A community health-planning group is meeting to discuss increasing violence among children in the community. Which setting would be expected to have the lowest occurrence of violence?
1. Schools
2. Streets
3. Residential centers
4. Homes
1
Rationale: Schools are controlled, structured environments intended to foster individuality, respect, and learning. Research supports that as many as 80% of male abusers come from homes in which they were abused or observed their mothers being abused. The home setting, therefore, has a higher occurrence of violence, followed by streets and residential centers, which also have higher occurrences of violence than schools.
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For sedation and analgesia management of mechanically ventilated critical care patients, put the following steps in the appropriate order in which the nurse should perform them
1 . Using an accepted pain scale, assess the patient's level of pain, and if the patient is hemodynamically stable, medicate appropriately with morphine sulfate. 2 . Assess the degree of agitation and anxiety with an appropriate sedation scale and select an appropriate medication treatment. 3 . Attempt nonpharmacologic treatments; optimize the environment. 4 . Reassess the level of sedation, agitation and anxiety, and pain minimally every 2 hours or as indicated per facility standards. 5 . Rule out and correct reversible causes. 6 . Assess the patient's level of comfort. a. 1, 2, 6, 5, 3, 4 c. 6, 5, 3, 1, 2, 4 b. 6, 5, 1, 2, 3, 4 d. 4, 1, 2, 6, 5, 3
Which of the following statements about attention deficit hyperactivity disorder (ADHD) are true? (Select all that apply)
A. ADHD is more common in boys than in girls. B. Children with ADHD tend to be of below-average intelligence. C. ADHD is caused by dysfunctional parental relationships. D. Children with ADHD are often treated with the use of stimulants. E. Children with ADHD often benefit from behavior modification tools like limit setting, reward systems, and positive reinforcement. F. Even though we think of ADHD as a disorder in children, adults can also have it.
A nurse manager has decided that she must institute some personal time management steps to survive work and home life. Her first step should be to:
a. Determine what takes up so much of her time and energy. b. Organize her personal and work spaces. c. Purchase a handheld personal digital assistant to help remind her of important meetings. d. Determine her personal and professional goals.
You are caring for a patient who has the rare diagnosis of psychogenic or dissociative fugue. You read up on this diagnosis and determine an appropriate nursing intervention to:
A) Initiate suicide precautions B) Identify with patient/client choices for stress reduction C) Invite the client to tell the detailed story of the experience D) Initiate intervention to confront his avoidance behaviors