A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff. The client is confined to bed and is not able to communicate verbally
As part of the client's care plan, the nurses provide massage therapy three times a week. Which of the following is the main benefit of this intervention for this client?
1. Stretch and loosen the muscles
2. Speed the removal of metabolic waste products
3. Help satisfy the need for caring and nurturing touch
4. Relieve pain
Correct Answer: 3
Rationale 1: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.
Rationale 2: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.
Rationale 3: Since she has no family, no visitors, and her only contacts are with the staff, this client will benefit at the emotional level as massage satisfies the need for caring and nurturing touch. It also increases feelings of well-being, decreases mild depression, enhances self-image, reduces levels of anxiety, and increases awareness of mind-body connection.
Rationale 4: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.
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After a nurse has completed the assessment for a new client with a psychiatric disorder, data are
analyzed to formulate nursing diagnoses. The information that will be conveyed by the nursing diagnoses includes (more than one answer may be correct) A. medical judgments about the disorder. B. unmet client needs present at the moment. C. supporting data that validate the diagnoses. D. probable causes that will be targets for nursing interventions.
When documenting notification of the primary health care provider concerning a client whose condition is deteriorating, the nurse must be sure to include which of the following? (Select all that apply.)
1. Client's wife at bedside. 2. Client rating pain at 3 out of 10 at 0920. 3. Client asking to have wife called to come to hospital. 4. Dr. Smith notified of client's pain rating of 8 out of 10 at 0900. 5. Client administered 2 mg morphine sulfate IV every 5 minutes for two doses. 6. Client ordered morphine sulfate 2 mg IV every 5 minutes until pain relief is achieved.
A 15-year-old girl came to the free clinic for care as she had become sexually active some time ago and decided she needed to obtain appropriate health care
What care can the clinic probably give to her without involving her parents? Select all that apply. A. An abortion if that is her decision B. Antibiotics for a skin infection from scratching her acne C. Birth control pills or Depo-Provera D. Pap smear and routine gynecologic care E. Pregnancy tests and prenatal care if pregnant F. Diagnosis and treatment for any sexually transmitted disease