutral position,   elevate head of bed slightly if tolerated, use airway adjuncts as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist patient in “taking control” of respirations as   indicated. Instruct in and encourage deep breathing, focusing attention on   steps of breathing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist with coughing as indicated for level of injury,   e.g., have patient take deep breath and hold for 2 sec before coughing, or   inhale deeply, then cough at the end of a slow exhalation. Alternatively,   assist by placing hands below diaphragm and pushing upward as patient   exhales(quad cough).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Hypoventilation is common and leads to accumulation of   secretions, atelectasis, and pneumonia (frequent complications). &lt;i&gt;Note:&lt;/i&gt;   Respiratory compromise is one of the leading causes of mortality, especially   during the acute stage as well as later in life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Level of injury determines function of intercostal   muscles and ability to cough spontaneously/move secretions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May reveal impending respiratory failure, need for   immediate medical evaluation and intervention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Abdominal fullness may impede diaphragmatic excursion,   reducing lung expansion and further compromising respiratory function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;General debilitation and respiratory compromise place   patient at increased risk for acquiring URIs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stimulation of phrenic nerve may enhance respiratory   effort, decreasing dependency on mechanical ventilator.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Acknowledges reality of situation. (Refer to CP:   Ventilatory Assistance).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Future respiratory function/support needs will not be   totally known until spinal shock resolves and acute rehabilitative phase is   completed. Even though respiratory support may be required, alternative   devices/techniques may be used to enhance mobility and promote independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patients with high cervical injury and impaired gag/cough   reflexes require assistance in preventing aspiration/maintaining patient   airway.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Breathing may no longer be a totally voluntary activity   but require conscious effort, depending on level of injury/involvement of   respiratory muscles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Adds volume to cough and facilitates expectoration of   secretions or helps move them high enough to be suctioned out. &lt;i&gt;Note:&lt;/i&gt;   Quad cough procedure is generally reserved for patients with stable injuries   once they are in the rehabilitation stage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Respiratory Monitoring (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Suction as necessary. Document quality and quantity of   secretions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reposition/turn periodically. Avoid/limit prone position   when indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Encourage fluids (at least 2000 mL/day).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Measure/graph:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Vital capacity (VC), tidal volume (V&lt;sub&gt;T&lt;/sub&gt;),   inspiratory force;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Serial ABGs and/or pulse oximetry.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;Airway Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer oxygen by appropriate method, e.g., nasal   prongs, mask, intubation/ventilator.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist with use of respiratory adjuncts (e.g., incentive   spirometer, blow bottles) and aggressive chest physiotherapy (e.g., chest   percussion).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Refer to/consult with respiratory and physical   therapists.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;If cough is ineffective, suctioning may be needed to   remove secretions, enhance gas exchange, and reduce risk of respiratory   infections. &lt;i&gt;Note:&lt;/i&gt; “Routine” suctioning increases risk of hypoxia,   bradycardia (vagal response), tissue trauma. Therefore, suctioning needs are   based on presence of/inability to move secretions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Enhances ventilation of all lung segments, mobilizes   secretions, reducing risk of complications such as atelectasis and pneumonia.   &lt;i&gt;Note:&lt;/i&gt; Prone position significantly decreases vital capacity,   increasing risk of respiratory compromise/failure.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Aids in liquefying secretions, promoting   mobilization/expectoration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Determines level of respiratory muscle function. Serial   measurements may be done to predict impending respiratory failure (acute   injury) or determine level of function after spinal shock phase and/or while   weaning from ventilatory support.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Documents status of ventilation and oxygenation,   identifies respiratory problems, e.g., hypoventilation (low Pa&lt;span style=&quot;font-variant:small-caps&quot;&gt;o&lt;/span&gt;&lt;sub&gt;2&lt;/sub&gt;/elevated Pa&lt;span style=&quot;font-variant:small-caps&quot;&gt;co&lt;/span&gt;&lt;sub&gt;2&lt;/sub&gt;) and pulmonary   complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Method is determined by level of injury, degree of   respiratory insufficiency, and amount of recovery of respiratory muscle   function after spinal shock phase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Preventing retained secretions is essential to maximize   gas diffusion and to reduce risk of pneumonia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful in identifying exercises individually appropriate   to stimulate and strengthen respiratory muscles/effort. For example,   glossopharyngeal breathing uses muscles of mouth, pharynx, and larynx to   swallow air into lungs, thereby enhancing VC and chest expansion.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Trauma, risk for [additional spinal injury]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Temporary weakness/instability of   spinal column&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and   symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Bone Healing (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain proper alignment of spine   without further spinal cord damage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Traction/Immobilization Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Maintain bedrest and immobilization   device(s), e.g., sandbags, traction, halo, hard/soft cervical collars, brace.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Check external stabilization device,   e.g., Gardner-Wells tongs or skeletal traction apparatus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Elevate head of traction frame or bed   as indicated. Ensure that traction frames are secure, pulleys aligned,   weights hanging free.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Check weights for ordered traction   pull (usually 10–20 lb).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reposition at intervals, using   adjuncts for turning and support, e.g., turn sheets, foam wedges, blanket   rolls, pillows. Use several staff members when turning/&lt;br /&gt;  logrolling patient. Follow special instructions for traction equipment,   kinetic bed, and frames once halo is in place.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist with preparation/maintain   skeletal traction via tongs, calipers, halo/vest, as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prepare for internal stabilization   surgery, e.g., spinal laminectomy or fusion, if indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Body rest prevents vertebral column   instability and aids healing. &lt;i&gt;Note:&lt;/i&gt; Traction is used only for cervical   spine stabilization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;These devices are used for   decompression of spinal fractures and stabilization of vertebral column   during the early acute phase of injury to prevent further spinal cord injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Creates safe, effective   counterbalance to maintain both patient’s position and traction pull.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Weight pull depends on patient’s size   and amount of reduction needed to maintain vertebral column alignment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Maintains proper spinal column   alignment, reducing risk of further trauma. &lt;i&gt;Note:&lt;/i&gt; Grasping the   brace/halo vest to turn or reposition patient may cause additional injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduces vertebral   fracture/dislocation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Surgery may be indicated for spinal   stabilization/cord decompression or removal of bony fragments.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Mobility, impaired physical&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Neuromuscular impairment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Immobilization by traction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inability to purposefully move;   paralysis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Muscle atrophy; contractures&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Immobility Consequences: Physiological (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain position of function as   evidenced by absence of contractures, footdrop.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Muscle Function (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Increase strength of   unaffected/compensatory body parts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Demonstrate techniques/behaviors that   enable resumption of activity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bed Rest Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Continually assess motor function (as   spinal shock/edema resolves) by requesting patient to perform certain   actions, e.g., shrug shoulders, spread fingers, squeeze/release examiner’s   hands.