A client who is HIV-seropositive continues to use heroin on a daily basis, often shooting up with other addicted individuals. The client has agreed that his behavior endangers others and has agreed not to share needles
What can the nurse give as a realistic estimate for success in attaining this outcome?
1. Low potential for achievement
2. Moderate potential for achievement
3. High potential for achievement
4. Ultra-high potential for achievement
ANS: 1
Despite the client's good intentions not to share needles, he will not care who uses his needle once the heroin takes effect. The other options are unrealistically optimistic. High-risk behaviors are difficult to change. They are hard to discuss and harder still to achieve when they are drug-related, since substance use alters judgment.
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A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for further teaching?
a. "Beta carotene, lutein, and zeaxanthin are good supplements." b. "I might qualify for a retinal transplant one day soon." c. "Since I'm going blind, sunglasses are not needed anymore." d. "Vitamin A has been shown to slow progression of RP."
The first step in directing patient care is to assess staff capabilities
Indicate whether the statement is true or false
Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person
The nurse in charge of the clinic asks herself, "Who needs this medicine most?" This question suggests which of the following? a. The nurse is utilizing a material rule of distributive justice to make her decision. b. Decisions about how to distribute scarce medications are capricious. c. The nurse should collaborate with the clinic physician when she makes this type of decision. d. There are no rules regulating distribution of scarce medications in this facility.
A nurse has been focusing on one particular client at work. She believes she sees a side of the client no one else on the treatment team can see
As a result, the nurse is in serious conflict with the other members of the care team. This demonstrates that the nurse may have: A) Exceptional caring and concern for the client B) Appropriate dedication to her job C) A failure to maintain appropriate boundaries D) An professional relationship with the client