A woman says, "I can't take it anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?
a. Identifying measures useful to help improve the couple's communication
b. Discussing the patient's feelings about the possibility of having a mastectomy
c. Determining whether the husband is still engaged in an extramarital affair
d. Clarifying what the patient means by, "I can't take it anymore!"
ANS: D
During crisis intervention, the priority concern is patient safety. This question helps assess personal coping skills. The other options are incorrect because the focus of crisis intervention is on the event that occurred immediately before the patient sought help.
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"What can I do to enhance the likelihood that the intervention is delivered properly?" is an example of a question used in assessing adoption when using the RE-AIM framework
A) True B) False
A client in a healthcare facility treated for an accident is about to be discharged and needs postdischarge care. To which department is the nurse likely to refer the client?
A) Case management department B) Quality improvement department C) Outpatient department D) Consulting nurse service
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a. Removing the medication from the wrapper and placing it in a cup labeled with the patient's information b. Using the edge of the medicine cup to fill with 0.5 mL of liquid medication c. Placing all of the patient's medications in the same cup, except medications with assessments d. Combining liquid medications from 2 single dose cups into 1 medicine cup