The best way to identify how the LPN/LVN functions in the community mental health setting is:
A) Primary nurse therapist.
B) Not well defined.
C) Variable according to location, laws, and customs.
D) Nurses at the LPN/LVN level of practice do not work in community mental health settings.
C
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What important focus of nursing care for the dying child and the family should the nurse implement?
a. Nursing care should be organized to minimize contact with the child. b. Adequate oral intake is crucial to the dying child. c. Families should be made aware that hearing is the last sense to stop functioning before death. d. It is best for the family if the nursing staff provides all of the child's care.
The client receives prochlorperazine (Compazine) for nausea and vomiting. The nurse notices that the client is exhibiting a stiff neck, turned to the side. What is the best action by the nurse?
1. Administer the client's as needed analgesic immediately. 2. Contact the physician immediately. 3. Hold the next dose and observe the client. 4. Ask the client if she has ever experienced this before.
Thirteen-year-old Kevin presents at his pre-high school checkup with his caregiver, who reports that although Kevin's grades show he is ready for high school, he is always in the principal's office or serving detention
His mother is worried that he might be too immature to be in high school. The nurse notes that Kevin has evident breasts, little underarm or chest hair, and a high-pitched voice. The nurse suspects that Kevin might have a diagnosis of: A) Turner syndrome. B) Klinefelter syndrome. C) ambiguous genitalia. D) hypothyroidism.
The nurse is preparing discharge teaching for a client diagnosed with chronic obstructive pulmo-nary disease (COPD). Which nursing statement would be included in this intervention? (Select all that apply.)
a. "Are you familiar with pursed-lip breath-ing?" b. "It will be necessary to demonstrate pos-tural drainage techniques with a caregiv-er." c. "We will need to discuss alterations in your diet." d. "Can you explain the purpose of the med-ications you have been prescribed?" e. "There are some things I'd like to discuss about adaptive sexual practices."