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide means to summon help, e.g.,   special sensitive call light.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Perform/assist with full ROM   exercises on all extremities and joints, using slow, smooth movements.   Hyperextend hips periodically.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Position arms at 90-degree angle at   regular intervals.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Maintain ankles at 90 degrees with   footboard, high-top tennis shoes, and so on. Place trochanter rolls along   thighs when in bed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Elevate lower extremities at   intervals when in chair, or raise foot of bed when permitted in individual   situation. Assess for edema of feet/ankles.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Plan activities to provide   uninterrupted rest periods. Encourage involvement within individual   tolerance/ability.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Evaluates status of individual   situation (motor-sensory impairment may be mixed and/or not clear) for a   specific level of injury, affecting type and choice of interventions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enables patient to have a sense of   control, and reduces fear of being left alone. &lt;i&gt;Note:&lt;/i&gt; Quadriplegic on   ventilator requires continuous observation in early management.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enhances circulation,   restores/maintains muscle tone and joint mobility, and prevents disuse   contractures and muscle atrophy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prevents frozen shoulder   contractures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prevents footdrop and external   rotation of hips.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Loss of vascular tone and “muscle   action” results in pooling of blood and venous stasis in the lower abdomen   and lower extremities, with increased risk of hypotension and thrombus   formation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prevents fatigue, allowing   opportunity for maximal efforts/participation by patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bedrest Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Measure/monitor BP before and after activity in acute   phases or until stable. Change position slowly. Use cardiac bed or tilt   table/CircOlectric bed as activity level is advanced.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reposition periodically even when sitting in chair. Teach   patient how to use weight-shifting techniques.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Prepare for weight-bearing activities, e.g, use of tilt   table for upright position, strengthening/conditioning exercises for   unaffected body parts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Encourage use of relaxation techniques.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Inspect skin daily. Observe for pressure areas, and   provide meticulous skin care. Teach patient to inspect skin surfaces and to   use a mirror to look at hard-to-see-areas.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist with/encourage pulmonary hygiene, e.g., deep   breathing, coughing, suctioning. (Refer to ND: Breathing Pattern, risk for   ineffective).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assess for redness, swelling/muscle tension of calf   tissues. Record calf and thigh measurements if indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Investigate sudden onset of dyspnea, cyanosis, and/or   other signs of respiratory distress.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Place patient in kinetic therapy bed when appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Apply antiembolic hose/leotard or sequential compression   devices (SCDs) to legs as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Orthostatic hypotension may occur as a result of venous   pooling (secondary to loss of vascular tone). Side-to-side movement or   elevation of head can aggravate hypotension and cause syncope.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces pressure areas, promotes peripheral circulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Early weight bearing reduces osteoporotic changes in long   bones and reduces incidence of urinary infections and kidney stones. &lt;i&gt;Note:&lt;/i&gt;   Fifty percent of patients develop heterotopic ossification that can lead to   pain and decreased joint flexibility&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces muscle tension/fatigue, may help limit pain of   muscle spasms, spasticity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Altered circulation, loss of sensation, and paralysis   potentiate pressure sore formation. This is a lifelong consideration. (Refer   to ND: Skin Integrity, risk for impaired.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Immobility and bedrest increase risk of pulmonary   infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;In a high percentage of patients with cervical cord   injury, thrombi develop because of altered peripheral circulation,   immobilization, and flaccid paralysis. Risk is greatest during the 2 wk   immediately following injury and on through the next 3 mo.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Development of pulmonary emboli may be “silent” because   pain perception is altered and/or DVT is not readily recognized.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Effectively immobilizes unstable spinal column and   improves systemic circulation, which is thought to decrease complications   associated with immobility.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Limits pooling of blood in lower extremities or abdomen,   thus improving vasomotor tone and reducing incidence of thrombus formation   and pulmonary emboli.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bedrest Care (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Consult with physical/occupational therapists/&lt;br /&gt;  rehabilitation team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer muscle relaxants/antispasticity agents as &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;indicated, e.g.:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Diazepam (Valium), baclofen (Lioresal), dantrolene   (Dantrium);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Tizanidine (Zanaflex).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful in planning and implementing individualized   exercise program and identifying/developing assistive devices to maintain   function, enhance mobility and independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May be useful in limiting or reducing pain associated   with spasticity. &lt;i&gt;Note:&lt;/i&gt; Baclofen may be delivered via implanted   intrathecal pump on a long-term basis as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Centrally acting [alpha]&lt;sub&gt;2&lt;/sub&gt;-adrenergic agonist   reduces spasticity. Short duration of action requires careful dosage   monitoring to achieve maximum effect. May have additive effect with baclofen   (Lioresal) but needs to be used with caution because both drugs have similar   side effects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Sensory perception, disturbed&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Destruction of sensory tracts with   altered sensory reception, transmission, and integration&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reduced environmental stimuli&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Psychological stress (narrowed   perceptual fields caused by anxiety)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Measured change in sensory acuity,   including position of body parts/proprioception&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Change in usual response to stimuli&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Motor incoordination&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Anxiety, disorientation, bizarre   thinking; exaggerated emotional responses&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Neurological Status: Spinal Sensory/Motor Function (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Recognize sensory impairments.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Personal Safety (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify behaviors to compensate for   deficits.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize awareness of sensory needs   and potential for deprivation/overload.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:   0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Peripheral Sensation Management   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess/document sensory function or   deficit (by means of touch, pinprick, hot/cold, etc.), progressing from area   of deficit to neurologically intact area.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Protect from bodily harm, e.g.,   falls, burns, positioning of arm or objects.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist patient to recognize and   compensate for alterations in sensation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Explain procedures before and during   care, identifying the body part involved.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide tactile stimulation, touching   patient in intact sensory areas, e.g., shoulders, face, head.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Position patient to see surroundings   and activities. Provide prism glasses when prone on turning frame. Talk to   patient frequently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide diversional activities, e.g.,   television, radio, music, liberal visitation. Use clocks, calendars,   pictures, bulletin boards, and so on. Encourage SO/family to discuss general   and personal news.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide uninterrupted sleep and rest   periods.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Note presence of exaggerated   emotional responses, altered thought processes, e.g., disorientation, bizarre   thinking.