The therapeutic team identifies strategies for working with a client with an admitting diagnosis of schizophrenia with a pronounced episodic delusional disorder
A potential barrier for the intervention strategies when working with this client is: A) Responding to the underlying feelings of the delusional state of the client.
B) Placing the delusion in a timeframe and identify the triggers.
C) Discussing the consequences of responding to the delusional thoughts when the client is ready.
D) Attempting to define reality for the client.
D
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An essential aspect of teaching that may prevent recurrence of heart failure is
a. notifying the physician if a 2-lb weight gain occurs in 24 hours. b. compliance with diuretic therapy. c. taking nitroglycerin if chest pain occurs. d. assessment of an apical pulse.
At what distance above the antecubital fossa does the nurse position a blood pressure (BP) cuff when using the brachial artery to measure BP?
a. 2.5 cm (1 inch) b. 0.6 cm (1/4 inch) c. 1.3 cm (1/2 inch) d. 5.1 cm (2 inches)
Which of the following describes the proper method for measuring the appropriate length to use when inserting a nasopharyngeal airway?
A) When holding the airway on the side of the patient's face, it should reach from the tragus of the ear to the nostril plus 1 inch. B) When holding the airway on the side of the patient's face, it should reach from the opening of the mouth to the back angle of the jaw. C) When holding the airway on the side of the patient's face, it should reach from the tip of the ear to the nostril times two. D) The airways come in standard sizes determined by the height and weight of the patient.
When counting respirations,
A) count each inhalation and each expiration and add them together. B) wear gloves. C) count one inhalation and one expiration as one respiration. D) tell the patient what you are doing.