An intervention for a patient with learned helplessness is to
a. maintain control of the environment.
b. set limits on the behavior.
c. maintain a routine schedule so that the patient can anticipate activities.
d. prepare the patient for transfer to the medical floor.
B
Interventions for patients with learned helplessness include setting limits on behavior, encouraging independence and participation in self-care, counseling, and involving family members in establishing realistic goals. Powerlessness can be manifested by a refusal to participate in decision making, disengagement from plan of care, expressions of self-doubt, or a seeming lack of interest in recovery.
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An Amsler grid is used to evaluate which of the following conditions?
A. Optic neuritis B. Macular degeneration C. Amaurosis fugax D. Retinal detachment
Every bed in the intensive care unit is occupied when a call comes from the emergency department about admitting a patient who was critically injured in an explosion. Which patients would the manager evaluate as a possible transfer to a less acute unit?
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A) "An injury is unlikely because of expert professional care given." B) "I have never read or heard of this happening." C) "The injection is given in the space outside the spinal cord." D) "The injection is given at the third or fourth thoracic vertebrae so paralysis is not a problem."
In a research study, ambulatory clinic nurses teach children with asthma how to monitor peak expiratory flow volumes and how to use metered-dose inhalers to determine
whether asthma control scores improve. The researcher discovers inconsistencies in how these measures were taught and how well the children understood the concepts. This represents a lack of: a. control of extraneous variables. b. internal validity. c. intervention fidelity. d. precision of measurement.