The primary nursing goal for a client who is admitted for suicidal ideation or attempt would be what?
A) Assist him or her in the expression of sad and helpless feelings.
B) Assess the cause of his or her depression.
C) Develop rapport based on trust and understanding.
D) Prevent self-destructive behavior.
Ans: D
Preventing self-destructive behavior is the primary nursing goal. Other important goals, such as assisting the client in expressing feelings, assessing for causes of depression, and developing rapport, may be important for intervention after the primary goal of maintaining safety is met.
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The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore."
What knowledge in regard to this behavior would the nurse formulate as a response? a. It is unusual for adolescent boys. b. It is often more apparent in boys than girls. c. It is a normal phenomenon during adolescence. d. It is suggestive of feelings of low self-worth.
Of the following, which one(s) are part of an effective care plan for someone with advanced dementia? (Select all that apply)
A. Keep the patient busy with structured activities. B. Keep televisions and radios on whenever possible to encourage patient interaction. C. Allow more time for performing care. D. Emphasize "reality orientation." E. Encourage independent decision making. F. Provide group therapy opportunities to share feelings and problems.
The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. Which interventions are appropriate for this client within the first 48 hours after birth?
Select all that apply. A) Antihypertensives as prescribed B) Frequent assessment of serum electrolytes C) Oxygen 2 liters nasal cannula as prescribed D) Seizure precautions E) Vital sign assessment every 4 hours
A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have?
A) Provide early, thorough discharge planning. B) Make sure the client is administered medications. C) Provide care to the client who is terminally ill and has less than 6 months to live. D) Make home visits to see that the patient is taken care of after discharge.