During the acute stabilization phase, what is the primary nursing goal?
A) Safety and medical detoxification
B) Relapse prevention
C) Education of the client and family
D) Establishing a treatment relationship
Ans: A
During the acute stabilization phase, a safe environment is provided for clients who are at risk for suicidal or homicidal ideation, exhibit psychotic disorganization, or exhibit clinical symptoms of other serious psychiatric disorders, such as PTSD or bipolar disorder. In addition, the medical needs of clients who require detoxification, such as the pregnant client who continues to abuse substances, or have an exacerbated medical disorder or illness that interferes with outpatient treatment, such as the client with HIV infection who is addicted to pain medication, are met.
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A nursing unit is frequently short-staffed. Many agency nurses work to fill staff nurse vacancies. The manager has hired many new graduates, but most leave in less than 1 year. This may be the result of a lack of:
a. continuity of care. b. formal leadership. c. ethical behaviors. d. shared assumptions.
Light palpation is useful to gain information about the
a. mobility and consistency of organs and masses. b. position of organs and masses. c. presence of large masses or fluid. d. size and shape of organs and masses.
____________________ is total separation of the layers of a wound with internal viscera protruding through the incision
Fill in the blank with correct word.
Jaundice occurs when the concentrate of bilirubin in the blood is which of the following?
A. 0.5–1.0 mg/dL B. 1.0–1.5 mg/dL C. 1.5–2.0 mg/dL D. More than 2.5 mg/dL