A short-term outcome that can be identified for a client completing his fourth alcohol detoxification
program in 1 year is: that the client will
a. use denial and rationalization in a healthier way.
b. identify constructive outlets for anger.
c. state that he sees the need for ongoing treatment.
d. develop a dependent relationship with one staff member.
C
Option C refers to the need for ongoing treatment after detoxification and is a reasonable goal
related to controlling recidivism. Options A and D are undesirable. Option B: The scenario does not
give enough information to allow the learner to know whether anger has been identified as a
problem.
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The nurse is working with a family who has recently immigrated to this country. The nurse has recently studied Purnell's Model for Cultural Competence (2002), and wants to respond to the family in a culturally acceptable manner
The most appropriate assessment question(s) would be: 1. "In what places have you lived?" and "What do you miss about your native land?" 2. "When I discuss your child's problem with you, how close to you should I stand?" 3. "What does eye contact indicate?" and "When do you want me to make eye contact?" 4. "What is the school system like in your native land?"
The nurses employed at a wound therapy clinic are preparing an educational in-service about the vacuum-assisted closure (VAC) device for hospital nurses. What accurate information will be included in this in-service? (Select all that apply.)
a. Positive pressure is applied by this device b. Healing is facilitated by decrease in drainage c. Promotes formulation of granulation tissue d. Reduces local and peripheral edema e. Drops bacterial level in wound
The nurse recommends that, in order to keep optimum flow through the urinary system, a person should have a minimum intake of _____ mL/day
a. 1000 to 1500 b. 2000 to 2500 c. 3000 to 3500 d. 4000 to 4500
The nurse is assessing a female's breasts. The nurse finds both breasts rounded and slightly unequal in size, skin smooth and intact, and nipples without discharge. What is the nurse's next action?
A) Notify the physician. B) Document the findings in the nurse's notes as abnormal. C) Document the findings in the nurse's notes as normal. D) Notify the charge nurse.