Which of the following would be an appropriate intervention for a client with OCD who has a ritual of excessive, constant cleaning?
a. A structured schedule of activities throughout the day
b. Intense psychotherapy sessions daily
c. Interruption of rituals with distracting activities
d. Negative consequences for ritual performance
Answer: a. A structured schedule of activities throughout the day
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A nurse counsels an older adult with chronic insomnia. Which of the following statements should the nurse include in the teaching?
A) "Consider making your environment more conducive to sleep." B) "Continuing with the hypnotic medications you've been prescribed should soon provide a solution." C) "Decreased sleep is a normal age-related change that you will need to accommodate." D) "Moderate alcohol consumption will help you fall asleep more quickly."
The licensed practical/vocational nurse (LP/VN) is concerned about the recent changes at the hospital where she works. The hospital in an attempt to cut costs increased staffing ratios
This has led to increased stress and a feeling that clients are not being properly cared for. In addition, nurse burn out, nursing turnover, and mistakes have all increased. Which action should the nurse take next? A) Gather information from staff nurses regarding the staffing issue, level of stress, rate of burnout, and client safety issues and contact the administration of the hospital presenting the case for better staffing ratios. B) Visit the American Nurses Association to learn more about what changes are being made in different states to provide safe nurse to client ratios and to gather best evidence to support change. C) Write the state legislators about producing a bill to create safe staffing ratios presenting a case for the needed change based upon increased staffing leads to nurse burnout, increased nurse turnover, and increase in errors leading to a decrease in client safety. D) Contact the professional organization the nurse belongs to about the situation and ask for their help.
A school psychologist and a school nurse are collaborating on an individualized education program (IEP) for a fourth-grade student
Early in this process, a strengths-based assessment was performed, involving the boy and his family. What is the primary focus of a strengths-based assessment? A) Determining whether the child possesses strengths B) Identifying the child's skills, resources, and abilities C) Determining whether the child's strengths outweigh his vulnerabilities D) Identifying community strengths that can be mobilized for the boy and his family
The nurse should instruct a client diagnosed with migraine headaches to be careful not to overdose on acetaminophen (Tylenol). Which drug should the nurse tell the patient to avoid?
1. Aleve 2. Aspirin 3. Ibuprofen 4. Vicodin