An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:

1. Encouraging verbalization of feelings in a safe environment
2. Attempting to determine triggers to hallucinations
3. Engaging client in activities designed to permit success
4. Providing large muscle activities to relieve stress


ANS: 3
All are useful interventions for a client with schizophrenia; however, engaging the client in spe-cifically designed activities is the only option that addresses improving self-esteem.

Nursing

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A 25-year-old primigravida is at 20 weeks' gestation. The nurse takes her vital signs and notifies the healthcare provider immediately because of which finding?

1. Pulse 88/minute 2. Rhonchi in both bases 3. Temperature 37.4° C (99.3° F) 4. Blood pressure 122/78

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The nurse notes during assessment and history taking that the older client exhibits visual changes. Which of the following are normal age-related changes of the eye? Select all that apply

1. Ptosis 2. Photophobia 3. Corneal thickening 4. Decreased visual acuity 5. Decreased tolerance of glare 6. Decreased peripheral vision

Nursing

Which of the following events led to the emphasis on home care nurses caring for acutely ill clients and the increased demands for extensive documentation?

a. Advances in medical technology and pharmacology b. Increased number of lawsuits for substandard care c. Introduction of Medicare d. Social Security Act of the 1930s

Nursing

How can anemia resulting from altered RBC production or from increased RBC destruction be best treated?

A. By giving a blood transfusion B. By replacing iron or cyanocobalamin in the diet C. By replacing iron or copper through supplements D. All of the above

Nursing