The nurse planning care for a client with severe and persistent mental illness knows that ac-ceptance in the community depends heavily on the client's:
1. Self-maintenance skills
2. Employment potential
3. Sexual behaviors
4. Self-esteem
ANS: 1
Basic self-maintenance skills such as personal grooming, table manners, and social interaction skills are essential to being accepted in community settings. The other options suggest important aspects of community living, but none are as fundamental as the skills required to perform activi-ties of daily living.
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After birth, the nurse quickly dries and wraps the newborn in a blanket. How does this action prevent heat loss?
a. Conduction b. Radiation c. Evaporation d. Convection
A client is receiving magnesium sulfate for HELLP syndrome. The nursing interventions for this client should include which of the following? (Select all that apply.)
a. monitor respirations (must be at least 12) b. monitor deep tendon reflexes c. monitor liver enzymes d. monitor hemoglobin level e. monitor urine output (at least 30 cc/hour) f. position on left side
A new registered nurse is observed breaking sterile technique by the perioperative nurse. This is an example of a violation of which ethical principle?
a. Autonomy b. Justice c. Nonmaleficence d. Confidentiality
One of your clients, Ms P, informs you that she plans to deliver her baby at home. You inform her that she should be sure to bring the baby receives an intramuscular injection of vitamin K because:
1. Only small amounts of vitamin K are innately inherited from the mother. 2. Newborn infants have insufficient vitamin K stores. 3. Lack of vitamin K can result in clotting problems after birth. 4. Breast milk does not contain an adequate supply of vitamin K.