Since chemical dependency is a family disease, it is important to help non-abusing family members change over-responsible behaviors such as:
1. Expressing their feelings directly.
2. Rejecting the client until the client is chemically clean.
3. Distancing themselves from the client's problem.
4. Covering up for problems the client has.
4
Rationale: Non-abusing family members need to address enabling behaviors that allow the client to continue with the substance abuse. Covering up for the client protects him from the consequences of his behavior. It is not therapeutic to ignore the problem by rejecting the client or distancing themselves from the client's problems. It is a healthy behavior to express feelings directly.
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A nurse is meeting with a young woman who has recently lost her job after moving with her husband to a new city. She describes herself as being "anxious and pretty depressed."
What principle of stress and adaptation should be integrated into the nurse's plan of care for this patient? A) Adaptation often fails during stressful events and results in homeostasis. B) Stress is a part of all lives, and, eventually, this young woman will adapt. C) Acute anxiety and depression can be adaptations that alleviate stress in some individuals. D) An accumulation of stressors can disrupt homeostasis and result in disease.
A client with severe dementia can no longer recognize her only daughter and becomes anxious and
agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to a. wear a large name tag. b. visit her mother less often. c. use validating techniques. d. place clocks and calendars strategically.
The nurse is caring for a 35-year-old man diagnosed with a back strain. What would be important to discuss with this patient?
A) Avoid lifting more than one-third of his body weight without assistance. B) Focus on using back muscles during lifting. C) Lift objects while holding the object away from the body. D) Tighten the abdominal muscles and lock the knees during the lifting of an object.
The university hospital is getting ready to implement computerized provider order entry and some decision support capabilities to include drug-drug and drug-allergy alerts
Which actions should the implementation team take to increase user acceptance of the system? (Select all that apply.) a. Involve users early in the design, testing, and implementation of the system b. Conduct a quantitative research study to provide deeper insight into CPOE issues c. Design the new system to support communication and work flow d. Educate clinicians on how to use the system features e. Plan for continuous safety monitoring