A mental health nurse is developing a plan of care for a new client diagnosed with a dissociative disorder
A nursing intervention that is important to include in the plan of care for this client is to encourage and support the client in the achievement of control over anxiety and previous dissociative response to those situations that trigger the symptoms. Why is this intervention so important?
A) Clients are afraid of their self-destructive behaviors.
B) These clients need a safe environment to protect themselves from self-injury.
C) Use stimuli that stimulate pleasant memories and pleasurable feelings for the client.
D) Clients are overwhelmed with fear of not knowing or being out of control.
D
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A nurse assesses a client with a spinal cord injury at level T5. The client's blood pressure is 184/95 mm Hg, and the client presents with a flushed face and blurred vision. Which action should the nurse take first?
a. Initiate oxygen via a nasal cannula. b. Place the client in a supine position. c. Palpate the bladder for distention. d. Administer a prescribed beta blocker.
Why is it important for the nurse giving a vaccine to know whether the patient has an allergy to eggs and feathers?
a. Many biologic agents come from chick embryos. b. Viruses are found in all eggs. c. Chicken egg cells are close to human cells. d. There is clotted blood in egg cells.
Percents provide a way to express the relationship of parts to a whole
Indicate whether the statement is true or false
The nurse performs intermittent catheterization on a client with residual urine. Which outcome does the nurse expect as an indication of effective therapy?
1. A dull aching back 2. 40 ml of residual urine 3. Cloudy malodorous urine 4. Minor urinary incontinence