The nurse is caring for a client who has been diagnosed with dissociative disorder. The nurse knows that an appropriate intervention to promote effective role performance is to:
1. Encourage the client to have no contact with friends and family.
2. Ignore the client's other personalities.
3. Help the client alienate family members who do not believe the client is sick.
4. Include family members is therapy.
4
Rationale: It is important to work with the client's family in order to help everyone in the family unit to adjust to role performance alterations. Including family members in a therapeutic counseling relationship helps them learn new ways of dealing with the client. As stated earlier, considerable secondary gain is often associated with dissociative behavior: some clients may use the illness to escape responsibility and get special treatment. Families often need support in learning to avoid reinforcing dissociative behavior by acting as the source of secondary gain.
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A wound on a patient's leg has stopped bleeding. The nurse realizes that this is because
1. platelets retracted the clot, reducing leakage. 2. neutrophils have invaded the wound. 3. macrophages have been released into the general circulation. 4. tumor necrosis factor has sealed the wound.
After asking general assessment questions regarding spirituality, the nurse finds the client content and satisfied. How should the nurse conduct the rest of the assessment?
1. Specific questions regarding beliefs should be included. 2. The nurse should validate spiritual information with the client's family. 3. The assessment can now move on to physical assessment. 4. No further specific spiritual assessment is currently necessary.
What kind of lighting is cheerful to most people?
a. Bright lighting b. Dim lighting c. Soft lighting d. Lighting that causes glares and shadows
A nurse is preparing a sterile field for a dressing change using surgical aseptic technique. The nurse gathers supplies to prepare the sterile field using a packaged drape. Which option correctly describes how the nurse should set up the field?
a. Don sterile gloves before opening the packaged drape. b. Clean the bottle of irrigation solution with alcohol before placing the bottle on the field. c. Avoid dropping sterile supplies close to the 1-inch border around the drape. d. Leave the sterile field unattended to obtain needed supplies.