A client shares with the nurse that they have, "almost reached the goal of smoking only one-half pack of cigarettes a day." The best example of a nursing intervention to correct this unmet out-come is:
1. Discuss with the client the desire to comply with the ordered therapy
2. Suggest that the client use another smoking cessation tool to achieve the goal
3. Reevaluate the time frame originally decided upon for achievement of the goal
4. Suggest that the strength of the prescribed nicotine patches be increased to 21 mg
ANS: 4
An unmet outcome reveals the client has not responded to interventions as planned. As a result, the nurse changes the plan of care by trying different therapies or changing the frequency or ap-proach of existing therapies. The best option is one that adds to the existing therapy. The remain-ing options should have been explored as a part of the goal-setting process or exercised if the current therapy proves ineffective.
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The client has made a difficult decision to refuse treatment for a potentially curable malignancy. The nurse asks the client, "How are you going to tell your spouse about this decision?" What is the nurse attempting to assess?
1. Whether the client has considered all of the treatment options available. 2. Whether the client was able to choose freely among treatment options. 3. Whether the client is prepared to act on the decision. 4. Whether the client feels good about the decision made.
A patient being treated with isoniazid for tuberculosis develops symptoms of systemic lupus erythematosus (SLE). The patient says, "I can't believe that I am so sick. First I get TB and now this. What is going to happen to me?" What nursing response is indicated?
1. "You will have to learn to manage both the TB and the SLE." 2. "Once your TB is cured, we can help you fight the SLE." 3. "Often the SLE symptoms go away after the TB medication is changed." 4. "Your immune system must be under a great deal of stress for both of these diseases to develop."
A 17-year-old writes a suicide note and then swallows aspirin. Which of the following factors would make you think that he might do this again?
A) He has always been a loner. B) He states he has been feeling sad lately. C) He took only six aspirins, so he has some left. D) His parents were recently divorced.
There are many reasons that a person might resort to violence. Which explanation is supported by extensive research?
A. Children learn violent approaches from comic books. B. Violence is a fast way to resolve conflict, requiring minimal time. C. Violence is how movie heroes often resolve problems. D. Violence is seen as a socially acceptable strategy to solve problems.