The nurse is planning a psychoeducation group for substance abusers and is conducting selection interviews. Which of the following individuals with substance abuse issues would not be an appropriate member?

1. A client who has attended AA meetings in the past
2. A client who has been court ordered to attend group therapy
3. A client who has recently been promoted to district manager
4. A client who is also being treated for a psychiatric illness


3
Rationale: Major life changes may prevent the client's full and continued participation in the group. The client who has been court ordered to attend group may be in denial but has an external motivation to attend group. Clients being treated for a psychiatric illness and who have attended AA meetings in the past have a history of group involvement and know what to expect from group therapy.

Nursing

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A 34-year-old patient has come to the office for follow-up after a left-sided mastectomy for breast cancer

The prescriber tells her that she will be started on tamoxifen (Nolvadex) to prevent the recurrence of breast cancer. The nurse provides patient education and answers questions about the drug treatment. Which statement made by the patient best demonstrates the need for further teaching? a. "I may experience hot flashes." b. "I will have an increased risk of osteoporosis." c. "This medication may reduce the fat in my blood (serum lipids)." d. "This medication may increase my risk of endometrial cancer."

Nursing

An older patient drinks a six-pack of beer daily. The patient tells the community health nurse, "I've been having trouble with my arthritis lately, so I take acetaminophen four times a day for pain." What are the nurse's priority interventions?

Select all that apply. a. Inquiring about sleep disturbances caused by mixing alcohol and analgesic medications b. Determining the safety of the daily acetaminophen dose the patient is ingesting c. Advising the patient of the harmful effects of alcohol and acetaminophen on the liver d. Suggesting an increase in the acetaminophen dose because alcohol causes faster excretion e. Assessing the patient for declining functional status associated with medication-induced dementia

Nursing

A 39-year-old female is recovering from the birth of her third child. Which hormone would help prevent uterine bleeding?

a. Aldosterone b. Cortisol c. Prolactin d. Oxytocin

Nursing

Insert >, <, or = to make a true statement: ________ 

Fill in the blank(s) with the appropriate word(s).

Nursing