A 19-year-old Native American client is admitted with a diagnosis of major depression with suicidal ideation. What assessment is made?
1. The client is at high risk for suicide.
2. The client will benefit from a talking circle.
3. The client will need a single room.
4. The client will need a medicine man.
1
Rationale: Native American youth have an increased risk for suicide when compared to other cultural groups. There is nothing to suggest that the client will need a single room. Assuming that the client will need a medicine man or benefit from a talking circle relies on stereotyped generalizations about Native American clients.
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The nurse is teaching a new mother about prevention of sudden infant death syndrome (SIDS). Which of the following recommendations about sleeping should be included?
a. Place the infant on the abdomen (prone) without the head of the bed elevated while sleeping. b. Include soft materials in the infant's sleeping environment (e.g., pillows, quilts, stuffed animals). c. Place the infant on the back (supine) while sleeping. d. Allow the infant to sleep in the bed with the mother.
An older adult has been diagnosed with presbyopi
a. To minimize the patient's risk for falls, the nurse suggests: a. that the edges of steps be painted a con-trasting color. b. the patient wear sunglasses when driving. c. the patient wear a wide-brimmed hat when spending time outdoors. d. hanging blinds over sunny windows.
The client receiving intravenous chemotherapy asks the nurse why the nurse is wearing a mask, gloves, and gown when giving the drugs to the client. What is the nurse's best re-sponse?
A. "These drugs will reduce your immune response and, with these coverings, I am protecting you from getting an infection from me." B. "Because your immunity is reduced by this therapy, I am preventing the spread of infection from you to me or any other client here." C. "The hospital policy is for any nurse giving these drugs to wear a gown, glove, and mask to prevent other people from getting cancer." D. The drugs are powerful and I handle them every day. The clothing protects me from accidentally absorbing these strong, cancer-killing drugs."
Which of the following are examples of characteristics of evidence-based practice? Select all that apply
A) It is a problem-solving approach. B) It uses the best evidence available. C) It is generally accepted in clinical practice. D) It is based on current institutional protocols. E) It blends the science and art of nursing.