During the planning of care for a suicidal client, which correctly written outcome should be a nurse's first priority?
A. The client will not physically harm self.
B. The client will express hope for the future by day 3.
C. The client will establish a trusting relationship with the nurse.
D. The client will remain safe during the hospital stay.
ANS: D
The nurse's priority should be that the client will remain safe during the hospital stay. Client safety should always be the nurse's priority. The "A" answer choice is incorrectly written. Correctly written outcomes must be client focused, measurable, and realistic and contain a time frame. Without a time frame, an outcome cannot be correctly evaluated.
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An older adult who injured her knee several years ago tells the nurse that she has been managing the resulting intermittent pain with a prescription for propoxyphene (Darvon). The nurse is con-cerned with this treatment plan, primarily because
a. less expensive alternative analgesics are available. b. this long-term need for a narcotic warrants investigation. c. aspirin would likely be as effective in managing the pain. d. the knee should not still be causing pain for the patient.
Which of the following activities is an example of secondary prevention?
A) Wound débridement B) Immunization C) Preoperative teaching D) Long-term nasogastric feedings
The health team exchanges information. They send and receive messages. This is:
a. Gossip b. Communication c. Reporting d. Resolving conflict
Linea alba is/are the:
A. midline abdominal muscles extending from the rib cage to the pubic bone. B. ligament extending from the pubic bone to the anterosuperior iliac spine. C. midline tendinous seam joining the abdominal muscles. D. angle formed by the twelfth rib and the vertebral column.