A primary care NP has been working with a young woman who wants to quit smoking before she begins having children. She has made several attempts to quit using nicotine replacement therapy and is feeling discouraged
She does not want to take medication at this time. The NP should: a. discuss the effects of smoking on fetal development.
b. ask her to write down any factors that triggered her relapses.
c. give her information about the long-term effects of smoking.
d. convince her that taking medication will be essential in her case.
B
Each attempt to quit smoking should not be seen as a failure but as a trial for the next attempt. Asking a patient who is motivated to quit to write down things that may have contributed to the relapse will help the patient learn from the previous attempts. The patient already knows about the effects of smoking on fetal development because that is her motivation for quitting. Offering medication may be necessary, but only if the patient desires it.
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The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?
a. Music therapist b. Community agencies c. Adaptive care services d. Dermatologist
A nurse provides medication teaching related to the importance of adhering to the saquinavir drug regimen. In order to best minimize the risk of increased fatty-like tissue, the nurse will instruct the patient to
A) take the drug within 2 hours after a high-fat meal. B) engage in regular exercise. C) take the drug within 2 hours after a low-fat meal. D) follow a low-fat diet.
The nurse is involved as an expert witness in a civil court case where life support was withdrawn and the patient expired. Which level of evidence is expected for this case?
1. Preponderance of evidence 2. Clear and convincing evidence 3. Evidence beyond a reasonable doubt 4. Voir dire evidence
A 6 month old is brought to the ER by her babysitter. The babysitter explains that the child has been irritable all morning and will not bear weight on her right leg since she was dropped off at 8 a.m
The babysitter has attempted to contact the mother, but has not been able to reach her. After the examination, the child is diagnosed with spiral femur fracture. The nurse will need to contact Social Services because: 1. Any time a child enters the ER, Social Services needs to be contacted. 2. The mother did not bring the child in, and the babysitter does not have medical power of attorney, so a social worker will determine the needs of the child. 3. A femur fracture is abnormal unless trauma or abuse has occurred. Social Services will help to rule out child abuse. 4. The social worker will be of no help until the mother asks for services.