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Changes may not occur during acute   phase, but as spinal shock resolves, changes should be documented by   dermatome charts or anatomical landmarks, e.g., “2 in above nipple line.”&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient may not sense pain or be   aware of body position.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;May help reduce anxiety of the   unknown and prevent injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enhances patient perception of   “whole” body.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Touching conveys caring and fulfills   a normal physiological and psychological need.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides sensory input, which may be   severely limited, especially when patient is in prone position.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Aids in maintaining reality   orientation and provides some sense of normality in daily passage of time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduces sensory overload, enhances   orientation and coping abilities, and aids in reestablishing natural sleep   patterns.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Indicative of damage to sensory   tracts and/or psychological stress, requiring further assessment and   intervention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Pain, acute&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Physical injury&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Traction apparatus&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Hyperesthesia immediately above level   of injury&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Burning pain below level of injury   (paraplegia)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Muscle spasm/spasticity&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Phantom pain; headaches&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Pain Level (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Report relief or control of   pain/discomfort.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Pain Control Behavior (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify ways to manage pain.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Demonstrate use of relaxation skills   and diversional activities as individually indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Pain Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess for presence of pain. Help   patient identify and quantify pain, e.g., location, type of pain, intensity   on scale of 0–10.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Evaluate increased irritability,   muscle tension, restlessness, unexplained vital sign (VS) changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist patient in identifying   precipitating factors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide comfort measures, e.g.,   position changes, massage, ROM exercises, warm/cold packs, as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage use of relaxation   techniques, e.g., guided imagery, visualization, deep-breathing exercises.   Provide diversional activities, e.g., television, radio, telephone, unlimited   visitors, as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient usually reports pain above   the level of injury, e.g., chest/back or headache possibly from stabilizer   apparatus. After spinal shock phase, patient may also report muscle spasms   and radicular pain, described as a burning or stabbing pain (associated with   injury to peripheral nerves and radiating in a dermatomal pattern). Onset of   this pain is within days to weeks after SCI and may become chronic.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Nonverbal cues indicative of pain/discomfort   requiring intervention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Burning pain and muscle spasms can be   precipitated/aggravated by multiple factors, e.g., anxiety, tension, external   temperature extremes, sitting for long periods, bladder distension.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Alternative measures for pain control   are desirable for emotional benefit, in addition to reducing pain medication   needs/undesirable effects on respiratory function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Refocuses attention, promotes sense   of control, and may enhance coping abilities.&lt;/span&gt;&lt;span style=&quot;font-family:   Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt;  &lt;tr style=&quot;mso-yfti-irow:1;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;   padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Pain Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6c&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Administer   medications as indicated: muscle relaxants, e.g., dantrolene (Dantrium),   baclofen (Lioresal); analgesics; antianxiety agents, e.g., diazepam (Valium).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP6c&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border-top:none;border-left:   none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;   mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP6c&quot; style=&quot;margin:0in;margin-bottom:.0001pt;line-height:11.0pt;   mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;May   be desired to relieve muscle spasm/pain associated with spasticity or to   alleviate anxiety and promote rest.&lt;/span&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Grieving, anticipatory&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Perceived/actual loss of   physiopsychosocial well-being&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered communication patterns&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Expression of distress, choked   feelings, e.g., denial, guilt, fear, sadness; altered affect&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Alterations in sleep patterns&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Grief Resolution (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Express feelings&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Begin to progress through recognized   stages of grief, focusing on 1 day at a time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Grief Work Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;I&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;dentify signs of grieving (e.g.,   shock, denial, anger, depression).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Shock&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Note lack of communication or   emotional response, absence of questions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide simple, accurate information   to patient and SO regarding diagnosis and care. Be honest; do not give false   reassurance while providing emotional support.&lt;/span&gt;&lt;span style=&quot;font-family:   Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient experiences many emotional   reactions to the injury and its actual/potential impact on life. These stages   are not static, and the rate at which patient progresses through them is   variable.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Shock is the initial reaction   associated with overwhelming injury. Primary concern is to maintain life, and   patient may be too ill to express feelings.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient’s awareness of surroundings   and activity may be blocked initially, and attention span may be limited.   Little is actually known about the final outcome of patient’s injuries during   acute phase, and lack of knowledge may add to frustration and grief of   family. Therefore, early focus of emotional support may be directed toward   SO.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Grief Work Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Encourage expressions of sadness, grief, guilt, and fear   among patient/SO/friends.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Incorporate SO into problem solving and planning for   patient’s care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Denial&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assist patient/SO to verbalize feelings about situation,   avoiding judgment about what is expressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Note comments indicating that patient expects to walk   shortly and/or is making a bargain with God. Do not confront these comments   in early phases of rehabilitation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Focus on present needs (e.g., ROM exercises, skin care).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Anger&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify use of manipulative behavior and reactions to   caregivers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Encourage patient to take control when possible, e.g.,   establishing care routines, dietary choices, diversional activities.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Accept expressions of anger and hopelessness. Avoid   arguing. Show concern for patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Set limits on acting out and unacceptable behavior when   necessary (e.g., abusive language, sexually aggressive or suggestive   behavior).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Depression&lt;/span&gt;&lt;/b&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Note loss of interest in living, sleep disturbance,   suicidal thoughts, hopelessness. Listen to but do not confront these   expressions. Let patient know nurse is available for support.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Arrange visit by individual similarly affected, as   appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Knowledge that these are appropriate feelings that should   be expressed may be very supportive to patient/SO.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assists in establishing therapeutic relationships.   Provides some sense of control of situation of many losses/forced changes,   and promotes well-being of patient.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Important beginning step to deal with what has happened.   