The clubhouse model as an approach to caring for people who are mentally ill and homeless provides which of the following services?
a. acute brief hospitalization for physical illness
b. housing, employment, job and social skills
c. drug and alcohol treatment for dual diagnosis
d. total supervision for those who are disabled and mentally ill
B
The clubhouse model is a voluntary program based on the philosophy that recovery from mental illness must involve the person in a community offering respect, hope, and services. These services include access to work, housing, education, and socialization. This model does not provide direct health care services.
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The nurse is assessing a postoperative client that reports a pain level of 10 on a 1 to 10 scale. The client is grimacing and appears anxious. Which of the following actions should the nurse perform first?
1. Administer pain medication if it has been longer than the ordered interval. 2. Offer to call the pastoral service to provide spiritual counseling. 3. Obtain an order for an anti-anxiety medication. 4. Call the family to come in and stay with the client.
Which issue has increased the attention paid to quality of life concerns in recent history?
a. Health care disparities b. National movement regarding disabled persons c. Aging of the population d. Health care financial reform
An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate?
a. Urinary tract infections are unavoidable in the elderly because of a weakened immune system. b. Decreasing fluid intake will decrease the amount of urine with bacteria produced. c. Making sure to cleanse the perineal area from back to front after voiding will reduce the chance of infection. d. Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection.
In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:
a. Disseminated intravascular coagulation (DIC) b. Amniotic fluid embolism (AFE) c. Hemorrhage d. HELLP syndrome