A nurse interviews a client with a diagnosis of both a psychiatric disorder and a substance use disorder. Dual diagnosis will:
1. Demand that the substance use disorder be prioritized.
2. Demand that the psychiatric disorder be prioritized.
3. Complicate the clinical picture as both diagnoses have to be addressed.
4. Have little or no impact on the plan of care.
3
Rationale: Dual diagnosis will complicate the clinical picture and require that staff from both specialties work together to provide optimal care. Both disorders will be addressed equally.
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Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?
1. Power-coercive 2. Persuasive 3. Empirical-rational 4. Facilitative
While observing care being provided to an infant, the new mother looks at the nurse repeatedly and asks, "Am I doing this the right way?" Which nursing diagnosis should the nurse select to guide the care needs of the mother at this time?
A) Health-seeking behaviors related to care of newborn B) Ineffective coping related to expectation to provide newborn care C) Risk for altered family coping related to an additional family member D) Risk for impaired parenting related to disappointment in the sex of the child
Mr. K is a 58-year-old client at the community clinic for a routine visit. During triage, the nurse asked about any new problems and he mentioned that he has been having leg cramps that are worse at night
A review of current medications included metoprolol and Lasix for hypertension, and terazosin for benign prostatic hypertrophy. Based on this information, the most probable cause of leg cramps would be: 1. Hypokalemia. 2. Folate deficiency. 3. Iron deficiency. 4. Vitamin D deficiency.
The complementary method of guided imagery for pain relief is used with a 5-year-old when the nurse:
a. Helps the child identify muscle groups to tense and relax b. Asks the child to close her eyes and tell about Christmas c. Encourages the child to blow a bubble big enough to take a ride in d. Asks the child to recite a prayer