The mental health nurse spends a great deal of time with clients diagnosed with a dissociative disorder. Because of this fact, what is it important for the nurse to do?
A) Promote a safe environment to protect the client from self-injury or injury to others.
B) Model positive and desired behaviors.
C) Develop a contract between the client and the staff for dealing with self-destructive behaviors.
D) Decrease anxiety-producing stimuli.
B
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As the nurse assesses a client's blood pressure, he or she understands that blood pressure is a result of:(Select all that apply) Standard Text: Select all that apply
1. The volume of blood pumped into the arteries by the heart 2. The volume of blood pumped into the veins by the heart 3. The compliance of the veins 4. The size of the arterioles 5. The thickness of the blood
A patient from another culture does not look at the nurse's face while answering questions about health and medication history. What is the nurse's best action?
a. Ask the patient whether a family member could serve as an interpreter. b. Speak in a louder tone to get the patient's attention. c. Have the patient sit in a chair rather than in the bed. d. Proceed with the interview.
The nurse is to administer several medications to the client via the N/G tube. The nurse's first ac-tion is to:
1. Add the medication to the tube feeding being given 2. Crush all tablets and capsules before administration 3. Administer all of the medications mixed together 4. Check for placement of the nasogastric tube
An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should
a. Thoroughly scrub the skin with a wash cloth and hypoallergenic soap. b. Apply a skin protective lotion after perineal care. c. Tape an occlusive moisture barrier pad to the patient's skin. d. Massage the skin with deep kneading pressure.