A nurse comes to the mental health clinic tired, angry, and in a hurry

After making several minor mistakes, the nurse realizes that in order to help clients and improve their functioning through the development of behavioral contracts, he/she must first take his/her time and change his/her attitude in order to: 1. Formulate practical and measurable objectives.
2. Develop goals based on client and family needs.
3. Normalize the family's experience.
4. Teach the client communication skills.


1
Rationale: Formulating practical and measurable objectives and goals is the next step in developing a behavioral contract. Objectives are small steps leading to goal attainment; goals represent the overall desired outcomes. Learning communication skills may be a result of a successful behavioral contract. Normalizing the family's experience is not part of a behavioral contract.

Nursing

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The spouse of a patient recently diagnosed with cancer asks, "What do you think about the relationship of stress and the development of cancer? My spouse has been under a huge amount of stress at work, and now they've diagnosed cancer."

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A client has had Braden scores of 18 and 19 and Norton scores of 15 and 17 over the last 2 months. What does the nurse determine as the significance of the trending of these scores?

1. Trending can only be accurate if the same scale is used. 2. There is a definite trend of low risk for pressure ulcer development. 3. Trending would be more accurate if the same scale was used. 4. The scores indicate opposite risks for pressure ulcer development.

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Patients with peripheral vascular disease should avoid applying heating pads to legs, smoking, crossing legs at the knees, and wearing tight socks

True False

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