Which is considered a forensic environment? (Select all that apply.)
a. Crime scene
b. Courtroom
c. Mental health nursing unit
d. Prison
e. Emergency department
ANS: B, D
Forensic environments include courtrooms, jails, prisons, and psychiatric facilities for the crimi-nally insane.
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The nurse is caring for a patient who is having a pump placed to deliver intrathecal baclofen and another patient who will receive dantrolene as a muscle relaxant
What nursing diagnosis would be appropriate for both care plans? (Select all that apply.) A) Acute pain related to GI effects of drug B) Risk for injury related to central nervous system (CNS) effects C) Disturbed body image related to muscle pain D) Disturbed thought processes related to CNS effects E) Deficient knowledge related to procedure
The nurse is reinforcing teaching for a client who has type 2 diabetes mellitus. The nurse should instruct the client regarding the appropriate foot care because:
1. the client is at risk for renal failure. 2. the client experiences low blood sugar too often. 3. due to high blood sugar and reduced circulation, foot wounds do not heal well. 4. due to frequent bouts of hyperosmolar hyperglycemic state (HHS), the client experiences low blood sugars, which impairs circulation.
Which nursing intervention would be most helpful in improving the patient's ability to follow the drug treatment plan?
1. Obtaining a unit-dose dispensing system for home use 2. Providing instruction three times before discharge 3. Discussing the medications with a family member 4. Establishing a good nurse-patient relationship
A nurse is working with multiple vulnerable groups. Which of the following would be most sen-sitive to adverse effects?
a. Pregnant teenager living with her parents for financial support b. Poor, older woman with no means of transportation c. 2-year-old boy of underinsured parents d. Recently unemployed father of five