To which of these actions should the nurse give priority when conducting an assessment of a newly admitted client who has severe and persistent mental illness?
1. Determine client's level of family support
2. Seek client's perception of the illness
3. Develop rapport and trust
4. Orient client to milieu
ANS: 3
The client's developing a sense of trust is essential to the establishment of a therapeutic relation-ship. Options 1 and 2 refer to information the client will provide after becoming comfortable with the nurse. Option 4: Orientation to the milieu should be provided after the assessment.
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A patient has smoked two packs of cigarettes daily for many years. When the patient tries to reduce smoking, he experiences anxiety, craving, poor concentration, and headache. This scenario describes:
a. substance abuse. b. substance dependence. c. substance intoxication. d. recreational use of a social drug.
A post-menopausal adult client is concerned about the development of osteoporosis and wants to begin preventative activities. Which statement by the nurse is appropriate?
A) "You should first determine if you are at risk for the development of osteoporosis." B) "After menopause, the decline is too rapid to begin preventative interventions." C) "Weight-bearing exercise and calcium supplements are helpful in the prevention of osteoporosis." D) "Hormone replacement therapy should be initiated as soon as possible."
A 1- to 2-inch needle should be used for intramuscular injections
Indicate whether the statement is true or false
Which of the following is not one of the "domains" of nursing interventions detailed in the Nursing Interventions Classification (NIC) System?
1. Health system 2. Lifestyle 3. Physiologic: basic 4. Physiologic: complex 5. Safety