Which interventions by a rehabilitation nurse would be appropriate? Select all that apply
A. Build on client assets.
B. Encourage hope.
C. Encourage clients to express only positive consequences of their disabilities.
D. Help identify social supports.
E. Help client and family cope with or modify the environment.
F. Identify the many opportunities to ask others for assistance.
ANS: A, B, D, E
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The nurse has just admitted a 66-year-old patient for cardiac surgery. The patient tells the nurse that she is afraid of dying while undergoing the surgery. The nurse should be aware that:
A) A further assessment of anxiety is required. B) A more complete physical examination is required. C) Preoperative fears are normal and will be alleviated with time. D) Teaching should be initiated immediately to alleviate the fears.
An elderly patient is taking an H1 blocker. The nurse is providing patient education. The nurse discusses the nonsedative effects of H1 blockers. Which statement made by the patient would indicate the need for further teaching?
a. "I may experience a little dizziness." b. "I will experience relief of my allergies." c. "Fatigue is an unexpected effect of this medication." d. "I may have some urinary hesitancy."
Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
a. Hydrocephalus b. Cephalhematoma c. Caput succedaneum d. Subdural hematoma
The trauma client's spinal cord must be protected from injury. Therefore, the nurse should:
1. Apply a rigid cervical collar and logroll the client. 2. Keep the client on a backboard for the first 24 hours. 3. Keep the client supine until all diagnostic exams have been completed. 4. Keep the client flat and run a hand underneath to assess for posterior injuries.