A client with an alcohol problem who has been sober for 8 months asks the nurse, "Do you think I should add individual therapy to my treatment plan?" Which response by the nurse would be therapeutic?
A. "What do you think? What is the individual therapy all about?"
B. "Are you feeling that you're vulnerable to a slip? If not, why complicate treatment further?"
C. "Okay, what's going on with you? You had to be coerced into treatment, but now you seem to want the full monty."
D. "The best time to add individual therapy seems to be after 2 to 5 years of sobriety. Individuals vary, though, and it may be that you are asking because you feel ready to work on your issues."
Answer: D. "The best time to add individual therapy seems to be after 2 to 5 years of sobriety. Individuals vary, though, and it may be that you are asking because you feel ready to work on your issues."
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A somatoform illness is the result of a person's attempt to
1. meet a goal. 2. reduce anxiety. 3. reduce depression. 4. control the situation.
Which indicator should receive priority concern when monitoring an older adult for possible malnutrition?
a. The client's stated goal to 'lose 10 pounds in 6 weeks'. b. The client's weight loss of 3 pounds in the last 2 weeks. c. The client's weight, when compared to a weight chart, is below normal. d. The client's statement that, "I could save some money by cutting back on my food bills."
The prescription reads, "Aspirin two tablets every 2 hrs for pain.". Which should the nurse implement? (Select all that apply.)
1. Add "by mouth" to the prescription. 2. Clarify the administration frequency. 3. Change the prescription to "650 mg.". 4. Administer the dose by client request. 5. Ask a nursing assistant to call provider. 6. Change prescription to "every 4 hrs prn.".
During a musculoskeletal assessment of a left-handed healthy adult, of the findings listed below, those labeled with numbers ____________________, are expected? (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Cervical concave, thoracic convex, and lumbar concave contours of the spine 2. Muscle strength of 3/5 bilaterally 3. Circumference of left upper arm larger than right upper arm 4. Lumbar and thoracic spine flexion 75 degrees 5. External rotation and abduction of left arm 90 degrees 6. Flexion of right knee 90 degrees