What actions does becoming substance free involve? (Select all that apply.)
a. Committing to a lifestyle change.
b. Developing new coping skills.
c. Committing to honesty in communication.
d. Gaining an awareness of possible periods of relapse.
e. Completing a program in 12 months.
A, B, C, D
The limitation of 12 months is not part of the commitment. Rehabilitation may take several years or a lifetime.
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When the nurse is performing an admission physical assessment on the pediatric client who is younger than 30 days old, additional data to note include: Standard Text: Select all that apply
1. Shape of the head. 2. Presence of barrel-chested appearance. 3. Asymmetric gluteal folds. 4. Presence of receding gums. 5. Excursion symmetry or asymmetry of chest on respiration.
The star quarterback on the high school football team is injured in a motorcycle accident. He will be unable to play football again. In planning his care, the nursing diagnosis for coping that you would use is:
1. Impaired physical mobility. 2. Situational low self-esteem. 3. Impaired social interaction. 4. Impaired comfort.
During cardiac examination you notice a new parasternal systolic murmur of 2/6 intensity. On palpation, the PMI is slightly higher than usual. What do you suspect?
A) Mammary souffle B) Mitral stenosis C) Mitral regurgitation D) Aortic insufficiency
The nurse is using the nursing process when caring for a patient. In which order should the nurse implement this process?
a. Nursing diagnosis, intervention, rationale, evaluation, planning b. Data collection, intervention, nursing diagnosis, rationale, evaluation c. Assessment, nursing diagnosis, planning, implementation, evaluation d. Data collection, evaluation, nursing diagnosis, implementation, rationale