A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
A) It requires the client to develop attachments.
B) It sets up specific boundaries for the client.
C) It helps reinforce self-responsibility.
D) It avoids confrontation about dysfunctional patterns.
A
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The nurse documents that a patient has coarse, thickened skin and brown discoloration over the lower legs. Pulses are present. This finding is probably the result of:
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic venous insufficiency.
A nurse has planned a detailed and individualized teaching plan for a patient who had a double mastectomy
While working with her, the nurse notes that the patient seems distracted and unable to remember what was just taught; also, her skill at changing her dressings is poor. The nurse is frustrated and consults a colleague, who explains that the most likely reason for this behavior is a. denial of the need to learn self-care. b. inadequate pain relief or treatment. c. lack of emotional readiness to learn. d. not enough time to perform the skills.
When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical manifestation, which is:
a. clubbing of the digits. b. upper extremity hypertension. c. pedal edema and portal congestion. d. loud systolic ejection murmur.
When a client is placed in restraints, he or she should be left alone to ensure privacy
Indicate whether the statement is true or false