A preschool child is admitted to a psychiatric unit with the diagnosis autistic spectrum disorder. To help the child feel more secure on the unit, which intervention should a nurse include in this client's plan of care?
1. Encourage and reward peer contact.
2. Provide consistent caregivers.
3. Provide a variety of safe daily activities.
4. Maintain close physical contact throughout the day.
2
Rationale: The nurse should provide consistent caregivers as part of the plan of care for a child diagnosed with autistic spectrum disorder. Children diagnosed with autistic spectrum disorder have an inability to trust. Providing consistent caregivers allows the client to develop trust and a sense of security.
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The nurse is assessing an older adult client who is recovering following a cholecystectomy. Which factor would increase this client's susceptibility to infection?
A) Intact mucous membranes B) Surgical incision C) Dry skin D) Active bowel sounds
A client with bipolar disorder is monitored by the community mental health nurse. The client's
mood disorder is under good control when the client takes the prescribed doses of lithium. The client tells the nurse she is pregnant as the result of her boyfriend committing date rape. The nurse makes the following assessments: lithium taken throughout pregnancy may result in a baby born with birth defects; the client is likely to have a relapse of her illness if she stops taking lithium; and the client is a devout Catholic who believes her boyfriend will marry her "even if he did get carried away" and care for their child. Which option would be congruent with the client's values and ethical beliefs? a. Continue lithium; deal with the issue of a baby with birth defects if it occurs. b. Continue lithium and encourage the client to undergo a therapeutic abortion. c. Discontinue lithium, use alternative medication, and prepare for hospitalization prn. d. Arrange for involuntary hospitalization for the duration of the pregnancy.
The nurse is caring for a client after arthroscopy surgery. Which intervention is a postoperative priority for this client?
a. Passive range of motion on the involved knee b. Active range of motion on the involved knee c. Straight leg raises with the involved leg d. Immobilization of the leg
Which of the following statements are examples of features that support a culture of safety? (Select all that apply.)
a. Acknowledging that hospitals are risk-free environments b. Encouraging a high degree of teamwork and collaboration c. Commitment of resources by the organi-zation to address safety concerns d. An environment where employees can report errors without punishment e. A system that does not use incident re-ports