A nurse in an inpatient psychiatric unit spends time observing client activity, talking with clients, and striving to maintain a therapeutic environment in collaboration with other health-care providers
This specific example of the implementation step of the nursing process is called:
A) Health teaching.
B) Case management.
C) Milieu therapy.
D) Self-care activities.
C
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To determine the correct size of below-the-knee antiembolic stockings for a client, the nurse should measure the distance from the:
a. Achilles tendon to the gluteal fold and midthigh circumference b. knee to the ankle c. Achilles tendon to the popliteal fold and the midcalf circumference d. knee to the toes
During the holidays, the nurse is making a home health visit for a patient who previously lived with her sister for more than 20 years. Although it has been over than a year since her sister died, she tells the nurse,
"It's no worse now than any other time; I never feel any relief from this overwhelming sadness. I still can't sleep a full night through. I know the house is a mess; I feel too tired to do anything, even to take a bath. You know, though, sometimes at night, she comes to me and I can see her plain as can be." The nurse observed the patient's clothing is not clean and that her hair is not combed. The patient is apparently not eating adequately. What can the nurse conclude? The patient is probably 1) Grieving longer than usual because of the closeness of the relationship with her sister. 2) Experiencing a depressive disorder rather than simply grieving the loss of her sister. 3) Feeling guilt and worthlessness because her sister died and she is still alive. 4) Interpreting the holiday as a trigger event, which is causing her to hallucinate.
Which information should the nurse include when discussing the body's defense against an invading organism?
A. Nonspecific body defense is effective primarily against bacteria. B. Specific body defense usually only acts against a single organism. C. Specific body defense includes the complement system. D. Nonspecific body defense is also known as the immune response.
The nurse notes that a newborn has tremor-like movements. For which health problems should this newborn be further assessed? Select all that apply
1. Seizures 2. Bilirubinemia 3. Hypocalcemia 4. Hypoglycemia 5. Substance withdrawal