Which behavioral approach should a nurse use when caring for children diagnosed with disruptive behavior disorders?
1. Involving parents in designing and implementing the treatment process
2. Reinforcing positive actions to encourage repetition of desirable behaviors
3. Providing opportunities to learn appropriate peer interactions
4. Administering psychotropic medications to improve quality of life
2
Rationale: The nurse should reinforce positive actions to encourage repetition of desirable behaviors when caring for children diagnosed with disruptive behavior disorder. Behavior therapy is based on the concepts of classical conditioning and operant conditioning.
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The nurse is called into a client's room by the unlicensed assistive personnel (UAP), who informs the nurse that the obstetric client has no pulse or respirations and has profuse vaginal bleeding. Which is the priority action by the nurse?
1. Apply gloves and assess the client for pulse and respirations. 2. Assess the client for pulse and respirations, instruct UAP to notify code team while donning personal protective equipment, and begin CPR. 3. Quickly assess pulse and respirations, next assess for bleeding, call for the code team, and then apply personal protective equipment before beginning CPR. 4. Apply gown, gloves, mask, and goggles, then assess client for pulse, respirations, and bleeding.
A client comes to the clinic 2 days after sustaining a sprain to the left ankle. What intervention can the nurse encourage the client to perform that will help improve circulation?
A) Active range-of-motion exercises B) Take nonsteroidal anti-inflammatory drugs C) Applying cold compresses D) Applying heat
An 81-year-old woman who lives alone is in the clinic for an annual physical. She reports that she has noticed that her sense of smell is not as acute as it used to be
Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ask the patient if her kitchen stove is gas or electric. 2. Remind the patient of the need to change batteries in her smoke detectors twice a year. 3. Suggest that the patient use fewer spices when cooking. 4. Recommend that the patient limit the amount she drives her car. 5. Ask the patient if she has a cat or dog living in her house.
The nurse is providing bereavement care for a family who lost a loved one. Which of the following is a role of the nurse in this process?
A) Set up a memorial service for the client. B) Urge family members not to reminisce about their loved one. C) Visit the family after the client's death to evaluate how they are coping. D) Follow-up with bereavement care for 3 months following the client's death.