The nurse is planning the discharge of a client who has sustained a moderate head injury and is experiencing personality and behavior changes. The client's wife states, "I am concerned about how different he is
What can I do to help with the transition back to our home?" How does the nurse respond? a. "Be firm and let him know when his be-havior is unacceptable."
b. "Minimizing the number of visitors will help stabilize his personality."
c. "Developing a routine will help provide him with a structured environment."
d. "He will return to his normal emotional functioning in 6 to 12 months."
C
Developing a home routine that provides structure and repetition is recommended because clients with personality and behavior problems respond best to this type of environment. The client's personality and emotional functioning will never return to normal. The client may be aggressive, and family members must be aware of potential client reactions.
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Indicate whether the statement is true or false
A mother tells you her 6-year-old has been biting his fingernails since he began first grade. After analyzing the cause of this as increased stress, the advice you would give his mother regarding this problem would be to
A) encourage the child to drink more milk for stronger nails. B) distract the child by teaching him a new skill, such as whistling. C) allow some time every day for the child to talk about new experiences. D) allow the child to choose a reward for not biting his nails.
The nurse is performing a focused assessment of a client to check for musculoskeletal disorders. Which of the following data would be collected using nursing assessment techniques? Select all that apply
A) Palpate skin temperature for warmth. B) Percuss soft tissues, joints, and muscles. C) Perform range-of-motion exercises. D) Observe emotional response to the disorder. E) Check vital signs. F) Observe posture, coordination, and body build.
A woman whose husband physically abuses her mentions to the nurse, "Someday I'll have to leave him." Which of the following would be the nurse's best response?
1. "Yes, you should, before he harms you badly." 2. "Could we talk about developing a safety plan?" 3. "Are you afraid of what your family will say?" 4. "I don't know why you would stay with him."