A client who has ADHD experiences impaired social interaction with the peer group. Which of these nursing interventions is appropriate?
a. Allow the client to work out problems with peers unless help is requested.
b. Explain to the child those behaviors that are acceptable.
c. Limit the child's interactions with peers.
d. Reinforce any change in behavior.
B
Nursing interventions for a client with impaired social interaction should include explaining those behaviors that are acceptable, observing in social situations with peers, and providing reinforcement for appropriate behaviors.
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A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. Which action should the nurse do first?
1. Place a continuous pulse oximetry monitor on the child. 2. Place the child in a room away from the nurse's station. 3. Allow for several visitors to remain at the child's bedside. 4. Use soft restraints if the child becomes confused.
After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings,
would indicate that the teaching was successful? A) Increase in community settings for care B) Decrease in family poverty level C) Increase in hospitalization of children D) Decrease in managed care
The nurse is assessing a patient's mental health competence and decision-making ability. What activities will best provide the needed information to the nurse?
A) Ask the patient to read and discuss a passage from a pamphlet. B) Ask the patient "what if" questions to determine level of thought organization. C) Ask the patient to review his medical health history to assess for the level of organization of his thought processes. D) Discuss with the patient's family any concerns about his mental stability.
The 45-year-old husband of a client with breast cancer who just died says to the nurse, "If our doctor had operated sooner, my wife would be alive now." Which statement by the nurse would be therapeutic?
A. Say nothing. Simply nod and say "Mm-hmm" noncommittally. B. "Sounds as if you're feeling angry and pretty helpless right now." C. "Let's focus not on what was not done but instead on what was done for your wife." D. "Your doctor did all he could for your wife. You know, health care providers can only apply their best clinical judgment."