A nurse can best address factors of critical importance to successful community treatment during a
new client interview by including assessments relative to (more than one answer may be correct)
A. housing adequacy and stability.
B. income adequacy and stability.
C. family and other support systems.
D. early psychosocial development.
E. substance abuse history and current use.
ANS: A, B, C, E
Rationale: Early psychosocial developmental history is less relevant to successful outcomes in the
community than the assessments listed in the other options. If a client is homeless or fears
homelessness, focusing on other treatment issues is impossible. Option B: Sufficient income for
basic needs and medication is necessary. Option C: Adequate support is a requisite to community
placement. Option D: This information has less bearing on the success of community treatment than
the issues related to daily living arrangements. Option E: Substance abuse undermines medication
effectiveness and interferes with community adjustment.
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A nurse is diligent in keeping a patient informed about treatments, medication, and laboratory tests. What should the provision of this information accomplish for the patient? (Select all that apply.)
a. Less anxiety b. More participation in care c. Less likelihood of complaints d. More compliance with treatment goals e. More satisfaction with treatment outcomes
A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client?
1. "It doesn't affect people until they are in their 50s." 2. "I would ask the doctor if he's sure about the diagnosis." 3. "Females often do not experience the effects of the disease until menopause." 4. "All women have the disorder but not the symptoms."
The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl) about appropriate safety measures. Additional teaching is required if the client states:
1. "I might experience a dry mouth until the effects of the medication are gone." 2. "I will avoid driving or operating hazardous machinery until the effects of the medication are gone." 3. "I will wear dark glasses until the light sensitivity and blurred vision have resolved." 4. "I will use sunscreen or protective clothing when outdoors because of the risk of sunburn due to photosensitivity."
When drainage tubing is attached to a urinary catheter, there is extra tubing to allow the client to move freely in the bed. The ex tra tubing should be
a. placed on the bed and fastened so that it will not fall over the side of the bed b. hanging over the side so that it does not hamper the client in moving c. securely fastened to an overhead pole d. run down the length of the bed to a container at the foot of the bed