Which of the following statements describes a strength of a resident for restorative care?
a. The resident cannot communicate verbally
b. The resident verbalizes complaints of pain
c. The resident has fallen when attempting to ambulate to the toilet
d. The resident coughs when eating
B
If the resident can verbalize complaints of pain, this can work as an asset to involving the resident in his or her care. Responses A, C, and D are not assets to restorative care. Lack of verbal communication limits the resident's involvement in the care process. Residents who have fallen often require restorative care with goals aimed at decreasing fall risks. Residents who cough while eating are often exhibiting signs of aspiration.
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Your 15-year-old neighbor, who knows you are a mental health nurse, informs you that he has "a friend who is talking about suicide." Your best initial response to the young neighbor is:
A. "Who is it? Another neighbor?" B. "I have some time. Tell me a little about this friend." C. "Who else knows? Has this friend told anyone else?" D. "Your friend needs help right away!"
What does treatment for essential hypertension focus on?
a. Daily medication with mild diuretics b. Low-dose vasodilators c. Reduction of modifiable risks d. Combination of vasodilators and diuretics
The nurse would anticipate that a patient on Vasotec (ACE inhibitor) would have as a positive outcome to this drug:
1. increased fluid retention. 2. decreased blood pressure. 3. decreased urine output. 4. increased appetite.
Which of the following nursing interventions would be appropriate in reducing the risk of infections?
A) Wear a mask for all client care. B) Raise the temperature in the client's room. C) Wash hands. D) Assess vital signs only once daily.