A client who is nearing high school graduation is unable to finish out the year, cries at night, has difficulty sleeping, and does not want to attend classes. Which type of crisis does the nurse identify?
1. Trauma from previous crisis
2. Situational crisis
3. Recoil response
4. Maturational crisis
4
Rationale: Senior year is a transition to work or college. This is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals. Situational crises typically arise from sudden, unanticipated events or changes. In recoil, the initial stress has passed, which is not the case for the client who is nearing graduation. There is not enough information to assess the presence of a previous trauma.
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A nurse is obtaining a health history on a new patient with oral cancer. The patient had surgery earlier today. What is the priority postoperative assessment for the nurse caring for this patient?
A) Assess ability to clear oral secretions B) Assess ability to pucker lips C) Assess for a patent airway D) Assess for ability to communicate
A nurse is obtaining vital signs from patients using the tympanic method for measuring temperature. Which of the following guidelines should be followed when taking a tympanic temperature?
A) Do not take a tympanic temperature if the patient has an earache. B) Do not take a tympanic temperature if there is noticeable earwax present. C) Do not take a tympanic temperature if the patient has an ear infection. D) If the patient has been sleeping with head to one side, take the temperature in the ear facing down.
150,525 mcg = ____________________ g
Fill in the blank(s) with correct word
Kotter and Cohen's Model of Change has been implemented successfully, resulting in an evidence-based change in pressure ulcer assessment and prevention on a unit. What is the final step in this change process?
A) Disseminating the results of the change in practice B) Sending out mentors to stimulate similar change on other units and in other hospitals C) Nourishing the change to ensure the new practice is sustained D) Monitoring nurses' compliance with the new practice