The nurse is evaluating care provided to a client recovering from hip replacement surgery. Which of the following would indicate that the client has achieved the expected outcome for pain management?
1. Medicating for pain with intramuscular injection every 4 hours
2. Providing pain medication prior to physical therapy
3. Client using PCA pump around the clock for pain management
4. Client crying and requesting pain medication prior to morning care
2. Providing pain medication prior to physical therapy
Rationale:
The client's pain needs to be controlled so that the client can participate in physical therapy. When pain medication is provided prior to physical therapy, the client's participation in therapy is enhanced. The other statements indicate the client is still experiencing significant pain, which would hinder participating in therapy and delay discharge.
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1. Boundary setting 2. Confidentiality 3. Safety 4. Appropriate self-disclosure
A client who has been considering smoking cessation says "I've already quit. I haven't had a cigarette for 6 weeks." According to Prochaska and DiClemente, in which stage of change is this client?
1. Preparation 2. Precontemplation 3. Action 4. Contemplation
An individual with severe mental illness is persuaded to enter a shelter for the homeless. The shelter
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