The nurse is working with a client who suffers from addiction. What treatment approach would be most appropriate for this client who has had multiple substance abuse treatments and has relapsed?
1. 12-step self-help program
2. Long-term outpatient therapy
3. Lifestyle change
4. One week detoxification program
3
Rationale: The client has to embrace a total lifestyle change to promote sobriety. This will entail a change of friends, activities, and coping strategies. A 12-step self-help group, detoxification program, and outpatient therapy will not be effective without lifestyle change.
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Home care for a woman with a low-risk pregnancy should include:
A. encouragement to stay on bed rest. B. assessment of blood glucose. C. instruction on use of a uterine activity monitor. D. assessment of fetal heart rate and activity.
Which of the following conclusions can be drawn from research on the effect of abuse on adults who become parents?
a. Adults who were abused are more likely to abuse their own children. b. Adults who were abused avoid abusing their own children. c. Adults who were abused are no more or less likely to abuse their own children. d. There is no clear trend as to how previous abuse influences future abuse.
Parents ask the nurse for strategies to help their toddler adjust to a new baby. What should the nurse suggest?
a. Start talking about the baby very early in the pregnancy. b. Move the toddler to a new bed after the baby comes home. c. Tell the toddler that a new playmate will be coming home soon. d. Alert visitors to the new baby to include the toddler in the visit.
When auscultating heart sounds, the nurse asks the patient to lie on the left side, then sit up and lean forward. Why is the patient asked to move into these positions?
1. The heart is closer to the chest wall. 2. They diminish the effect of respiratory sounds during auscultation. 3. Use of the stethoscope diaphragm improves auscultation of high-pitched murmurs. 4. Use of the bell side of the stethoscope allows low-pitched sounds to be readily identified.