A 93-year-old resident eats only a few bites at meals and then refuses to eat more. To help delay skin breakdown from diminished nutrition, the nurse would:
a. spoon-feed the resident.
b. request an order for a feeding tube.
c. inform resident of the need to increase intake.
d. offer 4 ounces of fluid every hour.
D
Dehydration can cause loss of skin turgor and predisposes the skin to breakdown. Spoon-feeding and instructing about increased intake may only result in a power struggle with the resident.
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This type of intervention might be used for states of extreme emotional or physical turmoil in which the patient feels out of control of self: ______________ _______________
ANS:
Group therapy is strongly encouraged, but not mandatory, in an inpatient psychiatric unit. The unit manager's policy is that clients can make a choice about whether or not to attend group therapy
Which ethical principle does the unit manager's policy preserve? 1. Justice 2. Autonomy 3. Veracity 4. Beneficence
The nurse is caring for an adult male client who lacks a strong sense of personal identity. With which area of development will this client most likely struggle the most?
a. Social b. Intellectual c. Emotional d. Vocational
A 2-month-old infant with bronchopulmonary dysplasia is being prepared for discharge from the neonatal intensive-care unit
He will continue to receive oxygen via nasal cannula at home.Prior to discharge,the home-health nurse assesses the home. Which of the following findings pose the greatest risk to this infant? 1. Small toys strewn on the floor 2. A woodstove used for heating 3. A sibling who has an ear infection 4. Paint peeling on the walls