Helpful in identifying patient’s coping mechanisms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient may not deny entire disability but may deny its   permanency. Situation is compounded by actual uncertainty of outcome, and   denial may be useful for coping at this time.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Attention on “here and now” reduces frustration and   hopelessness of uncertain future and may make dealing with today’s problems   more manageable.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient may express anger verbally or physically (e.g.,   spitting, biting). Patient may say that nothing is done right by   caregivers/SO or may pit one caregiver against another.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helps reduce anger associated with powerlessness, and   provides patient with some sense of control and expectation of responsibility   for own behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient is acknowledged as a worthwhile individual, and   nonjudgmental care is provided.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Although it is important to express negative feelings,   patient and staff need to be protected from violence and embarrassment. This   phase is traumatic for all involved, and support of family is essential.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Phase may last weeks, months, or even years. Acceptance   of these feelings and consistent support during this phase are important to a   satisfactory resolution.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Talking with another person who has shared similar   feelings/fears and survived may help patient reach acceptance of reality of   condition and deal with perceived/actual losses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Grief Work Facilitation (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Consult   with/refer to psychiatric nurse, social worker, psychiatrist, pastor.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Patient/SO   need assistance to work through feelings of alienation, guilt, and resentment   concerning lifestyle and role changes. The family (required to make adaptive   changes to a member who may be permanently “different”) benefit from   supportive, long-term assistance and/or counseling in coping with these   changes and the future. Patient and SO may suffer great spiritual distress,   including feelings of guilt, deprivation of peace, and anger at God, which   may interfere with progression through/resolution of grief process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Self-Esteem, situational low&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Traumatic injury; situational crisis;   forced crisis&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalization of forced change in   lifestyle&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Fear of rejection/reaction by others&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Focus on past strength, function, or   appearance&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Negative feelings about body&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Feelings of helplessness, hopelessness,   or powerlessness&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Actual change in structure and/or   function&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of eye contact&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Change in physical capacity to resume   role&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Confusion about self, purpose, or   direction of life&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Psychosocial Adjustment: Life Change (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize acceptance of self in   situation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Recognize and incorporate changes into   self-concept in accurate manner without negating self-esteem.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Develop realistic plans for adapting to   new role/role changes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Self-Esteem Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Acknowledge difficulty in determining   degree of functional incapacity and/or chance of functional improvement.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Listen to patient’s comments and   responses to situation.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;During acute phase of injury, long-term   effects are unknown, which delays the patient’s ability to integrate   situation into self-concept.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provides clues to view of self, role   changes, and needs and is useful for providing information at patient’s level   of acceptance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt;  &lt;tr style=&quot;mso-yfti-irow:1;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;   padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Self-Esteem Enhancement (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Assess dynamics of patient and SOs (e.g., patient’s role   in family, cultural factors).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Encourage SO to treat patient as normally as   possible(e.g., discussing home situations, family news).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide accurate information. Discuss concerns about   prognosis and treatment honestly at patient’s level of acceptance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss meaning of loss or change with patient/SO. Assess   interactions between patient and SO.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Accept patient, show concern for individual as a person.   Encourage patient, identify and build on strengths, give positive   reinforcement for progress noted.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Include patient/SO in care, allowing patient to make   decisions and participate in self-care activities as possible.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Be alert to sexually oriented jokes/flirting or   aggressive behavior. Elicit concerns, fears, feelings about current   situation/future expectations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Be aware of own feelings/reaction to patient’s sexual   anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Arrange visit by similarly affected person if patient   desires and/or situation allows.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Refer to counseling/psychotherapy as indicated, e.g.,   psychiatric clinical nurse specialist, psychiatrist, social worker, sex   therapist.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border-top:none;border-left:   none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;   mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient’s previous role in family unit is disrupted or   altered by injury, adding to difficulty in integrating self-concept. In   addition, issues of independence/dependence need to be addressed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Involving patient in family unit reduces feelings of   social isolation, helplessness, and uselessness and provides opportunity for   SO to contribute to patient’s welfare.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Focus of information should be on present and immediate   needs initially and incorporated into long-term rehabilitation goals.   Information should be repeated until patient has assimilated or integrated   information.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Actual change in body image may be different from that   perceived by patient. Distortions may be unconsciously reinforced by SO.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Establishes therapeutic atmosphere for patient to begin   self-acceptance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Recognizes that patient is still responsible for own life   and provides some sense of control over situation. Sets stage for future   lifestyle, pattern, and interaction required in daily care. &lt;i&gt;Note:&lt;/i&gt;   Patient may reject all help or may be completely dependent during this phase.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Anxiety develops as a result of perceived loss/change in   masculine/feminine self-image and role. Forced dependency is often   devastating, especially in light of change in function/appearance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Behavior may be disruptive, creating conflict between   patient/staff, further reinforcing negative feelings and possibly eliminating   patient’s desire to work through situation/participate in rehabilitation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May be helpful to patient by providing hope for the   future/role model. Can be a vital postdischarge resource during the difficult   period of adjustment after injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May need additional assistance to adjust to change in   body image/life.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Bowel Incontinence/Constipation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Disruption of innervation to bowel and   rectum&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Perceptual impairment&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered dietary and fluid intake&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Change in activity level&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Loss of ability to evacuate bowel   voluntarily&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Constipation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Gastric dilation, ileus&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Bowel Continence (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize behaviors/techniques for   individual bowel program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reestablish satisfactory bowel   elimination pattern.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bowel Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Auscultate bowel sounds, noting   location and characteristics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Observe for abdominal distension if   bowel sounds are decreased or absent.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Note reports of nausea, onset of   vomiting. Check vomitus or gastric secretions (if tube in place) and stools   for occult blood.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Record frequency, characteristics,   and amount of stool.