The nurse is working with a health care team with that believes in the philosophy of reality therapy. The nurse is aware that the team's belief is centered around:
a. Reorientation of the client to his or her environment
b. Describing clients as irresponsible rather than mentally ill
c. Looking at the client's past in determining how it has affected present behavior
d. Accepting the client's perceptions of right and wrong behavior in the development of his treatment plan
B
Reality therapy focuses on responsibility and does not accept the premise of mental illness. Reality therapists look at the present and future and do not look to the past for excuses for behavior. Reality therapy also emphasizes the morality of behavior and does not allow the client's own interpretation of right and wrong.
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Upon receiving the client from the postanesthesia care unit, which nursing action is the priority?
1. Apply clean linens to the bed. 2. Assemble required equipment, such as suction, IV pole, or oxygen equipment. 3. Assess the client. 4. Notify the family of the client's return to the room.
Which is true of primary nursing?
1. The nurse provides all care. 2. It is the same as primary care. 3. The nurse is responsible for total care of assigned clients. 4. The focus of the care is teaching the client about health and client advocacy.
You are a school nurse who is concerned about an incoming kindergartner with muscular dystrophy. Why would you make a home visit before school starts?
A) To provide anticipatory guidance to the family B) To measure the child's wheelchair to make sure it fits through the school doors C) To set up home teachers for the child D) To provide follow-up care after the child's clinic visit
Which information should the nurse include in the education for a female client prescribed sulfasalazine (Azulfidine)?
A. "A headache is a common adverse effect." B. "You can divide the daily dose throughout the day to decrease the adverse effects." C. "You may experience infertility only during the prescribed treatment." D. "You can crush your tablets and mix it in juice." E. "If you are outdoors be sure you use a strong sunscreen."