A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. A new nurse who begins work with this patient will:
a. begin at the orientation phase.
b. resume the working relationship.
c. enter into a social relationship.
d. return to the emotional catharsis phase.
ANS: A
After the termination of a long-term relationship, the patient and new nurse usually have to begin at ground zero, the orientation phase, to build a new relationship. If termination is successfully completed, then the orientation phase sometimes progresses quickly to the working phase. Other times, even after successful termination, the orientation phase may be prolonged.
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An aggressive client has been placed in restraints after all other interventions have failed. Which protocol would apply in this situation?
1. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 1 hour of the initiation of the restraints. 2. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 2 hours of the initiation of the restraints. 3. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 3 hours of the initiation of the restraints. 4. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 4 hours of the initiation of the restraints.
To assess the apical pulse, the nurse should place the stethoscope on the:
a. third intercostal space to the right of the midclavicular line. b. fifth intercostal space to the left of the midclavicular line. c. sixth intercostal space at the midclavicular line. d. seventh intercostal space to the left of the midclavicular line.
Shoultz and Hatcher created the primary health care model, which is a multisectoral approach for all members of the community. Which of the following would be factors in their model? Select all that apply
A. Commitment to a plan of action B. Community participation C. Economics, politics, and environment D. Personal health care services E. Primary health care and personal health services F. Universal access to primary health care clinics
An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
a. to eat a small meal after purging. b. not to skip meals or restrict food. c. to increase oral intake after 4 PM daily. d. the value of reading journal entries aloud to others.