A suicidal individual calls a suicide hot line. This represents the level of intervention classified as
A. primary.
B. secondary.
C. tertiary.
D. quaternary.
Ans: B. secondary.
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A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient's confidentiality if the patient states which of the following?
A) "I think that the federal government is spying on me." B) "I get really 'turned on' by your appearance." C) "That doctor I had today really made me angry." D) "When I get out of here, I'm going to kill my neighbor."
Which of the following is the best example of the implementation phase of the nursing process?
a. Patient verbalizes pain is reduced from an 8 to a 3 after receiving pain medication. b. Nurse observes that patient has a small, quarter-sized skin tear over coccyx area. c. Nurse writes in the care plan: Patient requires 2 person assist with ambulation to bathroom. d. Nurse inserts Foley catheter after reporting to physician patient's inability to void.
The best choice of a product to use to moisten and lubricate your hands is
A. hand cream in a large jar at the nurses' station. B. the squeeze bottle of hand lotion on the utility room counter. C. a squeeze bottle of house lotion issued to a patient. D. the pump bottle of hand lotion in the employees' restroom.
The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which interventions should the nurse plan for the care of the myelomeningocele sac?
a. Open to air b. Covered with a sterile, moist, nonadherent dressing c. Reinforcement of the original dressing if drainage noted d. A diaper secured over the dressing