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Recognize signs of/check for presence   of impaction, e.g., no formed stool for several days, semiliquid stool,&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;restlessness, increased feelings of   fullness in/distension of abdomen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Bowel sounds may be absent during   spinal shock phase. High tinkling sounds may indicate presence of ileus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Loss of peristalsis (related to   impaired innervation) paralyzes the bowel, creating ileus and bowel   distension. &lt;i&gt;Note:&lt;/i&gt; Overdistension of the bowel is a precipitator of   autonomic dysreflexia once spinal shock subsides. (Refer to ND: Autonomic   Dysreflexia, risk for.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;GI bleeding may occur in response to   injury (Curling’s ulcer) or as a side effect of certain therapies (steroids   or anticoagulants).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identifies degree of   impairment/dysfunction and level of assistance required.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Early intervention is necessary to   effectively treat constipation/retained stool and reduce risk of   complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bowel Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Establish regular daily bowel   program, e.g., digital stimulation, prune juice and/or warm beverage, and use   of stool softeners/suppositories at set intervals. Determine usual   time/routine of postinjury evacuations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage well-balanced diet that   includes bulk and roughage and increased fluid intake (at least 2000 mL/day),   including fruit juices.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assist with/encourage exercise and   activity within individual ability and up in chair as tolerated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Observe for incontinence and help   patient relate incontinence to change in diet or routine.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Restrict intake of grapefruit juice   and caffenated beverages (coffee, tea, cola, chocolate).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide meticulous skin care.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Insert/maintain nasogastric tube and   attach to suction if appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Consult with dietitian/nutritional   support team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Insert rectal tube as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer medications as indicated, e.g.:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Stool softeners, laxatives,   suppositories, enemas (eg, Therevac-SB)&lt;/span&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;A lifelong program is necessary to   routinely evacuate the bowel because the ability to control bowel evacuation   is important to the patient’s physical independence and social acceptance. &lt;i&gt;Note:&lt;/i&gt;   Bowel movements in patients with upper motor neuron damage are generally   regulated with suppositories or digital stimulation. Lower motor neurogenic   bowel is more difficult to regulate and usually requires manual disimpaction.   Incorporating elements of patient’s usual routine may enhance cooperation and   success of program. &lt;i&gt;Note:&lt;/i&gt; Many patients prefer morning program rather   than evening schedule often practiced in acute/rehab setting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Improves consistency of stool for   transit through the bowel. &lt;i&gt;Note:&lt;/i&gt; Mixture of prune juice, applesauce,   and bran often provides adequate fiber for effective bowel management.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Improves appetite and muscle tone,   enhancing GI motility.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Patient can eventually achieve fairly   normal routine bowel habits, which enhance independence, self-esteem, and   socialization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Diuretic effect can reduce fluid   available in the bowel, increasing risk of dry/hard formed stool.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Loss of sphincter control and   innervation in the area potentiates risk of skin irritation/breakdown.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;May be used initially to reduce   gastric distension and prevent vomiting (reduces risk of aspiration).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Aids in creating dietary plan to meet   individual nutritional needs with consideration of state of digestion/bowel   function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduces bowel distension, which may   precipitate autonomic responses.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Stimulates peristalsis and routine bowel   evacuation when necessary. Suppositories should be warmed to room temperature   and lubricated before insertion. Therevac-SB is a 4cc mini enema of docusate   and glycerin that may cut time for bowel care by as much as 1 hr.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT44&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Bowel Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Antacids, cimetidine (Tagamet), ranitidine (Zantac)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces or neutralizes gastric acid to lessen gastric   irritation and risk of bleeding.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Urinary Elimination, impaired&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Disruption in bladder innervation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Bladder atony&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Bladder distension;   incontinence/overflow, retention&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Urinary tract infections&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Bladder, kidney stone formation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Renal dysfunction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Urinary Continence (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of condition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Maintain balanced I&amp;amp;O with clear,   odor-free urine, free of bladder distension/urinary leakage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize/demonstrate behaviors and   techniques to prevent retention/urinary infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Urinary Elimination Management   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Assess voiding pattern, e.g.,   frequency and amount. Compare urine output with fluid intake. Note specific   gravity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Palpate for bladder distension and   observe for overflow.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage intake (2–4 L/day),   including acid ash juices (e.g., cranberry).&lt;/span&gt;&lt;span style=&quot;font-family:   Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identifies characteristics of bladder   function (e.g., effectiveness of bladder emptying, renal function, and fluid   balance). &lt;i&gt;Note:&lt;/i&gt; Urinary complications are a major cause of mortality.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Bladder dysfunction is variable but   may include loss of bladder contraction/inability to relax urinary sphincter,   resulting in urine retention and reflux incontinence. &lt;i&gt;Note:&lt;/i&gt; Bladder   distension can precipitate autonomic dysreflexia. (Refer to ND: Autonomic   Dysreflexia, risk for, following.)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Helps maintain renal function,   prevents infection and formation of urinary stones. &lt;i&gt;Note:&lt;/i&gt; Fluid may be   restricted for a period during initiation of intermittent catheterization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Urinary Elimination Management   (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Begin bladder retraining per protocol when appropriate,   e.g., fluids between certain hours, digital stimulation of trigger area,   contraction of abdominal muscles, Credé’s maneuver.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Observe for cloudy or bloody urine, foul odor. Dipstick   urine as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Cleanse perineal area and keep dry. Provide catheter care   as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;Urinary Catheterization: [Indwelling/]Intermittent (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Monitor BUN, creatinine, white blood cell (WBC) count.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer medications as indicated, e.g., vitamin C,   and/or urinary antiseptics, e.g., methenamine mandelate (Mandelamine).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Refer for further evaluation for bladder/bowel   stimulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Keep bladder deflated by means of indwelling catheter   initially. Begin intermittent catheterization program when appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Measure residual urine via postvoid catheterization or   ultrasound.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Timing and type of bladder program depend on type of   injury (upper or lower neuron involvement). &lt;i&gt;Note:&lt;/i&gt; Credé’s maneuver   should be used with caution because it may precipitate autonomic dysreflexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Signs of urinary tract or kidney infection that can potentiate   sepsis. Multistrip dipsticks can provide a quick determination of pH,   nitrite, and leukocyte esterase suggesting presence of infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Decreases risk of skin irritation/breakdown and   development of ascending infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reflects renal function, identifies complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Maintains acidic environment and discourages bacterial   growth.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Clinical research is being conducted on the technology of   electronic bladder control. The implantable device sends electrical signals   to the spinal nerves that control the bladder and bowel. Early results look   promising.