A patient has been bumping and pushing other patients. The nurse carefully explains to the patient that such behavior is unacceptable. The nurse has provided
a. balance.
b. limit-setting.
c. personal control.
d. environmental modification.
B
Limit-setting provides a patient with a clear explanation of the acceptability or unacceptability of a behavior. Limit-setting reinforces norms and encourages the milieu concept of responsibility for self. The other options are not applicable.
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Using the health promotion model while rendering care enables a nurse to do which of the following? (Select all that apply.)
a. Help the patient pursue health. b. Detect the presence of illness. c. Promote health behaviors in a patient. d. Assess a family's response to illness. e. Plan interventions to achieve self-actualization.
Which of the following procedures should a nurse teach a client with dysrhythmia to perform to evaluate his or her response to treatment?
A) Technique for monitoring drug toxicity B) Technique for palpating and counting the radial pulse C) Technique for monitoring cardiac response D) Technique for monitoring blood pressure
The nurse in the emergency department is caring for a pregnant Middle Eastern woman in the emergency department who presents with a broken wrist and multiple bruises. When asked how this happened, she states she fell down the stairs
The husband stays very close to his wife and does most of the talking. The nurse is aware that: 1. The patient likely did fall down the stairs. 2. The husband is being attentive and trying to help her feel better. 3. The husband could have battered her and possibly caused her to fall down the stairs. 4. This patient is safe to return home after her wrist is fixed.
A client has been placed in Buck's extension traction. The nurse can provide counter traction to reduce shear and friction by implementing which measure?
A. Flexing the feet against a footboard B. Slightly elevating the foot of the bed C. Keeping the head of the bed elevated 45 degrees D. Placing the bed in reverse Trendelenburg position