When attempting to modify unacceptable behaviors exhibited by an aggressive and self-destructive child, which nursing intervention would be most therapeutic while being the least restrictive?
a. Informing the child that physical restraints will be used to remodel behavior
b. Requiring the child to interact only with staff when unable to behave
c. Encouraging the child to engage in only low-stimulation activities
d. Secluding the patient with a time-out for inappropriate behavior
D
Less restrictive interventions for aggressive, hostile, and destructive children include time-outs, open-door seclusion, therapeutic holding, and room programs to reduce inappropriate behavior.
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The student nurse realizes that individuals who self-mutilate may:
1. Process feeling verbally if someone listens. 2. Never learn how to control their urges. 3. Cut for attention only. 4. Have difficulty processing feelings.
In order to assist the client with personal hygiene, the nurse plans for time to assist with: Standard Text: Select all that apply
1. Bathing. 2. Toileting. 3. General body hygiene. 4. Grooming. 5. Range of motion.
The client is maintained on mechanical ventilation, but is found to have irreversible destruction of the cerebral cortex. When documenting this client's condition, which term will the nurse use?
1. Heart-lung death 2. Higher brain death 3. A persistent vegetative state 4. Death
The only definitive way to determine the presence of malignant cells is to perform
a. laboratory tests. b. a tissue biopsy. c. an MRI. d. a CT scan.