The nurse evaluates the client:
1. On a continuous basis throughout the day.
2. At the beginning of the shift.
3. After the initial intervention.
4. When the initial intervention fails.
1
Rationale 1: The nurse evaluates the client continuously throughout the day by determining whether the objective from the written care plan has been met.
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You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient documentation indicates a need for follow-up nursing interventions by the nurse?
a. Client states that he intends to decrease his alcohol consumption. b. Client arrived at his group session on time and well-groomed. c. Client stated, "I am an alcoholic because I drink 10 beers a day." d. Client states that he understands that he needs continued treatment.
Why would some patients of the Black culture resent using health clinics for care?
A. A day's work may be lost in waiting to be seen by a physician. B. Cheaper accessible health care is regarded as demeaning. C. Prescription medications are given out only to those seen first. D. There are not enough clinics to focus on Black health problems.
A client who has returned from surgery after an amputation of the lower leg complains of significant pain in the absent foot. The nurse should:
1. tell the client the foot is gone. 2. administer pain medication. 3. request a psychiatric consult. 4. notify the physician.
A school nurse is giving an in-service to teachers to teach them how to deal with children with ADHD. The nurse should include all of the following topics for discussion except:
1. Giving shorter assignments. 2. Letting the child stand at the desk while working on projects. 3. Color coding folders for each subject. 4. Requiring 30 minutes of continuous reading each day during class.