In order to provide for the psychosocial needs of an immobilized client, which of the following statements made by the nurse would be appropriate?
a. "The staff will limit your visitors so that you will not be bothered."
b. "A roommate can be a real bother. You'd probably rather have a private room."
c. "Let's discuss your care to see if there are any changes we can make."
d. "I think you should have your hair done and put on some makeup."
C
To meet the psychosocial needs of an immobilized client, the nurse should encourage the client to be involved in his or her care whenever possible. Asking the client if the staff can make changes in routine care is an appropriate question.
Visitors should not be limited for the immobilized client. The client needs socialization throughout the day.
If possible, the client should be placed in a room with others who are mobile and interactive.
Clients should be encouraged to wear their glasses or artificial teeth and to shave or apply makeup. These are activities through which people maintain their body image. The nurse provides for the psychosocial needs of an immobilized client by having the client perform as much self-care as possible. However, the nurse should first encourage the client to discuss his or her care.
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A) "This behavior is abnormal. I will have the physician refer you to a psychologist." B) "This behavior is just the sibling's way to get attention." C) "This is a normal response. Your other child is also affected by the diagnosis and anger and guilt are expected feelings for a 6-year-old." D) "Your other child should not be so upset. The cancer is easily treated."
A mother brings her 6-month-old son to the clinic for a follow-up assessment after antibiotic treatment for recurring otitis media. What would the nurse expect to find while assessing the patient's mouth?
A) White uvula B) Red and white patches in the throat C) White patches on the buccal mucosa D) White coated tongue
Which of the following are examples of common forms of lateral violence among nurses? Select all that apply
A. Undermining activities B. Withholding information C. Poking a colleague's arm with an index finger D. Standing in another's personal space E. Nonverbal innuendo F. Scapegoating G. Sabotage
The nurse is contributing to a staff education program to prevent falls in the older population. What should the nurse include as areas to assess for fall prevention? (Select all that apply.)
a. Use of alcohol b. History of falls c. Medication side effects d. Pressure sore development e. Gait and balance screening