A factory abruptly closes; workers receive no warning and no explanation. An office worker tries to take it in stride and begins the job search, updating his resume, submitting applications, and offering support to his peers
Which assessment question would be most important to ask at this time? a. "Tell me how has this affected you, how things seem to you.".
b. "What do you think you will do if your plan does not work?"
c. "Tell me about some other difficult times you've been through.".
d. "Tell me who cares about you, supports you, who you can count on.".
A
The initial focus in crisis situations should be on determining how the patient sees the event and his current situation and, in particular, whether psychiatric treatment or admission is needed to provide for his safety or prevent decompensation. A broad opening question that yields information on how the person interprets the event and how it has affected him so far helps to determine his perception of events and whether he requires psychiatric care. Seeking information about past crisis responses, present coping efforts, and future plans would follow.
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The nursing instructor is discussing Healthy People 2020 with a group of nursing students. One of the students questions the instructor how this work will impact hospitalization. The best response by the nursing instructor would be:
1. "Healthy People 2020 is a tool for the healthcare providers to offer information to their clients." 2. "Healthy People 2020 seeks to improve health and prevent illness, disability, and premature death." 3. "The purpose of Healthy People 2020 is to reduce health care costs for hospitalized clients." 4. "Healthy People 2020 is seen as a tool by hospitals to reduce length of stay."
Which of the following alterations in laboratory values would indicate the client is expe-riencing an exacerbation of Crohn's disease?
A. An elevated WBC B. An elevated ESR C. Decreased serum albumin level D. Decreased hematocrit
A child's anemia was caused by exposure to an insecticide. What advice would you give his parents on discharge from the hospital?
A) He should eat a high-protein diet to maintain his energy. B) He must return to the hospital for desensitization to the insecticide. C) He must not be further exposed to the insecticide. D) He will need to be administered a chelating agent weekly.
Which is the most appropriate nursing intervention for the newborn who is jittery and twitching and has a high-pitched cry?
a. Monitor blood pressure closely. b. Obtain urine sample to detect glycosuria. c. Obtain serum glucose and serum calcium levels. d. Administer oral glucose or, if newborn refuses to suck, IV dextrose.