The most challenging nursing intervention with patients with personality disorders who use manipulation to get their needs met is:
a. supporting behavioral change.
b. monitoring suicide attempts.
c. maintaining consistent limits.
d. using aversive therapy.
ANS: C
Maintaining consistent limits is by far the most difficult intervention because of the patient's superior skills at manipulation. Supporting behavioral change and monitoring patient safety are less difficult tasks. Aversive therapy would probably not be part of the care plan; positive reinforcement strategies for acceptable behavior are more effective than aversive techniques.
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A nurse delegates care for an older adult client to the unlicensed assistive personnel (UAP). Which statements should the nurse include when delegating this client's care? (Select all that apply.)
a. "Plan to bathe the client in the evening when the client is most alert." b. "Encourage the client to use a cane when ambulating." c. "Assess the client for symptoms related to pain and discomfort." d. "Remind the client to look at foot placement when walking." e. "Schedule additional time for teaching about prescribed therapies."
Most drugs that appear in maternal blood also appear in breast milk
Indicate whether the statement is true or false.
The parent of a 16-year-old female tells the nurse that the child has not had a menstrual period in spite of having breast and pubic hair development. The nurse recognizes this as characteristic of which condition?
a. Dysmenorrhea b. Hypothyroidism c. Primary amenorrhea d. Secondary amenorrhea
Which of the following terms describes proteins that help destroy pathogens as they enter the body?
A. hemoglobin B. antigens C. t-cells D. antibodies