A nurse has agreed to delay a client's treatment until the matriarch of the family can be present
Understanding that this is an important consideration for this client's cultural practices, which of Leininger's intervention modes is the nurse implementing?
1. Preservation and maintenance
2. Accommodation, negotiation
3. Restructuring
4. Repatterning
Rationale 1: The preservation and maintenance mode does not involve the scenario described here.
Rationale 2: By allowing flexibility in scheduling client treatment in order to allow for the client's family member to be present—which in this case is an important aspect of the family's cultural practices—the nurse accommodates the client's needs.
Rationale 3: Restructuring does not involve the scenario described here.
Rationale 4: Repatterning does not involve the scenario described here.
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Which of these individuals would the nurse consider at highest risk for a suicide attempt?
a. Man who jokes about death b. Woman who, during a past episode of major depression, attempted suicide c. Adolescent who just broke up with her boyfriend and states that she would like to kill herself d. Older adult man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun
Nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What has influenced this increase in practice settings for nurses?
A) Population shift to more rural areas B) Shift of health care delivery into the community C) Advent of primary care clinics D) Increased use of rehabilitation hospitals
The nurse is teaching a class to prenatal patients about the benefits of a doula. Which statement by a patient demonstrates the need for further teaching?
1. "The doula will deliver the baby." 2. "The doula will assist with the birth." 3. "The doula will provide guidance and encouragement." 4. "The doula will attend to my comfort needs."
A client provides his family history, which includes that his mother has experienced suicidal ideation herself in the past. The nurse's assessment is guided by the knowledge that the risk of suicide is even greater:
a. when a parent makes multiple overt threats of suicide without actually attempting suicide b. if the child was adopted at birth by a parent who later attempts suicide c. in families where relatives have completed suicide d. for people who have a low frequency of the "SS" form of a serotonin transporter gene