A client is admitted to the health center with chronic diarrhea. When should the nurse begin imparting health teaching about mitigating the effects of this problem?
A) When admitting the client
B) When providing treatment
C) When discharging the client
D) When the client requests information
A
Feedback:
Potential teaching needs should be identified from the time when the client is admitted. The client would therefore need to be taught the benefits of a proper diet during admission so as to minimize the risk of diarrhea. There is a greater probability of the client retaining the teaching if the teaching starts during admission. The teaching may be amended during the caring, treatment, and discharge phases.
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Which of the following questions indicates further teaching is needed regarding the client's rights in a therapeutic environment? 1. "Where do I go if I want to smoke?" 2. "What time does morning group start?" 3. "What time are meals served on the unit?" 4. "What happens if I refuse to attend a group activity?"
A student nurse would properly contact and advise the supervisory staff nurse if
1. A patient demands to be moved to a different room but will not say why. 2. A physically larger patient for whom the student nurse is providing ambulation therapy has trouble getting back into bed and the student is unable to get him into bed herself. 3. A patient seems to be trying to communicate something urgent but cannot do so because of a language barrier. 4. A patient's condition seems worse than at the staff nurse's last assessment.
A nurse states, "I don't understand why the Stuart Stress Adaptation Model uses both the health/illness and adaptation/maladaptation continua.". The best reply is:
a. "The more information that's contained within the model, the more realistically it represents life.". b. "The model recognizes that nature is ordered as a social hierarchy from simple to complex. The health/illness continuum is a simple concept; the adaptation/maladaptation continuum is more complex.". c. "To integrate the theory of four stages of psychiatric treatment, Stuart had to have a health/illness frame of reference. The adaptation/maladaptation continuum was necessary to complement the holistic framework.". d. "The health/illness continuum reflects a medical world view, whereas the adaptation/maladaptation continuum is derived from nursing's world view. The two reflect the complementary nature of the nursing and medical models of practice.".
How do the major antipsychotic drugs exert their effects to reduce psychotic episodes?
a. They block dopamine receptors and reduce neuronal impulse transmission. b. They redirect nerve impulses away from excitatory areas of the brain and into brain inhibitory areas. c. They enhance the breakdown of excitatory neurotransmitter chemicals so that impulse transmission is slower. d. They block the reuptake of neurotransmitters so that the concentration of these chemicals is increased in the brain.