The nurse is going to use the PLISSIT model to aid a patient with an alteration in sexuality. Which of the following will the nurse use first?
a. direct education at how to handle a specific problem
b. begin intensive therapy
c. give general information about an issue
d. give permission to discuss sexual issues
D
The nurse will be begin by giving the patient permission to discuss any sexual concerns he/she may have. Then the nurse will provide some limited knowledge about the sexual concern. This is followed by specific suggestions on how to handle a sexual concern. The model ends with intensive therapy which should be performed by a certified sex therapist.
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Protein-bound medications frequently cause side effects in older adults because
a. Older adults are more susceptible to adverse drug reactions b. Older adults often have a decreased serum albumin level that increases the amount of free drug c. Older adults take many drugs, and adverse drug reactions are primarily caused by polypharmacy d. Older adults do not have adequate kidney function to excrete protein-bound drugs
A 6-year-old is seen in a mental health clinic for possible hyperactivity. His mother reports that he is just "all boy." He has always been active and does not like to sit still for more than a minute
Which of the following data would be most important to assess to help evaluate his behavior? A) Whether he was breastfed or bottle-fed as an infant B) Family medical history for circulatory illnesses C) A review of the boy's typical day D) Medical history for communicable diseases
A 58-year-old male patient who weighs 242 lb (110 kg) undergoes a nephrectomy for massive kidney trauma due to a motor vehicle crash. Which postoperative assessment finding is most important to communicate to the surgeon?
a. Blood pressure is 102/58. b. Urine output is 20 mL/hr for 2 hours. c. Incisional pain level is reported as 9/10. d. Crackles are heard at bilateral lung bases.
Outcome statement is:
a) Client will ambulate without a walker by 6 weeks b) Client will ambulate freely in house c) Client will not fall