The nurse would evaluate the plan of care for a paraphilic client as having been effective if the client:

1. Willfully withdrew from the program
2. Asked to include his wife in the treatment program
3. Acknowledged that he has a sexual disorder
4. Requested an antianxiety medication to help him cope


ANS: 3
Identification of the problem by the client is essential to successful treatment. 1. Willfully ending treatment is hardly evidence of successful treatment. 2. Wanting his wife to be included in the program is a way of shifting attention from the self. 4. This request has nothing to do with evalu-ation of treatment effectiveness.

Nursing

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The nurse is caring for a patient who has developed scar tissue in many of the areas that normally produce blood cells. What organs can become active in blood cell production by the process of extramedullary hematopoiesis?

A) Spleen and kidneys B) Kidneys and pancreas C) Pancreas and liver D) Liver and spleen

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A male nurse enters the room of a female client to obtain the client's vital signs. The client's spouse appears uncomfortable with the nurse and moves closer to the client. Which action by the nurse is most appropriate?

A) Ask a female staff member to obtain the client's vital signs. B) Ask the client's spouse to leave the client's room. C) Perform the intervention without discussion. D) Explain the procedure to both the client and client's family member.

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Through testing, a patient learns of a genetic disease that he has inherited from his parents, yet none of his other siblings have inherited the same disease

The patient tells the nurse that he has always believed his parents "didn't want him" and now he has proof. What should the nurse counsel this patient? 1. Suggest the patient talk with a counselor to discuss the results of the test and future options. 2. Ask the patient if he has ever discussed his thoughts and fears with his parents. 3. Encourage the patient to talk with his siblings about the illness and ask them for help now before he has manifestations of the disease. 4. Remind the patient that genetic testing is inconclusive, and there is a great chance that the results are wrong.

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The public health nurse is teaching a group of parents about immunizations. The nurse tells that parents that after receiving the varicella virus vaccine, children should temporarily avoid close contact with which of the following?

(Select all that apply.) a. Neonates b. Siblings c. Relatives over age 65 d. Pregnant women e. Individuals infected with HIV

Nursing