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Indwelling catheter is used during acute phase for   prevention of urinary retention and for monitoring output. Intermittent   catheterization may be implemented to reduce complications usually associated   with long-term use of indwelling catheters. A suprapubic catheter may also be   inserted for long-term management.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful in detecting presence of urinary   retention/effectiveness of bladder training program. &lt;i&gt;Note:&lt;/i&gt; Use of   ultrasound is noninvasive, reducing risk of colonization of bladder.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Autonomic Dysreflexia, risk for&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered nerve function (spinal cord   injury at T-8 and above)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Bladder/bowel/skin stimulation   (tactile, pain, thermal)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and   symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;System Control Behavior (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Recognize signs/symptoms of syndrome.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify preventive/corrective   measures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Neurologic Status: Autonomic (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Experience no episodes of dysreflexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Dysreflexia Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Identify/monitor precipitating risk   factors, e.g., bladder/bowel distension or manipulation; bladder spasms,   stones, infection; skin/tissue pressure areas, prolonged sitting position;   temperature extremes/drafts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Observe for signs/symptoms of   syndrome, e.g., changes in VS, paroxysmal hypertension, tachycardia/   bradycardia; autonomic responses: sweating, flushing above level of lesion;   pallor below injury, chills, (gooseflesh) piloerection, nasal stuffiness,   severe pounding headache, especially in occiput and frontal regions. Note   associated symptoms, e.g., chest pains, blurred vision, nausea, metallic   taste, Horner’s syndrome (contraction of pupil, partial stasis of eyelid,   enophthalmos [recession of eyeball into the orbit], and sometimes loss of   sweating over one side of the face).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Stay with patient during episode.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Monitor BP frequently (every 3–5 min)   during acute autonomic dysreflexia and take action to eliminate stimulus.   Continue to monitor BP at intervals after symptoms subside.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Elevate head of bed to 45-degree   angle or place patient in sitting position.&lt;/span&gt;&lt;span style=&quot;font-family:   Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Visceral distention is the most   common cause of autonomic dysreflexia, which is considered an emergency.   Treatment of acute episode must be carried out immediately (removing   stimulus, treating unresolved symptoms), then interventions must be geared   toward prevention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Early detection and immediate   intervention is essential to prevent serious consequences/complications. &lt;i&gt;Note:&lt;/i&gt;   Average systolic BP in tetraplegic patient is 120, therefore readings of 140+   may be considered high.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;This is a potentially fatal   complication. Continuous monitoring/intervention may reduce patient’s level   of anxiety.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Aggressive therapy/removal of   stimulus may drop BP rapidly, resulting in a hypotensive crisis, especially   in those patients who routinely have low BP. In addition, autonomic   dysreflexia may recur, particularly if stimulus is not eliminated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Lowers BP to prevent intracranial   hemorrhage, seizures, or even death. &lt;i&gt;Note:&lt;/i&gt; Placing tetraplegic in   sitting position automatically lowers BP.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Dysreflexia Management (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Correct/eliminate causative stimulus   as able, e.g., bladder, bowel, skin pressure (including loosening tight leg   bands/clothing, removing abdominal binder/elastic stockings); temperature   extremes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Inform patient/SO of warning signals   and how to avoid onset of syndrome, e.g., gooseflesh, sweating, piloerection   may indicate full bowel; sunburn may precipitate episode.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Administer medications as indicated (IV, parenteral,   oral, or transdermal), and monitor response:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Diazoxide (Hyperstate), hydralazine   (Apresoline);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Nifedipine (Procardia), 2%   nitroglycerin ointment (Nitrostat);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Atropine sulfate;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Morphine sulfate;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Adrenergic blockers, e.g.,   methysergide maleate (Sansert);&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;margin-right:0in;margin-bottom:0in;   margin-left:.25in;margin-bottom:.0001pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Antihypertensives, e.g., prazosin   (Minipress), phenoxybenzamine (Dibenzyline).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Obtain urinary culture as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Apply local anesthetic ointment to   rectum; remove impaction if indicated after symptoms subside.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Prepare patient for pelvic/pudendal   nerve block or posterior rhizotomy if indicated.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Removing noxious stimulus usually   terminates episode and may prevent more serious autonomic dysreflexia, e.g.,   in the presence of sunburn, topical anesthetic should be applied. Removal of   constrictive clothing/vascular support also promotes venous pooling to help   lower BP. &lt;i&gt;Note:&lt;/i&gt; Removal of bowel impaction must be delayed until   cardiovascular condition is stabilized.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;This lifelong problem can be largely   controlled by avoiding pressure from overdistension of visceral organs or   pressure on the skin.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduces BP if severe/sustained   hypertension occurs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Sublingual administration usually   effective, in absence of IV access for diazoxide (Hyperstat), but may require   repeat dose in 30 to 60 min. May be used in conjunction with topical   nitroglycerin.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Increases heart rate if bradycardia   occurs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Relaxes smooth muscle to aid in   lowering blood pressure and muscle tension.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;May be used prophylactically if   problem persists/recurs frequently.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Long-term use may relax bladder neck   and enhance bladder emptying, alleviating the most common cause of chronic   autonomic dysreflexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Presence of infection may trigger   autonomic dysreflexia episode.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Ointment blocks further autonomic   stimulation and eases later removal of impaction without aggravating   symptoms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Procedures may be considered if   autonomic dysreflexia does not respond to other therapies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;mso-fareast-font-family: &amp;quot;Times New Roman&amp;quot;;mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA;mso-no-proof:yes&quot;&gt;&lt;br /&gt; &lt;/span&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Skin Integrity, risk for impaired&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Risk factors may include&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered/inadequate peripheral   circulation; sensation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Presence of edema; tissue pressure&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Altered metabolic state&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Immobility, traction apparatus&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;[Not applicable; presence of signs and   symptoms establishes an &lt;i&gt;actual&lt;/i&gt; diagnosis.]&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Risk Control (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify individual risk factors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of treatment   needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Participate to level of ability to   prevent skin breakdown.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Skin Surveillance (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Inspect all skin areas, noting   capillary blanching/refill, redness, swelling. Pay particular attention to   back of head, skin under halo frame or vest, and folds where skin   continuously touches.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Observe halo and tong insertion   sites. Note swelling, redness, drainage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Encourage continuation of regular   exercise program.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Elevate lower extremities   periodically, if tolerated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Avoid/limit injection of medication   below the level of injury.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:   none;letter-spacing:0pt&quot;&gt;Skin Care: Topical Treatments (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Massage and lubricate skin with bland   lotion/oil. Protect pressure points by use of heel/elbow pads, lamb’s wool,   foam padding, egg-crate mattress. Use skin hardening agents, e.g., tincture   of benzoin, karaya, Sween cream.