A psychiatric nurse advocating for behavioral health system change would focus on which topic?
a. Abolishing the health maintenance organization (HMO) system
b. Strengthening current utilization review guidelines
c. Limiting consumer empowerment initiative options
d. Increasing resources for chronic care mental health services
D
Although gains have been made in medical treatment for behavioral illness, little attention has been given to preventive, rehabilitative, and chronic care services. This is a topic worthy of nursing advocacy.
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How should an individual be supported through the change process?
1. Recognition of contributions to build self-confidence 2. Given only a small amount of information concerning the change so as not to overwhelm with information 3. Instruction on any new processes within 6 weeks of the change occurring 4. Referral to the employee-assistance program
A nurse is caring for a chronically confused client and family and has made the nursing diagnosis Caregiver Role Strain. Which action by the family would alert the nurse that outcomes are not being met? (Select all that apply.)
a. A support group schedule is noticed by the nurse in the spouse's pocket. b. Children state the spouse has not seen old friends in several months. c. The client's spouse states they cannot afford a bedside commode at home. d. The family has arranged for mental competency testing for the client.
A nurse begins an infusion of intravenous immune globulin (IVIG) to a child who has combined immunodeficiency disease. Which assessment finding indicates that the nurse should stop the infusion?
1. A mild headache 2. Clear yellow urine 3. Severe shaking, chills, and fever 4. Complaints of being "thirsty"
A nurse has cleansed the infected wound of a middle-aged client. What is the first step nurses take in the orderly sequence for removing their garments?
A) Wiping the soiled surface of the gown with a disinfectant B) Removing the garments that are most contaminated first C) Washing hands before removing the contaminated gown D) Folding the soiled side of the gown to the inside before removing