To decrease disorientation during the detoxification period, the nurse should:
a. place the patient in a room with another recovering patient.
b. instruct the patient to orient himself to his surroundings at bedtime.
c. wake the patient up every 4 hours to eat a small snack.
d. use nightlights and remove extra furniture from the room.
D
Use of nightlights and removing extra furniture that could be misidentified will reduce disorientation.
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In what ways can a leader also be a follower? Select all that apply
1. The charge nurse can lead other staff nurses but also follow the house supervisor. 2. The staff nurse can lead other staff nurses but also follow another staff nurse. 3. The CEO can lead other administrators, but also follow the Board of Directors. 4. Nurses can lead some clients, but follow others.
A patient on long-term mechanical ventilation becomes very frustrated when he tries to communicate. Which of the following interventions should the nurse perform to assist the patient?
A) Assure the patient that everything will be all right and that he shouldn't become upset. B) Ask a family member to interpret what the patient is trying to communicate. C) Ask the physician to wean the patient off of the mechanical ventilator to allow the patient to talk. D) Ask the patient to write, use a picture board, or spell words with an alphabet board.
Self-protective responses are manifested by behaviors that meet basic
1. goals. 2. needs. 3. wants. 4. demands.
After restraints are removed from a client, the staff discusses the incident and establishes guidelines for the client's return to the therapeutic milieu. Which unit procedure is the staff implementing?
A. Milieu reenactment B. Treatment planning C. Crisis intervention D. Debriefing