Which action is most important for the nurse to take before providing care for substance abusers?
a. Become familiar with self-help programs.
b. Examine personal bias relative to sub-stance abuse.
c. Become knowledgeable about theories of addiction.
d. Ensure consistency with each patient.
B
Nurses must first determine their own biases and attitude toward substance abuse and substance abusers before they can relate effectively with the patient. Familiarization with resources and knowledge about theories of addiction are tools of lesser importance. Consistency with patients occurs while providing care to substance abusers.
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A nurse on an orthopedic trauma unit is providing care for a client who has had Buck's traction applied after suffering multiple trauma in a motorcycle accident. The essential characteristic of all types of traction is the application of:
A) Pulling force to aid healing or relieve symptoms B) Twisting force to prevent complications of immobility C) Therapeutic pressure on an injured body part D) Pushing injured bones together to promote reunion
The nurse caring for a 40-year-old building contractor with rheumatoid arthritis realizes from what
he says that his wife and 13-year-old son have taken on many new roles since he became severely debilitated. They have become caregivers, helping him dress, lifting him into his truck so he can go to building sites, and picking him up when he falls. His wife has taken over ordering building supplies and assigning work teams in addition to running her own home cleaning business. When the nurse asks the wife "How are you holding up these days?" her response is "Sometimes I wonder how long we are going to be able to provide the care he needs. He seems to be weaker every month. I feel like I am going to collapse under the strain, but I know I have to keep going. It is hard on our son, too, to see his dad so helpless.". The nursing diagnosis the nurse should consider completing is a. ineffective denial. b. defensive coping. c. spiritual distress. d. caregiver role strain.
The nursing student is discussing an assigned client's pain responses with the nursing instructor. The student reports feeling amazed about how the client has continued to avoid taking any analgesics only hours after surgery
What response by the nursing instructor is indicated? 1. "Sometimes clients just don't need any analgesics." 2. "Have you seen any nonverbal cues that might indicate the client is experiencing pain?" 3. "We will need to contact the healthcare provider to report the client's continued refusal of analgesics." 4. "Do the client's vital signs indicate the client is experiencing pain?"
The nurse understands that a medication such as carvedilol (Coreg) may not be effective in an African-American patient because of its effects on
a. cardiac contractility. b. heart rate. c. renin release. d. vascular resistance.