The nurse assigned to the assertive community treatment program is responsible for determining the
location of a new inner city site for a 3-hour block of time each Tuesday.
The nurse has learned the
following facts: A conference room is available on the sixth floor of city hall as well as a large lobby
area on the first floor, either of which could each be used as a site between 9 AM and noon. City
police have been successful in clearing homeless individuals from a two-block area around city hall.
A firehouse near city hall has offered a room that could be used on alternate Tuesdays from 2 to 5
PM. A fast-food restaurant located approximately four blocks from city hall is willing to allow use of
its "party room" from 7 to 10 AM. The most preferable site would be the
a. city hall conference room.
b. city hall lobby.
c. firehouse room.
d. restaurant "party room.".
ANS: D
The room in the fast-food restaurant is preferable because it could be used consistently each week
and because inner city residents, including those from the homeless shelter, could go there without
interference.
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A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
1. Does not cry if his parents return and leave again. 2. Screams and cries when his parents leave. 3. Appears to be happy and content with staff. 4. Lies quietly in bed.
A laboring client's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse 2. Estimation of fetal birth weight 3. Fetal presentation, position, and station 4. Biparietal diameter
Which blood gas parameter is the acid—base component that reflects kidney function?
a. pH b. PaO2 c. PaCO2 d. HCO3-
While caring for a nonverbal patient, which of the following ensures appropriate and timely pain management?
1. Medicate the patient based on the pathologic condition, nonverbal cues, and pain procedures. 2. Have the family medicate the patient, based on their knowledge of the patient's response to pain. 3. Administer non-narcotic analgesics around the clock, adding narcotic analgesia when necessary. 4. Use the McGill pain questionnaire to determine the optimal pain management plan.