The nurse is caring for a 28-year-old client who has been a heroin addict for 8 years. She has lost custody of her first two children because of abuse and neglect secondary to her addiction. She is currently 4 months' pregnant with her third child
She was admitted to the inpatient substance-abuse program 3 days ago. Which client statement would indicate to the nurse that she is working on her substance abuse issues?
A) "I'm not going to use heroin ever again. I know I've got the willpower to do it this time."
B) "I cannot control my use of heroin. It's stronger than I am. I'm here to find out how to get started on the road to recovery."
C) "I'm going to get all my children back. They need their mother."
D) "My father abused me as a child, and my mother walked out on us. If anyone's got a right to use heroin, it's me."
B
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The student nurse wishes to be culturally competent. What should the student do first?
1. Discover the most predominant cultures in the community. 2. Determine what cultural group is likely to be most represented in the clinical facility. 3. Learn more about the student's own personal cultural background. 4. Read more about different cultural beliefs in the school library.
The theory of utilitarianism states that an ethical decision is based on the greatest good for the greatest number of people. This theory often leaves out which of the following groups?
1. Elderly people 2. Those who are in a minority 3. Patients who, for the most part, can independently care for themselves 4. Certain ethnic groups
A nurse is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment?
A) Assessment of the patient's stool for evidence of intestinal sloughing B) Assessment of the patient's apical heart rate for dysrhythmias C) Assessment of the patient's joints for pain and decreased range of motion D) Assessment for cognitive changes resulting from neurologic lesions
Nutrition is one of the most significant factors in influencing the outcome of a pregnancy. It is an alterable and important preventive measure for a variety of potential problems such as low birth weight and prematurity
While completing the physical assessment of the pregnant patient, the nurse can evaluate the patient's nutritional status by observing a number of physical signs. Which sign would indicate that the patient has unmet nutri-tional needs? a. Normal heart rate, rhythm, and blood pressure b. Bright, clear, shiny eyes c. Alert, responsive, and good endurance d. Edema, tender calves, and tingling