Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions
a. One
b. Two
c. Three
d. Four
B
Level two interventions focus on protecting the client and others from potential harm. Level one interventions focus on preventing violence, and level three is the last level of interventions that are implemented for clients whose behaviors reflect a loss of control.
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An emergency department nurse triages a client with diabetes mellitus who has fractured her arm. Which action should the nurse take first?
a. Remove the medical alert bracelet from the fractured arm. b. Immobilize the arm by splinting the fractured site. c. Place the client in a supine position with a warm blanket. d. Cover any open areas with a sterile dressing.
A nurse working in a psychiatric unit is caring for a client with schizophrenia who manifests positive symptoms of the disease. Based on this data, which does the nurse anticipate when providing care?
A) Social withdrawal B) Hallucinations C) Anhedonia D) Concrete thinking
List the foods in Mr. Y's diet that are high in fat or simple sugars and suggest an appropriate substitute
Which client statement on cultural or religious influences on nutrition requires intervention?
1. "I avoid milk and meat at meals because I am Jewish." 2. "My auntie sent me clay from the south to eat every day." 3. "Because I am Muslim, I do not ever eat any pork products." 4. "My grandmother makes sure I eat a serving of greens each day."