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reposition frequently, whether in bed   or in sitting position. Place in prone position periodically.&lt;/span&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Skin is especially prone to breakdown   because of changes in peripheral circulation, inability to sense pressure,   immobility, altered temperature regulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;These sites are prone to inflammation   and infection and provide route for pathological microorganisms to enter   cranial cavity. &lt;i&gt;Note:&lt;/i&gt; New style of halo frame does not require screws   or pins.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Stimulates circulation, enhancing   cellular nutrition/oxygenation to improve tissue health.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enhances venous return. Reduces edema   formation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Reduced circulation and sensation   increase risk of delayed absorption, local reaction, and tissue necrosis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;text-transform:none;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Enhances circulation and protects   skin surfaces, reducing risk of ulceration. Tetraplegic and paraplegic   patients require lifelong protection from decubitus formation, which can   cause extensive tissue necrosis and sepsis.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Improves skin circulation and reduces   pressure time on bony prominences.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Skin Care: Topical Treatments (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Wash and dry skin, especially in high moisture areas such   as perineum. Take care to avoid wetting lining of brace/halo vest.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Keep bedclothes dry and free of wrinkles, crumbs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Cleanse halo/tong insertion sites routinely and apply   antibiotic ointment per protocol.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Collaborative&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide kinetic therapy or alternating-pressure mattress   as indicated.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Clean, dry skin is less prone to excoriation/breakdown.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Reduces/prevents skin irritation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Helpful in preventing local infection and reducing risk   of cranial infection.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Improves systemic and peripheral circulation and   decreases pressure on skin, reducing risk of breakdown.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;590&quot; valign=&quot;top&quot; style=&quot;width:6.15in;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:2.0pt;   margin-left:.45in;text-indent:-20.15pt;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial;letter-spacing:   0pt&quot;&gt;NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding   condition, prognosis, potential complications, treatment, self-care, and   discharge needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;May be related to&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Lack of exposure/recall&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Information misinterpretation&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Unfamiliarity with information   resources&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND2&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;Possibly evidenced by&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Questions; statement of misconception;   request for information&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inadequate follow-through of   instruction&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Inappropriate or exaggerated behaviors,   e.g., hostile, agitated, apathetic&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Development of preventable   complication(s)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1a&quot; style=&quot;margin-top:6.0pt;margin-right:12.25pt;margin-bottom:   2.0pt;margin-left:.45in;text-indent:-20.15pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;letter-spacing:0pt&quot;&gt;DESIRED OUTCOMES/EVALUATION   CRITERIA—PATIENT WILL:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Disease Process (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Verbalize understanding of condition,   prognosis, and treatment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9N&quot; style=&quot;margin-top:3.0pt;margin-right:12.25pt;margin-bottom:   0in;margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial&quot;&gt;Knowledge: Treatment Regimen (NOC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;NT&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Correctly perform necessary procedures   and explain reasons for the actions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;NTR&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:   &amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Initiate necessary lifestyle changes   and participate in treatment regimen.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;ND1&quot; style=&quot;margin-top:0in;margin-right:12.25pt;margin-bottom:0in;   margin-left:.45in;margin-bottom:.0001pt;text-indent:-20.15pt;line-height:   11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-family:Arial;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CP5&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Discuss injury process, current   prognosis, and future expectations.&lt;/span&gt;&lt;span style=&quot;font-size:9.0pt;   font-family:Arial;text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;Provide common knowledge base   necessary for making informed choices and commitment to the therapeutic   regimen. &lt;i&gt;Note:&lt;/i&gt; Improvement in managing effects of SCI has increased   life expectancy of patients to only about 5 yr below norm for specific age   group.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-family:Arial;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt;  &lt;tr style=&quot;mso-yfti-irow:1;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;   padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT44&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provide information and demonstrate:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Positioning&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Use of pillows/supports, splints&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot; style=&quot;margin-left:.25in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Encourage   continued participation in daily exercise and conditioning program and   avoidance of fatigue/chills.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Identify   energy conservation techniques and stress importance of pacing   activities/adequate rest. Review drug regimen note use of baclofen   (Lioresal), diazepam(Valium), tizanidine (Zanaflex).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Have   SO/caregivers participate in patient care and demonstrate proper procedures,   e.g., applications of splints, braces, suctioning, positioning, skin care,   transfers, bowel/bladder program, checking temperature of bath water and   food.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Instruct   caregiver in techniques to facilitate cough as appropriate.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Recommend   applying abdominal binder before arising (tetraplegic) and remind to change   position slowly. Use safety belt and adequate number of people during   bed-to-wheelchair transfers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Instruct   in proper skin care, inspecting all skin areas daily, using adequate padding   (foam, silicone gel, water pads) in bed and chair, and keeping skin dry.   Stress importance of regularly monitoring condition and positioning of   support surfaces (e.g., cushions, mattresses, and overlays).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border-top:none;border-left:   none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;   mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Promotes   circulation; reduces tissue pressure and risk of complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Keeps   spine aligned and prevents/limits contractures, thus improving function and   independence.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reduces   spasticity, risk of thromboembolic (common complication). Increases mobility,   muscle strength and tone for improving organ/body function, e.g., squeezing   rubber ball, arm exercises enhance upper body strength to increase   independence in transfers/wheelchair mobility; tightening/contracting rectum   or vaginal muscles improves bladder control; pushing abdomen up, bearing   down, contracting abdomen strengthens trunk and improves GI function   (paraplegic).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Fatigue   is common and limits patient’s ability to participate in/manage care,   decreasing quality of life and increasing feelings of   helplessness/hopelessness. Medications used to treat spasticity can   exacerbate fatigue, necessitating a change in drug choice/dosage. &lt;i&gt;Note:&lt;/i&gt;   Amantadine (Symmetrel) and fluoxatine (Prozac) may decrease sense of fatigue   by potentiating the action of dopamine or selectively inhibiting serotonin   uptake in the CNS.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Allows   home caregivers to become adept and more comfortable with the care tasks they   are called on to provide, and reduces risk of injury/complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;“Quad   coughing” is performed to facilitate expectoration of secretions or to move   them high enough to be suctioned out.