The nurse manages an acute care unit that is beginning to provide care for more and more older adults after surgery. The nurse manager would encourage nurses to add which interventions to the plan of care for these patients?
1. Use of restraints to prevent falls and disruption of invasive lines
2. Early return to ambulation and self-care activities
3. Get patients out of bed to a chair for most of the day
4. Keep patients on bedrest until strength returns
Answer: 2
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Which of these individuals would the nurse consider at highest risk for a suicide attempt?
a. Man who jokes about death b. Woman who, during a past episode of major depression, attempted suicide c. Adolescent who just broke up with her boyfriend and states that she would like to kill herself d. Older adult man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun
The nurse is caring for a client who is having approximately 20 foul-smelling stools each day. Laboratory Gram stain testing indicates the presence of white blood cells (WBCs) and red blood cells (RBCs) in the stool
Which organism does the nurse expect to see in the culture report? a. Helicobacter pylori b. Campylobacter jejuni c. Clostridium botulinum d. Norwalk virus
The nurse is preparing to assess the fetal heart rate during the 32nd week of gestation. Which action is appropriate?
1) Using the bell of the stethoscope 2) Using the diaphragm of the stethoscope 3) Using palpation to feel the fetal heart rate 4) Using a fetoscope
Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exmplifies a primary prevention strategy for mental health problems?
A) Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help B) Screen for mental health disorders C) Promote support groups for people with mental health disorders D) Initiate health-promotion activities as a part of rehabilitation services