A nurse is counseling a family whose child, age 4 years, has mild intellectual disability. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?
A) Locating suitable residential placement for the child
B) Finding a foster home for the child
C) Having the child function independently as an adult
D) Preventing the onset of psychiatric disorders in the child
Ans: C
The long-term goal for this family and child is to have the child function independently as an adult. Independence may be delayed but is not impossible.
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The nurse is caring for a client who is receiving multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for the multiple-drug treatment and evaluates learning as effective when the client makes which statement?
A) "Multiple drugs are necessary to develop immunity to tuberculosis." B) "Multiple drugs are necessary because I became infected from an immigrant." C) "Multiple drugs will be required as long as I am contagious." D) "Multiple drugs are necessary because of the risk of resistance."
The nurse is planning care for a group of clients. Which client has the greatest risk for developing deep venous thrombosis (DVT)?
A) The client recovering from laparoscopic gallbladder surgery. B) The client admitted with new-onset type II diabetes mellitus. C) The client admitted with community-acquired pneumonia. D) The client recovering from knee replacement surgery.
The nurse is caring for a patient experiencing epistaxis. What should the nurses's initial intervention be to stop the epistaxis?
a. Have the patient lie back and hold ice to the nose. b. Firmly pack the nostrils with gauze. c. Press firmly on the area beneath the nose and lips. d. Have the patient sit forward and pinch the soft part of the nose.
A psychiatric nurse learns that a client who is a registered sex offender is to be admitted to the unit. The nurse thinks about personal feelings associated with caring for this type of client
Which phase of the nurse–client relationship focuses on the nurse's self-analysis (feelings, fantasies, strengths, and limitations)? A) Pre-interaction B) Orientation C) Working D) Termination