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reduces   pooling of blood in abdomen/pelvix, minimizing postural hypotension. Protects   patient from falls and/or injury to caregivers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reduces   skin irritation, decreasing incidence of decubitus (patient must manage this   throughout life). Timely recognition of product fatigue, improper   orientation, or other misuse can reduce risk of pressure ulcer formation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss necessity of preventing excessive diaphoresis by   using tepid bath water, providing comfortable environment (e.g., fans),   removing excess clothes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review dietary needs, including adequate bulk and   roughage. Problem-solve solutions to alterations in muscular strength/tone   and GI function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Review pain management techniques. Discuss the potential   for future pain management therapies if pain becomes chronic. Recommend   avoidance of over-the-counter (OTC) drugs without approval of healthcare   provider.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss ways to identify and manage autonomic   dysreflexia.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify symptoms to report immediately to healthcare   provider, e.g., infection of any kind, especially urinary, respiratory; skin   breakdown; unresolved autonomic dysreflexia; suspected pregnancy.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Stress importance of continuing with rehabilitation team   to achieve specific functional goals and continue long-term monitoring of   therapy needs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Evaluate home layout and make recommendations for   necessary changes. Identify equipment/medical supply needs and resources.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Discuss sexual activity and reproductive concerns. Review   alternative sexual activities/positions, and spasticity management as   indicated (e.g., opposing pressure on area of spasm, using pillows for   support, regular stretching/ROM exercises, appropriate medications).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CTT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;Reduces   skin irritation/possible breakdown.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provides adequate nutrition to meet energy needs and promote   healing, prevent complications (e.g., constipation, abdominal distension/gas   formation).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Enhances patient safety and may improve cooperation with   specific regimen. &lt;i&gt;Note:&lt;/i&gt; Pain often becomes chronic in patients with   spinal cord injury and may be mechanical (e.g., overuse syndrome involving   joints); radicular (from injury to peripheral nerves); or cervical (burning,   aching just below level of injury). Dysesthetic pain (distal to site of   injury) is extremely disabling (similar to phantom pain). Treatment for these   painful conditions may include a team pain management approach, medications   (e.g., Neurontin, Klonopin, Elavil), or electrical stimulation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Patient may be able to recognize signs, but caregivers   need to understand how to prevent precipitating factors and know what to do   if autonomic dysreflexia occurs. (Refer to ND: Autonomic Dysreflexia, risk   for).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Early identification allows for intervention to   prevent/minimize complications.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;No matter what the level of injury, individual may   ultimately be able to exercise some independence, e.g., manipulating electric   wheelchair with mouth stick (C-3/C-4); being independent for dressing,   transfers to bed, car, toilet (C-7); or achieving total wheelchair   independence (C-8 to T-4). Over time, new discoveries continue to modify   equipment/therapy needs and increase patient’s potential.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Physical changes may be required to accommodate patient   and support equipment. Prior arrangements facilitate the transfer to the home   setting.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Concerns about individual sexuality/resumption of   activity is frequently an unspoken concern that needs to be addressed. Spinal   cord injury affects all areas of sexual functioning. In addition, choice of   contraception is impacted by level of spinal cord injury and side   effects/adverse complications of specific method. Finally, some female   patients may develop autonomic dysreflexia during intercourse or   labor/delivery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;table class=&quot;MsoNormalTable&quot; border=&quot;1&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot; style=&quot;border-collapse:collapse;mso-table-layout-alt:fixed;border:none;  mso-border-alt:solid windowtext .5pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid windowtext&quot;&gt;  &lt;tbody&gt;&lt;tr style=&quot;mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes&quot;&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:9.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;ACTIONS/INTERVENTIONS&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP9&quot; style=&quot;margin:0in;margin-bottom:.0001pt&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;Teaching: Disease Process (NIC)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CP6&quot; style=&quot;margin-top:8.0pt;margin-right:0in;margin-bottom:5.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial&quot;&gt;Independent&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Identify community resources/supports, e.g., health   agencies, visiting nurse, financial counselor; service organizations, Spinal   Cord Injury Foundation.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Coordinate cooperation among community/rehabilitation   resources.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Arrange for transmitter/emergency call system.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Plan for alternate caregivers as needed.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;   &lt;td width=&quot;295&quot; valign=&quot;top&quot; style=&quot;width:221.4pt;border:solid windowtext 1.0pt;   border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:   solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt&quot;&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:12.0pt;margin-right:0in;margin-bottom:11.0pt;   margin-left:0in;line-height:11.0pt;mso-line-height-rule:exactly&quot;&gt;&lt;span style=&quot;font-size:10.0pt;font-family:Arial;letter-spacing:0pt&quot;&gt;RATIONALE&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CP5&quot; style=&quot;margin-top:0in;line-height:11.0pt;mso-line-height-rule:   exactly&quot;&gt;&lt;span style=&quot;font-size:9.0pt;font-family:&amp;quot;Times New Roman&amp;quot;;   text-transform:none;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Enhances independence, assisting with home management and   providing respite for caregivers.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Various agencies/therapists/individuals in community may   be involved in the long-term care and safety of patient, and coordination can   ensure that needs are not overlooked and optimal level of rehabilitation is   achieved. &lt;i&gt;Note:&lt;/i&gt; Individuals with SCI are living longer, and more   injuries are occurring at advanced ages, creating new challenges in care as   SCI patients deal with the effects of aging.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;Provides for safety and access to emergency assistance   and equipment.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;May be needed to provide respite if regular caregivers   are ill or other unplanned emergencies arise.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;p class=&quot;CT4&quot; style=&quot;margin-top:0in&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;   letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;   &lt;/td&gt;  &lt;/tr&gt; &lt;/tbody&gt;&lt;/table&gt;  &lt;p class=&quot;CT4&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;;letter-spacing:0pt&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;MsoNormal&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;MsoNormal&quot;&gt;&lt;b&gt;&lt;span style=&quot;font-size:9.0pt;font-family:Arial&quot;&gt;POTENTIAL CONSIDERATIONS following acute hospitalization (dependent on patient’s age, physical condition/presence of complications, personal resources, and life responsibilities)&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Disuse Syndrome, risk for—paralysis/mechanical immobilization.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Autonomic Dysreflexia—bladder/bowel distension, skin irritation, lack of caregiver knowledge.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Self-Care deficit—neuromuscular impairment, decreased strength/endurance, pain, depression.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Nutrition: imbalanced risk for (specify)—dysfunctional eating pattern, excessive/inadequate intake in relation to metabolic need.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Role Performance, ineffective/Sexual dysfunction—situational crisis and transition, altered body function.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Family Processes, interrupted—situational crisis and transition.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class=&quot;PC3&quot; style=&quot;margin-bottom:0in;margin-bottom:.0001pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;&quot;&gt;Caregiver Role Strain—discharge of family member with significant home care needs, situational stressors, such as significant loss, economic vulnerability; duration of caregiving required, lack of respite for caregiver, inexperience with caregiving, caregiver’s competing role commitments.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;</content><link rel='replies' type='application/atom+xml' href='http://nursingtopics.blogspot.com/feeds/150473531130979650/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/1666339650521725523/150473531130979650' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/150473531130979650'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/1666339650521725523/posts/default/150473531130979650'/><link rel='alternate' type='text/html' href='http://nursingtopics.blogspot.com/2011/03/spinal-cord-injury-acute-rehabilitative.html' title=''/><author><name>LUSOIX</name><uri>http://www.blogger.com/profile/09299078322255827150</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry></feed>