Which of the following treatment programs would be most appropriate for homeless clients whose judgment is severely impaired by paranoid delusions and command hallucinations due to medication and treatment nonadherence?
1. Inpatient hospital-based care
2. Mobile outreach units
3. Assertive community treatment
4. Partial hospitalization programs
1
Rationale: Clients who are strongly influenced by delusions or hallucinations that seriously impair judgment have a severe inability to function in almost all areas and require intense, skilled nursing care to ensure safety needs are met. This type of care can only be delivered through inpatient hospital-based care. Mobile outreach units, partial hospitalization, and assertive community treatment programs cannot provide the security and supervision necessary to ensure these clients' safety.
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A nurse cares for a client with burn injuries. Which intervention should the nurse implement to appropriately reduce the client's pain?
a. Administer the prescribed intravenous morphine sulfate. b. Apply ice to skin around the burn wound for 20 minutes. c. Administer prescribed intramuscular ketorolac (Toradol). d. Decrease tactile stimulation near the burn injuries.
An adolescent female is diagnosed with fibrocystic breast disease. What advice can the nurse provide the adolescent about this diagnosis?
A) Caffeine may increase the size of lesions. B) Fibrocystic lesions are precancerous lesions. C) Lesions will fade with the full growth of breasts. D) The lesions make breast self-examination ineffective.
Postoperative nursing care of the baby who has had surgery to correct hypertrophic pyloric stenosis will focus on which of the following activities?
a. feeding that is sufficient to get the baby to gain weight right away b. parents holding and comforting the baby c. rehydration and correction of electrolyte imbalance d. assessing the bowel sounds and the functioning of the bowel
Increasing gender diversity has been more challenging and slow to implement. One of the obstacles to overcome is the concept that nursing is a female occupation
Which approach can be utilized to help men see a nursing career as a viable career choice? A) Acknowledge male nurse's contribution to the field of nursing B) Use nongender terms in the classrooms C) Encourage more women to mentor men so they can also learn mentoring D) Encourage men to specialize in areas where direct patient care is limited