The older adult patient in a long-term care facility is at risk for injury because of confusion. The patient's gait is stable. To prevent injury to the patient, the best method of restraint if prescribed would be:
1. a geriatric chair.
2. an alarm bracelet.
3. a vest restraint.
4. wrist and ankle restraints.
2
If a physical restraint is used, the least restrictive device is best. This patient has a stable gait, so the alarm bracelet allows the patient to move about freely while preventing him from leaving the premises.
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When communicating with clients, which of the following would be most important for the nurse to ensure?
A) Limit setting B) Feedback loop C) Goal direction D) Nonverbal expression
A nursing instructor is preparing her class for the NCLEX-PN examination. Which statements by the students indicate understanding of the testing process? (Select all that apply.)
a. "It will be a computerized adaptive test." b. "I will have a maximum of 265 questions." c. "The maximum time allowed for testing is 5 hours." d. "The minimum number of questions on the test is 60." e. "My state board of nursing must approve my application to test."
After the nurse instructs the client on the proper use of nasal spray, which statement made by the client indicates an appropriate understanding of the teaching session?
1. "I must gargle with warm water prior to spraying of medication." 2. "I need to keep my head tilted back during the spraying." 3. "I must pinch off one side of my nose when spraying into the other side." 4. "I will take a deep breath and blow out all of my air before spraying."
To establish programs to support caregivers of clients with severe and persistent mental illness, the community mental health nurse should focus primarily on:
1. Staff of halfway houses 2. Foster care families 3. Clients' families of origin 4. Residential managers of low-rent apartments